马黄酊湿敷与改良Donati-Allgower缝合法治疗跟骨骨折的临床研究

发布时间：2019-01-13 09:40

【摘要】：目的:观察马黄酊湿敷联合改良Donati-Allgower缝合法治疗跟骨骨折ORIF术后预防感染、皮瓣坏死的临床疗效。探讨跟骨骨折ORIF术后感染、皮瓣坏死的原因,以期为该并发症的治疗提供可行的方案。方法:将本课题中的52例患者,随机平均分配成四个组别:单纯缝合组(A1组)、单纯缝合联合马黄酊湿敷组(A2组)、改良Donati-Allgower缝合组(B1组)、改良Donati-Allgower缝合联合马黄酊湿敷组(B2组)。观察患者术后感染率、皮瓣坏死率、软组织愈合时间。结果:改良Donati-Allgower缝合联合马黄酊湿敷组与其他三组分别比较,其皮瓣坏死率、感染率明显降低,且P0.05,差异较大,统计学意义明显。改良Donati-Allgower缝合联合马黄酊湿敷组软组织愈合时间足数分别与其他三组比较,P0.05,差异较大,统计学意义明显;改良Donati-Allgower缝合联合马黄酊湿敷组和改良Donati-Allgower缝合组软组织愈合时间明显大于其他两组;改良Donati-Allgower缝合联合马黄酊湿敷组软组织平均愈合时间足数分别与其他三组比较,P0.05,差异较大,统计学意义,明显;改良Donati-Allgower缝合联合马黄酊湿敷组和改良Donati-Allgower缝合组软组织平均愈合时间明显大于其他两组。结论:马黄酊湿敷联合改良Donati-Allgower缝合法在治疗跟骨骨折中,可有效降低感染和皮瓣坏死的发生率。Donati-Allgower缝合法可延长软组织愈合时间。马黄酊外用在预防和治疗感染方面具有极好的疗效。
[Abstract]:Objective: to observe the clinical effect of Marhuang tincture wet compress combined with modified Donati-Allgower suture for preventing infection and skin flap necrosis after ORIF operation for calcaneal fracture. To investigate the causes of infection and flap necrosis after ORIF operation for calcaneal fracture, and to provide a feasible scheme for the treatment of this complication. Methods: 52 patients in this study were randomly divided into four groups: simple suture group (group A1), simple suture combined with wet-compress group (group A2), modified Donati-Allgower suture group (group B1). Modified Donati-Allgower suture combined with wet compress group (group B2). The postoperative infection rate, flap necrosis rate and soft tissue healing time were observed. Results: compared with the other three groups, the necrosis rate and infection rate of skin flap in modified Donati-Allgower suture combined with wet compress group of Ma Huang tincture were significantly lower than those in the other three groups, and the difference was significant (P 0.05). Compared with the other three groups, the number of soft tissue healing time of modified Donati-Allgower suture combined with wet-compress group of Ma Huang tincture was higher than that of the other three groups (P0.05, P < 0.05). The soft tissue healing time of modified Donati-Allgower suture combined with wet compress group and modified Donati-Allgower suture group was significantly longer than that of the other two groups. Compared with the other three groups, the average healing time of soft tissue in the modified Donati-Allgower suture combined with wet-compress group of Ma Huang tincture was higher than that of the other three groups (P0.05, P < 0.05). The average healing time of soft tissue in modified Donati-Allgower suture combined with wet compress group and modified Donati-Allgower suture group was significantly longer than that in the other two groups. Conclusion: the wet compress of Ma Huang tincture combined with modified Donati-Allgower suture can effectively reduce the incidence of infection and flap necrosis in the treatment of calcaneal fracture. Donati-Allgower suture can prolong the healing time of soft tissue. The external application of Malus tincture has excellent curative effect in preventing and treating infection.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R683

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