[1]孙武 杨克新 张威 袁娜 高景华△.加压包扎在后路腰椎内固定术后的应用研究[J].中国中医骨伤科杂志,2016,24(03):33-36.
　SUN Wu YANG Kexin ZHANG Wei YUAN Na GAO Jinghua.Study on Wound Compression after Posterior Lumbar Internal Fixation[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2016,24(03):33-36.
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加压包扎在后路腰椎内固定术后的应用研究
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第24卷
期数:
2016年03期
页码:
33-36
栏目:
临床研究
出版日期:
2016-03-03

文章信息/Info

Title:
Study on Wound Compression after Posterior Lumbar Internal Fixation
文章编号:
1005-0205(2016)03-0033-04
作者:
孙武1 杨克新1 张威1 袁娜1 高景华1△
1.中国中医科学院望京医院(北京,100102)
△.通信作者 E-mail:gaojinghua64@sina.com
Author(s):
SUN Wu1 YANG Kexin1 ZHANG Wei1 YUAN Na1 GAO Jinghua 1△
1.Wangjing Hospital of China Academy of Traditional Chinese Medicine,Beijing 100102,China.
关键词:
腰椎术后;  加压包扎;  疗效;  病例对照研究
Keywords:
lumber postoperative;  wound compression;  effect;  case-control study
分类号:
R681.5
文献标志码:
A
摘要:
目的:评估加压包扎在后路腰椎内固定术后的有效性。方法:2012年1月至2015年1月,将84例行后路减压内固定术的腰椎管狭窄症患者按抽纸条法随机分为两组。治疗组42例:男24例,女18例; 年龄51～70岁,平均(56.55±4.37)岁; 术后常规预防感染+加压包扎治疗。对照组42例:男30例,女12例; 年龄50～68岁,平均(57.31±4.25)岁; 术后常规预防感染治疗。比较术后两组患者的引流量、术后发热时间及体温峰值、VAS评分、出院时伤口愈合情况并随访观察两组患者伤口是否出现迟发感染等。结果:所有患者平均随访19.6个月(6～36个月)。术后两组患者第1,2天引流量、平均发热天数、体温峰值、术后第1,2,3天VAS评分比较数据均有统计学意义(P<0.05)。结论:加压包扎可产生止痛、减轻炎症反应、促进伤口愈合的作用,对后路腰椎内固定术后患者疗效确定。
Abstract:
Objective:To evaluate the effect of wound compression after posterior lumbar internal fixation.Methods:From January 2012 to January 2015,84 patients with lumbar spinal stenosis who underwent posterior decompression and internal fixation were randomly divided into two groups.There were 42 cases in treatment group,24 males and 18 females,aged from 51 to 70 years old with an average of(56.55±4.37).Conventional antibiotic therapy and wound compression after surgery were performed.In the control group,there were 42 cases,30 males and 12 females,aged from 50 to 68 years old with an average of(57.31±4.25).Conventional antibiotic therapy after surgery was performed.The drainage volume,postoperative fever time and max temperature,VAS score,and wound healing were compared between two groups.Results:The average follow-up was 19.6 months ranging from 6 to 36 months.The drainage volume,average fever time,max temperature and the VAS score between the two groups were statistically significant different(P<0.05).Conclusion:Wound compression can relieve pain,reduce inflammatory reaction and promote wound healing after posterior lumbar internal fixation.

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更新日期/Last Update: 2016-03-15