CAJ | 학술논문

目的：探究人工关节翻修治疗对人工关节置换后合并感染的疗效。方法选取2008年3月至2013年8月自重庆市红十字会医院（江北区人民医院）和重庆市第三人民医院就诊的150例人工关节置换术后并发感染的患者，依据治疗方法的不同将患者分为翻修组和保守组；翻修组患者在常规抗感染治疗的基础上给予患者人工关节翻修治疗，保守组给予积极的常规保守抗感染治疗。结果治疗后两组患者的红细胞沉降率（ESR）、窦道形成、疼痛造成行走不便、产生轻微不适感时的负重重量、关节穿刺液细菌培养阳性例数及C-反应蛋白（CRP）水平均显著下降（P 均＜0.05），负重重量显著增加（P＜0.05）。且翻修组效果要优于保守组（P＜0.05）。结论人工关节翻修疗法可有效治疗关节置换后合并感染，明显提高患者的生活质量，建议临床积极推广实施。
목적：탐구인공관절번수치료대인공관절치환후합병감염적료효。방법선취2008년3월지2013년8월자중경시홍십자회의원（강북구인민의원）화중경시제삼인민의원취진적150례인공관절치환술후병발감염적환자，의거치료방법적불동장환자분위번수조화보수조；번수조환자재상규항감염치료적기출상급여환자인공관절번수치료，보수조급여적겁적상규보수항감염치료。결과치료후량조환자적홍세포침강솔（ESR）、두도형성、동통조성행주불편、산생경미불괄감시적부중중량、관절천자액세균배양양성례수급C-반응단백（CRP）수평균현저하강（P 균＜0.05），부중중량현저증가（P＜0.05）。차번수조효과요우우보수조（P＜0.05）。결론인공관절번수요법가유효치료관절치환후합병감염，명현제고환자적생활질량，건의림상적겁추엄실시。
Objective To explore the effect of renovated therapy on the patients of arthroplasty with infection.Methods From January 2009 to March 2012,total of150 cases of arthroplastywith concurrent infection which came from Hospital of Chongqing Red Cross Society (Jiangbei District People’s Hospital) and the Third People’s Hospital of Chongqing were divided into renovation group and conservative group according to different methods of treatment.The renovation group accepted artificial joint with revision treatment on the conventional anti-infective therapy, conservative group only accepted conventional anti-infective therapy.Results After treatment,erythrocyte sedimentation rate (ESR), sinus formation, dififculties in walking by the pain, resulting in a slight discomfort when the load weight, joint aspirate positive bacterial culture and C-reactive protein (CRP) levels were all signiifcantly decreased (P<0.05).Load weight were signiifcantly increased (P<0.05).Aftertreatment renovated group was better thaninthe conservative group (P<0.05).Conclusions Artiifcial joint revision joint replacement therapy could be effective in treatingpost-infection, signiifcantly improve the patient’s quality of life, so suggested that clinical actively promote the implemetation.