中国继续医学教育
中國繼續醫學教育
중국계속의학교육
CHINA CONTINUING MEDICAL EDUCATION
2014年
8期
61-63
,共3页
高压氧%胫骨骨折%延迟愈合%临床疗效
高壓氧%脛骨骨摺%延遲愈閤%臨床療效
고압양%경골골절%연지유합%림상료효
Hyperbaric oxygen%Tibial fracture%Delayed healing%Clinical curative effect
目的：观察高压氧疗法是否对治疗成年患者胫骨骨折延迟愈合有效，研究其在治疗成年胫骨骨折延迟愈合中…的作用。方法选取2010年12月～2013年1月于吉林大学中…日联谊医院收治的成年胫骨骨折延迟愈合的患者44例，将这些患者随机分为对照组和试验组，其中…对照组22例，年龄29～57岁（平…均年龄41岁）；试验组（高压氧组）22例，年龄30～55岁（平…均年龄40岁）。对照组给予促进骨折愈合药物（骨瓜提取物）静脉滴注治疗，并给予中…频脉冲电治疗及功能康复训练。试验组在对照组的治疗基础上加用高压氧治疗。于第30天、60天、90天、120天、150天、180天各拍摄 X 线正侧位片，行骨痂影像观察并评分。采用 SPSS11.5软件，采用χ2和 t 检验进行组间比较。结果治疗6个月后，对照组痊愈 4例，有效7例，无效11例，总有效率为50%，治愈率为18%；试验组：痊愈12例，有效9例，无效1例，总有效率为95%，治愈率为55%。两组总有效率、治愈率对比有统计学差异（P ＜0.05）。结论高压氧疗法对于治疗成年人胫骨骨折延迟愈合有效，高压氧治疗能够显著促进骨痂的形成。
目的：觀察高壓氧療法是否對治療成年患者脛骨骨摺延遲愈閤有效，研究其在治療成年脛骨骨摺延遲愈閤中…的作用。方法選取2010年12月～2013年1月于吉林大學中…日聯誼醫院收治的成年脛骨骨摺延遲愈閤的患者44例，將這些患者隨機分為對照組和試驗組，其中…對照組22例，年齡29～57歲（平…均年齡41歲）；試驗組（高壓氧組）22例，年齡30～55歲（平…均年齡40歲）。對照組給予促進骨摺愈閤藥物（骨瓜提取物）靜脈滴註治療，併給予中…頻脈遲電治療及功能康複訓練。試驗組在對照組的治療基礎上加用高壓氧治療。于第30天、60天、90天、120天、150天、180天各拍攝 X 線正側位片，行骨痂影像觀察併評分。採用 SPSS11.5軟件，採用χ2和 t 檢驗進行組間比較。結果治療6箇月後，對照組痊愈 4例，有效7例，無效11例，總有效率為50%，治愈率為18%；試驗組：痊愈12例，有效9例，無效1例，總有效率為95%，治愈率為55%。兩組總有效率、治愈率對比有統計學差異（P ＜0.05）。結論高壓氧療法對于治療成年人脛骨骨摺延遲愈閤有效，高壓氧治療能夠顯著促進骨痂的形成。
목적：관찰고압양요법시부대치료성년환자경골골절연지유합유효，연구기재치료성년경골골절연지유합중…적작용。방법선취2010년12월～2013년1월우길림대학중…일련의의원수치적성년경골골절연지유합적환자44례，장저사환자수궤분위대조조화시험조，기중…대조조22례，년령29～57세（평…균년령41세）；시험조（고압양조）22례，년령30～55세（평…균년령40세）。대조조급여촉진골절유합약물（골과제취물）정맥적주치료，병급여중…빈맥충전치료급공능강복훈련。시험조재대조조적치료기출상가용고압양치료。우제30천、60천、90천、120천、150천、180천각박섭 X 선정측위편，행골가영상관찰병평분。채용 SPSS11.5연건，채용χ2화 t 검험진행조간비교。결과치료6개월후，대조조전유 4례，유효7례，무효11례，총유효솔위50%，치유솔위18%；시험조：전유12례，유효9례，무효1례，총유효솔위95%，치유솔위55%。량조총유효솔、치유솔대비유통계학차이（P ＜0.05）。결론고압양요법대우치료성년인경골골절연지유합유효，고압양치료능구현저촉진골가적형성。
Objective To observe hyperbaric oxygen therapy on the treatment of adult patients with delayed union of tibial fracture effectively. Study of hyperbaric oxygen in the treatment of adult tibial fracture healing delay. Methods Selected 44 cases of adult patients with delayed union of tibial fracture from 2010 December to 2013 January in China-Japan Union Hospital of Jilin University. These patients were randomly divided into control group and test group. The control group was consist of 22 cases, between the ages of 29 to 57 years(mean age 41 years). The test group(HBO group)had 22 cases, aged between 30 to 55 years(mean age 40 years). The two groups had no significant difference in age (P < 0.05). The control group was given to promote fracture healing drugs(bone melon extract)intravenous infusion therapy, and give the frequency electric pulse treatment and rehabilitation training(given appropriate stress). The test group increase of hyperbaric oxygen therapy based on the control group treatment. In 30 days, 60 days, 90 days, 120 days, 150 days, 180 days respectively examined with anterioposterior and lateral film to callus image observation and evaluation. Statistical analysis using SPSS11.5 software package, using χ2 and t test for comparison between groups. Results The treatment for a period of 6 months. The control group: the patients recovered in 4 cases, effective in 7 cases, treatment was invalid in 11 cases, the total effective rate was 50%, the cure rate was 18%. The test group: the patients recovered in 12 cases, effective in 9 cases, treatment was invalid in 1 cases, the total effective rate was 95%, the cure rate was 55%. To compare the total efficiency and the cure rate of two groups were found to have statistical significance(P < 0.05). Conclusions Hyperbaric oxygen therapy can be effective in the treatment of adult tibial fracture delayed union, Hyperbaric oxygen therapy can significantly promote the formation of callus.
