CAJ | 학술논문

目的观察高压氧(hyperbaric oxygen,HBO)治疗跟骨骨折局部软组织损伤的临床疗效.方法选取跟骨骨折严重并发症患者94例,经患者知情同意,并签署知情同意书后采用数字表法随机分为对照组和HBO组,每组47例.治疗前统计学分析表明,2组年龄均数和基础病情具有可比性(P＞0.05).对照组给予常规治疗(应用抗生素、扩血管药、利水消肿药、局部红外线照射),HBO组在上述基础上给予HBO治疗.2组患者经20 d治疗后评定患处肿胀、疼痛及血运改善情况.结果 2组患者治疗后,发现HBO组肿胀、疼痛较对照组改善早,没有出现局部皮肤坏死情况；而对照组症状改善慢,47例患者中有6例在观察周期结束后伤口未愈,2例皮缘发黑.HBO组有效率(97.9％)明显优于对照组(87.2％),差异有统计学意义(P＜0.01).结论 HBO可以改善跟骨局部缺氧状态,增加局部血液供应,减轻肿胀,促进受损组织修复,有效预防跟骨皮缘坏死.
목적 관찰고압양(hyperbaric oxygen,HBO)치료근골골절국부연조직손상적림상료효.방법 선취근골골절엄중병발증환자94례,경환자지정동의,병첨서지정동의서후채용수자표법수궤분위대조조화HBO조,매조47례.치료전통계학분석표명,2조년령균수화기출병정구유가비성(P＞0.05).대조조급여상규치료(응용항생소、확혈관약、이수소종약、국부홍외선조사),HBO조재상술기출상급여HBO치료.2조환자경20 d치료후평정환처종창、동통급혈운개선정황.결과 2조환자치료후,발현HBO조종창、동통교대조조개선조,몰유출현국부피부배사정황；이대조조증상개선만,47례환자중유6례재관찰주기결속후상구미유,2례피연발흑.HBO조유효솔(97.9％)명현우우대조조(87.2％),차이유통계학의의(P＜0.01).결론 HBO가이개선근골국부결양상태,증가국부혈액공응,감경종창,촉진수손조직수복,유효예방근골피연배사.
Objective To observe clinical therapeutic effects of hyperbaric oxygen (HBO) on calcaneal fracture with local soft tissue injury.Methods With the knowledge and consent of the patients and following the signing of the letter of agreement,94 cases of calcaneal fracture with serious complications were divided into the control group and the treatment group.Statistical analyses of the patient basic conditions of the 2 groups indicated that their age and basic illness status were all comparable(P ＞ 0.05).The control group was given routine treatment (antibiotics,vasodilator,and discutientia,local infrared radiation),while the treatment group received HBO therapy in addition to routine treatment.Swelling,pain sensation and blood supply of the affected areas in the patients of the 2 groups were evaluated,after 20 days of treatment.Results Following treatment,swelling and pain improved earlier than those of the control group,with no signs of local skin necrosis.On the other hand,symptoms in the patients of the control group improved slowly,wound sites in 6 of the 47 cases failed to heal at the end of the observation period,and the edge of the skin surface was blackish in 2 cases.The effective rate for the HBO group (97.9％) was obviously superior to that of the control group (87.2％) (P ＜ 0.01),with statistical significance.Conclusions HBO therapy could improve local hypoxia in the affected calcaneus,increasing blood supply,alleviating swelling,promoting repair of damaged tissues and preventing skin edge necrosis.