CAJ | 학술논문

目的：分析与探讨四肢骨折合并糖尿病患者采用手术治疗的临床效果与注意事项。方法选取四肢骨折合并糖尿病患者共50例，对患者的临床资料进行回顾性分析。结果50例患者经过本院精心的治疗，均达到令人满意的治疗效果，血糖控制情况良好，骨折情况恢复良好。50例患者中痊愈共40例（80.0%），好转共10例（20.0%）。无病例在手术过程中或术后住院过程中死亡，对并发症发生率进行分析可得，常见的术后并发症为切口感染、下肢静脉血栓等，并发症总发生率为6.0%。结论对于四肢骨折合并糖尿病患者，在进行手术治疗时，应首先考虑患者的血糖控制情况，再根据患者的具体情况选择适宜的手术方式，手术过程中尽量控制手术时间，以预防术后发生切口感染，术后辅助患者进行下肢按摩，避免发生下肢静脉血栓。
목적：분석여탐토사지골절합병당뇨병환자채용수술치료적림상효과여주의사항。방법선취사지골절합병당뇨병환자공50례，대환자적림상자료진행회고성분석。결과50례환자경과본원정심적치료，균체도령인만의적치료효과，혈당공제정황량호，골절정황회복량호。50례환자중전유공40례（80.0%），호전공10례（20.0%）。무병례재수술과정중혹술후주원과정중사망，대병발증발생솔진행분석가득，상견적술후병발증위절구감염、하지정맥혈전등，병발증총발생솔위6.0%。결론대우사지골절합병당뇨병환자，재진행수술치료시，응수선고필환자적혈당공제정황，재근거환자적구체정황선택괄의적수술방식，수술과정중진량공제수술시간，이예방술후발생절구감염，술후보조환자진행하지안마，피면발생하지정맥혈전。
Objective To analysis and discussion of limb fracture patients with diabetes using the clinical effect of treatment of operation and matters needing attention. MethodsA total of 50 patients with diabetes were selected fractures of limbs, the clinical data of the patients were retrospectively analyzed.Results50 patients after treatment of the hospital carefully, satisfactory therapeutic effect, blood glucose control in good condition, good recovery of fracture. A total of 40 cases were cured in 50 cases (80%), improved 10 cases (20%). No death cases in hospital during operation or postoperative complications in the process of analysis, yield, the common postoperative complications were wound infection, venous thrombosis of the lower limbs, the overall complication rate was 6%.Conclusion For the patients with diabetes mellitus in limbs fracture, operation treatment, should first consider the glycaemic control, then according to the specific condition of patients choose suitable operation mode, try to control the operation time in the process of operation, to prevent the occurrence of postoperative incision infection, assist in postoperative patients with lower limb massage, avoid the occurrence of lower extremity venous thrombosis.