中华航海医学与高气压医学杂志
中華航海醫學與高氣壓醫學雜誌
중화항해의학여고기압의학잡지
Chinese Journal of Nautical Medicine and Hyperbaric Medicine
2015年
4期
293-296
,共4页
查晓冰%张月妹%施蓓馨%施德源
查曉冰%張月妹%施蓓馨%施德源
사효빙%장월매%시배형%시덕원
高压氧%预处理%胫腓骨远端开放性骨折%并发症
高壓氧%預處理%脛腓骨遠耑開放性骨摺%併髮癥
고압양%예처리%경비골원단개방성골절%병발증
Hyperbaric oxygen%Preconditioning%Distal tibiofibular open fracture%Complications
目的 探讨高压氧(hyperbaric oxygen,HBO)预处理能否降低胫腓骨远端开放性骨折患者术后并发症的发生率.方法 复旦大学附属中山医院2004年1月至2013年3月胫腓骨远端开放性骨折患者287例,经患者知情同意,签署知情同意书及医院伦理委员会批准,分为HBO预处理组149例和对照组138例,在内固定手术前常规治疗方案基础上,预处理组应用HBO治疗,对照组未实施HBO治疗,随访12 ～26个月,比较2组术后并发症发生率、功能健康水平情况.结果 预处理组术后并发症的发生率(18.8％)明显低于对照组(38.4％),差异有统计学意义(P＜0.05);预处理组术后功能健康水平方面优于对照组,2组差异有统计学意义(P＜0.05).结论 术前对胫腓骨远端开放性骨折患者进行HBO预处理,能有效降低术后并发症发生率,提高术后功能健康水平.
目的 探討高壓氧(hyperbaric oxygen,HBO)預處理能否降低脛腓骨遠耑開放性骨摺患者術後併髮癥的髮生率.方法 複旦大學附屬中山醫院2004年1月至2013年3月脛腓骨遠耑開放性骨摺患者287例,經患者知情同意,籤署知情同意書及醫院倫理委員會批準,分為HBO預處理組149例和對照組138例,在內固定手術前常規治療方案基礎上,預處理組應用HBO治療,對照組未實施HBO治療,隨訪12 ～26箇月,比較2組術後併髮癥髮生率、功能健康水平情況.結果 預處理組術後併髮癥的髮生率(18.8％)明顯低于對照組(38.4％),差異有統計學意義(P＜0.05);預處理組術後功能健康水平方麵優于對照組,2組差異有統計學意義(P＜0.05).結論 術前對脛腓骨遠耑開放性骨摺患者進行HBO預處理,能有效降低術後併髮癥髮生率,提高術後功能健康水平.
목적 탐토고압양(hyperbaric oxygen,HBO)예처리능부강저경비골원단개방성골절환자술후병발증적발생솔.방법 복단대학부속중산의원2004년1월지2013년3월경비골원단개방성골절환자287례,경환자지정동의,첨서지정동의서급의원윤리위원회비준,분위HBO예처리조149례화대조조138례,재내고정수술전상규치료방안기출상,예처리조응용HBO치료,대조조미실시HBO치료,수방12 ～26개월,비교2조술후병발증발생솔、공능건강수평정황.결과 예처리조술후병발증적발생솔(18.8％)명현저우대조조(38.4％),차이유통계학의의(P＜0.05);예처리조술후공능건강수평방면우우대조조,2조차이유통계학의의(P＜0.05).결론 술전대경비골원단개방성골절환자진행HBO예처리,능유효강저술후병발증발생솔,제고술후공능건강수평.
Objective To investigate whether hyperbaric oxygen preconditioning (HBOP) could decrease the incidence of postoperative complications in patients with distal tibiofibular fracture.Methods Two hundred and eighty-seven cases of distal tibiofibular open fracture admitted into the Zhongshan Hospital Affiliated to Fudan University for treatment from January 2004 to March 2013 were randomly divided into 2 groups:the hyperbaric oxygen preconditioning (HBOP) group(n =149)and the control group(n =138).On the basis of routine therapy prior to internal fixation,the HBOP group was administered with HBO therapy,while the control group was left there without HBO therapy.All the patents had 12-26 months of medical follow-ups to assess the results of different treatment.Then,the incidence of postoperative complications and functional recovery level were compared between the 2 groups.Results The incidence of postoperative complications in the HBOP group was obviously lower than that in the control group (P ＜ 0.05).And functional recovery level in the patients of the HBOP group was significantly superior to that of the control group,and statistical significance could be noted,when comparisons were made between the 2 groups (P ＜ O.05).Conclusions HBO preconditioning before surgical treatment of the patients with distal tibiofibular fracture could effectively decrease the incidence of postoperative complications and improve their functional recovery level.
