CAJ | 학술논문

目的探讨跟骨骨折术后应用地塞米松预防切口并发症的疗效. 方法回顾性分析2008年6月至2014年11月收治的63例67足跟骨关节内骨折手术治疗的患者均行跟骨外侧“L”形切口切开复位跟骨钢板内固定术,其中31例33足术后当天静脉滴注地塞米松0.3 mg/kg,维持2d停药(地塞米松组);32例34足采用常规治疗(常规组).两组患者术前一般资料比较差异均无统计学意义(P＞0.05),具有可比性.对两组患者术后足部肿胀程度、切口渗出情况、切口皮缘坏死及感染情况进行比较. 结果地塞米松组和常规组的足部肿胀时间分别为(3.6±1.3)d和(6.8±1.8)d,切口渗出时间分别为(5.3±1.9)d和(10.6±2.1)d,切口皮缘坏死率分别为6.1％和23.5％;与常规组比较,地塞米松组的足部肿胀时间短、切口渗出时间短及切口皮缘坏死率低,差异均有统计学意义(P＜0.05). 结论术后早期应用地塞米松对预防跟骨骨折术后切口并发症有一定疗效.
목적 탐토근골골절술후응용지새미송예방절구병발증적료효. 방법 회고성분석2008년6월지2014년11월수치적63례67족근골관절내골절수술치료적환자균행근골외측“L”형절구절개복위근골강판내고정술,기중31례33족술후당천정맥적주지새미송0.3 mg/kg,유지2d정약(지새미송조);32례34족채용상규치료(상규조).량조환자술전일반자료비교차이균무통계학의의(P＞0.05),구유가비성.대량조환자술후족부종창정도、절구삼출정황、절구피연배사급감염정황진행비교. 결과 지새미송조화상규조적족부종창시간분별위(3.6±1.3)d화(6.8±1.8)d,절구삼출시간분별위(5.3±1.9)d화(10.6±2.1)d,절구피연배사솔분별위6.1％화23.5％;여상규조비교,지새미송조적족부종창시간단、절구삼출시간단급절구피연배사솔저,차이균유통계학의의(P＜0.05). 결론 술후조기응용지새미송대예방근골골절술후절구병발증유일정료효.
Objective To investigate the efficacy of dexamethasone used to prevent incision complications after surgery for calcaneal fractures.Methods From June 2008 to November 2014,63 patients with intra-articular calcaneal fracture (67 feet) were treated with open reduction and internal fixation though the lateral "L" extended incision at our department.Of them,31 (33 feet) received intravenous administration of dexamethason of 0.3 mg/kg for 2 days while the others (34 feet) received conventional postoperative care.The 2 groups showed insignificant differences in general clinical data before surgery (P ＞ 0.05).Such incision complications as foot edema,incision exudation,and incision edge necrosis were compared between the 2 groups.Results There were significant differences between the dexamethason and conventional groups in foot edema time (3.6 ± 1.3 days versus 6.8 ± 1.8 days),incision exudation time (5.3 ± 1.9 days versus 10.6±2.1 days) and rate of incision edge necrosis (6.1％ versus23.5％) (P ＜0.05).Conclusion Early administration of dexamethason may decrease incision complications after surgery for calcaneal fractures.