CAJ | 학술논문

目的观察不同时机和疗程的高压氧(hyperbaric oxygen,HBO)辅助治疗对粉碎性胫骨骨折患者的疗效.方法按治疗方法将49例粉碎性胫骨骨折患者分为高压氧组(HBO组)27例和常规治疗组22例(常规组),比较2组患者的治愈率以及HBO治疗的时机和疗程.结果 HBO组的治愈率(81.5％)明显高于常规组(54.5％),差异有统计学意义(P＜0.05).术后3d内、术后3～7d或超过7d进行HBO治疗的患者治愈率分别为92.3％、88.9％和40.0％.术后3d内与超过7d比较,差异有统计学意义(P＜0.05).进行了少于5次、5～10次或10次以上的HBO治疗的治愈率依次为75.0％,78.6％和88.9％,差异无统计学意义(P＞0.05).结论 HBO辅助治疗能提高粉碎性胫骨骨折患者的治愈率,且越早治疗,效果越好.
목적 관찰불동시궤화료정적고압양(hyperbaric oxygen,HBO)보조치료대분쇄성경골골절환자적료효.방법 안치료방법장49례분쇄성경골골절환자분위고압양조(HBO조)27례화상규치료조22례(상규조),비교2조환자적치유솔이급HBO치료적시궤화료정.결과 HBO조적치유솔(81.5％)명현고우상규조(54.5％),차이유통계학의의(P＜0.05).술후3d내、술후3～7d혹초과7d진행HBO치료적환자치유솔분별위92.3％、88.9％화40.0％.술후3d내여초과7d비교,차이유통계학의의(P＜0.05).진행료소우5차、5～10차혹10차이상적HBO치료적치유솔의차위75.0％,78.6％화88.9％,차이무통계학의의(P＞0.05).결론 HBO보조치료능제고분쇄성경골골절환자적치유솔,차월조치료,효과월호.
Objective To observe the therapeutic effects of different opportune time and hyperbaric oxygen (HBO) courses in adjunctive therapy of comminuted tibial fracture.Methods In accordance with different treatment methods, 49 cases of comminuted tibial fracture were divided into the HBO group (n =27) and the conventional therapy group (n =22).Cure rates, as well as different opportune time and HBO courses were compared between the 2 groups.Results The cure rate of the HBO group (81.5％) was obviously higher than that of the conventional therapy group (54.5％), and statistical significance could be noted, when comparisons were made between the 2 groups (P ＜ 0.05).Cure rates for those patients who received HBO therapy 3 days, 3-7 days or over 7 days after surgery, were respectively 92.3％ , 88.9％ and 40.0％.There was statistical significance, when the cure rate of the 3-day after surgery subgroup was compared with that of the 7-day after surgery subgroup (P ＜ O.05).The cure rates for the patients who underwent less than 5 sessions,5-10 sessions or over 10 sessions of HBO therapy were respectively 75.0％, 78.6％ and 88.9％, with statistical significance (P ＜ 0.05).Conclusions Adjunctive HBO therapy could increase the cure rate of comminuted tibial fracture, and the earlier HBO therapy was implemented, the better results could be achieved.