中国中医骨伤科杂志2024,Vol.32Issue(6) :85-89.DOI:10.20085/j.cnki.issn1005-0205.240617

抗生素骨水泥覆盖治疗慢性难愈性创面30例

Report of 30 Cases of Antibiotic-Loaded Bone Cement Coverage for the Treatment of Chronic Refractory Wounds

莫生福 黄大波 韦仁杰 韦杰合
中国中医骨伤科杂志2024,Vol.32Issue(6) :85-89.DOI:10.20085/j.cnki.issn1005-0205.240617

抗生素骨水泥覆盖治疗慢性难愈性创面30例

Report of 30 Cases of Antibiotic-Loaded Bone Cement Coverage for the Treatment of Chronic Refractory Wounds

莫生福 1黄大波 1韦仁杰 1韦杰合1
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作者信息

  • 1. 河池市人民医院(广西 河池,546300)
  • 折叠

摘要

目的:观察抗生素骨水泥覆盖治疗慢性难愈合创面的疗效.方法:选择2020年1月至2023年1月收治的30例慢性难愈性创面患者,给予抗生素骨水泥覆盖治疗,并对疗效进行评价.结果:30例患者最终治愈21例(70.00%),有效7例(23.30%),无效2例(6.67%),总有效率为93.30%.平均清创次数为(1.63±1.13)次,术前及术后3周白细胞计数、C反应蛋白、红细胞沉降率比较差异均有统计学意义(P<0.05).结论:抗生素骨水泥覆盖治疗慢性难愈性创面疗效确切,能控制创面感染,治疗效果令人满意.

Abstract

Objective:To investigate the efficacy of treatment of chronic refractory wounds with antibiotic-loaded bone ce-ment coverage.Methods:30 patients with chronic refractory wounds between January 2020 and January 2023 who were treated with antibiotic-loaded bone cement therapy were selected for the study to evaluate its efficacy.Results:The final cure rate of the 30 patients included in the study was 21(70.00%),7(23.30%)effective and 2(6.67%)ineffective,that is,the overall efficacy was 93.30%.The mean number of debridements was(1.63±1.13)times,and there were differ-ences in leukocyte count,C-reactive protein and erythrocyte sedimentation rate before surgery and 3 weeks after surgery(P<0.05).Conclusion:The efficacy of antibiotic-loaded bone cement coverage in the treatment of chronic refractory wounds is accurate,provides effective control of wound infection and has a satisfactory therapeutic effect.

关键词

抗生素骨水泥/慢性难愈性创面/感染/利福平/万古霉素

Key words

antibiotic-loaded bone cement/chronic refractory wounds/infection/rifampicin/vancomycin

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出版年

2024
中国中医骨伤科杂志
中华中医药学会,湖北省中医药研究院

中国中医骨伤科杂志

CSTPCD
影响因子:0.732
ISSN:1005-0205
参考文献量7
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