高压氧治疗胫骨粉碎性骨折的时机和疗程  

Opportune time and hyperbaric oxygen courses in the treatment of comminuted tibial fracture

作　　者：何春阳[1] 吴帆[1] 付西[1] 唐文光[2] 周劲松[3] 武丹[1] 谭宇佼[1] 

机构地区：[1]成都军区总医院高压氧科,成都610083 [2]广州军区解放军第四二一医院高压氧科 [3]成都军区总医院骨科

出　　处：《中华航海医学与高气压医学杂志》2015年第5期382-384,共3页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

摘　　要：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.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.

关 键 词：高压氧 胫骨 粉碎性骨折 

分 类 号：R687.3[医药卫生—骨科学]