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抗生素珠在胫骨慢性骨髓炎患者中的应用。

Application of antibiotic impregnated beads on the patients with tibial chronic osteomyelitis.

作者信息

Sun Pei-Qiang, Ma Yong, Zhang Yong-Chun, Cheng Ming-Guo

机构信息

Department of Orthopedics, Third people's Hospital of Qingdao, Qingdao, Shandong, PR China.

出版信息

Pak J Pharm Sci. 2018 Nov;31(6(Special)):2783-2786.

PMID:30630784
Abstract

To investigate the clinical efficacy of antibiotic impregnated beads on the tibial chronic osteomyelitis, so as to search for a more applicable method for the treatment. Through comparative analysis, we divided 72 patients with chronic tibial osteomyelitis who received treatment in hospital between January 2016 and December 2016 randomly into two groups: Control group (n=36) and the experiment group (n=36). Patients in the control group underwent closed lavage plus drainage for treatment, while those in the experiment group received the antibiotic impregnated beads. After treatment, we compared the times of treatment, average length of stay in hospital and the efficacy between two groups, and data were analyzed using SPSS 15.0 software. In the control group, average length of stay in hospital was ((3.3±0.9) months, average time of surgery was (2.9±1.8) times, cure rate was 25.0% and elimination rate of bacteria was 88.0%; in the experiment group, average length of stay in hospital was ((2.2±1.3) months, average time of surgery was (2.4±1.0) times, cure rate was 47.2%, and elimination rate of bacteria was 93.8%. Differences in the average length of stay in hospital, the cure rate and elimination rate of bacteria between two groups showed statistical significance (p<0.05). For tibial chronic osteomyelitis, antibiotic impregnated bead implantation can reduce the chance of secondary infection after operation and shorten the hospitalization time, showing a more promising effect than the closed lavage and drainage, and this method is worthy of being promoted in clinical practice.

摘要

探讨抗生素骨珠治疗胫骨慢性骨髓炎的临床疗效,以寻找更适用的治疗方法。通过对比分析,将2016年1月至2016年12月在我院接受治疗的72例胫骨慢性骨髓炎患者随机分为两组:对照组(n = 36)和实验组(n = 36)。对照组患者采用闭式灌洗加引流治疗,实验组患者采用抗生素骨珠治疗。治疗后,比较两组的治疗次数、平均住院时间及疗效,数据采用SPSS 15.0软件进行分析。对照组平均住院时间为(3.3±0.9)个月,平均手术次数为(2.9±1.8)次,治愈率为25.0%,细菌清除率为88.0%;实验组平均住院时间为(2.2±1.3)个月,平均手术次数为(2.4±1.0)次,治愈率为47.2%,细菌清除率为93.8%。两组平均住院时间、治愈率及细菌清除率比较,差异有统计学意义(p<0.05)。对于胫骨慢性骨髓炎,植入抗生素骨珠可减少术后继发感染的机会,缩短住院时间,较闭式灌洗加引流疗效更显著,值得临床推广应用。

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