[1]李显兰,古晓梅,范 芸. 组合换药法预防跟骨骨折术后皮缘坏死的临床效果[J].中国美容医学,2018,(12):47-49.
　LI Xian-lan,GU Xiao-mei,FAN Yun. Clinical Effect of Combined Dressing Change to Prevent Skin Necrosis after Calcaneal Fracture Operation[J].Medical Aesthetics and Beauty,2018,(12):47-49.
点击复制

 组合换药法预防跟骨骨折术后皮缘坏死的临床效果
()
分享到：

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2018年12期
页码:
47-49
栏目:
出版日期:
2018-12-20

文章信息/Info

Title:
 Clinical Effect of Combined Dressing Change to Prevent Skin Necrosis after Calcaneal Fracture Operation
文章编号:
1008-6455（2018）12-0047-03
作者:
李显兰1; 古晓梅2; 范 芸2
Author(s):
LI Xian-lan1; GU Xiao-mei2; FAN Yun2
关键词:
 ; [关键词]组合换药法; 跟骨骨折; 皮缘坏死; 临床效果
Keywords:
Key words: combined dressing change;  calcaneal fracture;  skin margin necrosis;  clinical effect
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：探讨组合换药法预防跟骨骨折术后皮缘坏死的临床效果。方法：选取2016年10月-2017年10月在笔者医院治
疗的跟骨骨折患者72例，采用随机数字表法，将患者随机分为观察组（n =37）和对照组（n =35），两组均给予切开复位内
固定，其中观察组给予组合换药方法，对照组给予传统换药方法，观察两组术后皮缘坏死情况，采用美国足踝外科协会
（AOFAS）踝和后足功能评分系统评价足踝功能，同时对患者伤口满意度进行调查。结果：观察组术后皮缘坏死发生率为
0.00%，明显低于对照组的17.14%，差异有统计学意义（P ＜0.05）；观察组术后6个月AOFAS评分为（84.39±9.14）分，明
显高于对照组的（75.48±8.13）分，差异有统计学意义（P ＜0.05）；观察组患者伤口满意率为91.89%，明显高于对照组的
74.29%，差异有统计学意义（P ＜0.05）。结论：组合换药法能有效预防跟骨骨折术后皮缘坏死，有助于足踝功能恢复，患
者满意度高。

Abstract:
Abstract: Objective To investigate the clinical effect of combined dressing change in preventing skin necrosis after calcaneal
fracture operation. Methods 72 cases of calcaneal fracture in our hospital from October 2016 to October 2017 were selected,
were randomly divided into the observation group (n =37) and the control group (n =35) by random digital table method, the two
groups were treated by open reduction and internal fixation, and the observation group was given a combination of dressing
change, while the control group was given traditional dressing change, the skin necrosis in the two groups was observed, the
ankle and foot function scoring system of the American foot and ankle surgery association (AOFAS) was used to evaluate the
function of the foot andankle, and the satisfaction of the patients was investigated. Results The incidence of necrosis of the skin
margin in the observation group was 0.00%, which was significantly lower than in the control group(17.14%), the difference
was statistically significant(P ＜0.05). The AOFAS score of the observation group at 6 months after operation was(84.39±9.14),
which was significantly higher than that of the control group (75.48±8.13, P ＜0.05). The wound satisfaction rate of the
patients in the observation group was 91.89%, which was significantly higher than that in the control group (74.29%, P ＜0.05).
Conclusion Combined dressing change can effectively prevent skin necrosis after calcaneal fracture surgery, help ankle
function recovery, and patients’ satisfaction is high.

相似文献/References:

[1]. 埋线美容专栏[J].中国美容医学,2018,(01):0.
　[J].Medical Aesthetics and Beauty,2018,(12):0.
[2]杨 震. 应用透明质酸颏部填充联合A型肉毒毒素咬肌注射重塑面部下1/3轮廓的效果观察[J].中国美容医学,2018,(03):1.
　YANG Zhen. Effect of Hyaluronic Acid Chin Filling Combined with Botulinum Toxin Type A Masseter Muscle Injection to Reconstruct the Facial Contour of the Lower 1/3[J].Medical Aesthetics and Beauty,2018,(12):1.
[3]祝闽辉,张栋梁,叶祥柏,等. 皮肤软组织扩张术埋置注液期并发症危险因素研究[J].中国美容医学,2018,(03):4.
　ZHU Min-hui,ZHANG Dong-liang,YE Xiang-bo,et al. Risk Factors of Complications after Tissue Expasion[J].Medical Aesthetics and Beauty,2018,(12):4.
[4]刘申松,杨永成. 自体脂肪颗粒移植联合假体隆乳术在哺乳后乳腺萎缩整形术中的应用[J].中国美容医学,2018,(03):9.
　LIU Shen-song,YANG Yong-cheng. Application of Autologous Fat Granule Graft Combined with Prosthesis Combined Augmentation Mammoplasty in Breast Reconstruction of Breast Atrophy Patients after Breast-feeding[J].Medical Aesthetics and Beauty,2018,(12):9.
[5]韩 星,胡守舵,陈晓芳,等.自体脂肪颗粒移植促进手部年轻化的临床观察[J].中国美容医学,2018,(03):12.
　HAN Xing,HU Shou-duo,CHEN Xiao-fang,et al. The Effect of Autologous Fat Grafting in Hand Rejuvenation[J].Medical Aesthetics and Beauty,2018,(12):12.
[6]李胜旭,苏映军,杨 宽,等. 封闭负压引流技术在先天性并指分指植皮术中的应用[J].中国美容医学,2018,(03):15.
　LI Sheng-xu,SU Ying-jun,YANG Kuan,et al. Application of Vacuum Sealing Drainage for Skin Graft in Patients with Congenital Syndactyly of the Hand[J].Medical Aesthetics and Beauty,2018,(12):15.
[7]陈 波,路 会,马 力,等. 钝针皮下层扇形注射透明质酸矫正面颊部凹陷[J].中国美容医学,2018,(03):18.
　CHEN Bo,LU Hui,MA Li,et al. Correction of Cheek Depression by Fanshaped Hyaluronic Acid Injection in Subcutaneous Layers with Blunt Needle[J].Medical Aesthetics and Beauty,2018,(12):18.
[8]曾德斌,栗鹏程,邱勋永,等. 不同超薄游离穿支皮瓣修复手部软组织缺损效果比较[J].中国美容医学,2018,(03):21.
　ZENG De-bin,LI Peng-cheng,QIU Xun-yong,et al. Comparison on the Repair Effect of Different Ultrathin Free Perforator Flaps in the Treatment of Patients with Soft Tissue Defect of Hand[J].Medical Aesthetics and Beauty,2018,(12):21.
[9]程 定,崔树英,郑 乐,等. 改道引流联合VSD技术修复会阴部撕裂伤的临床研究[J].中国美容医学,2018,(03):24.
　CHENG Ding,CUI Shu-ying,ZHENG Le,et al. Clinical Study on Diverted Drainage Combined with Vacuum Sealing Drainage Technique to Repair the Laceration of the Perineum[J].Medical Aesthetics and Beauty,2018,(12):24.
[10]李云峰,吴泽勇,黄海华,等. 全厚皮片游离移植矫治儿童足背瘢痕挛缩畸形[J].中国美容医学,2018,(03):27.
　LI Yun-feng,WU Ze-yong,HUANG Hai-hua,et al. Full-thickness Skin Graft for the Treatment of Cicatricial Contracture of the Dorsum of Foot in Children[J].Medical Aesthetics and Beauty,2018,(12):27.

更新日期/Last Update: 2019-01-08