论文部分内容阅读
目的探讨骨折合并糖尿病的临床治疗效果、成功经验,总结治疗规律。方法52例骨折合并糖尿病患者中的17例行手术治疗,35例行非手术治疗。对手术患者在围手术期如何控制血糖及如何防治术后并发症和非手术患者的治疗方法及骨折愈合情况进行回顾性分析。结果17例手术患者均安全渡过围手术期,无心、脑血管意外事件发生。35例非手术患者住院期间无一例出现并发症。住院16~61 d,平均33.5 d。随访3个月~8 a 6个月,平均6 a 4个月。随访期间患者血糖控制不理想,4例患者死于心、脑血管突发事件:2例股骨颈骨折出现股骨头坏死、1例Ⅲ度开放性胫腓骨骨折形成慢性骨髓炎、1例行小腿上段截肢。其余病例骨折均愈合。结论骨折合并糖尿病患者采用手术治疗需慎重,既要高度重视手术适应证及围手术期的处理,也要注意非手术治疗方法及并发症。
Objective To investigate the clinical effect of treatment of fractures with diabetes mellitus, successful experience and summarizing treatment rules. Methods Fifty-two patients with fracture and diabetes were treated by surgery and 35 by non-surgical treatment. Surgical patients in the perioperative control of blood glucose and how to prevent postoperative complications and non-surgical treatment of patients and fracture healing were retrospectively analyzed. Results 17 cases of surgical patients were safely perimenopause, no heart, cerebrovascular accident occurred. None of 35 non-surgical patients were hospitalized during the complication. Hospitalized 16 ~ 61 d, an average of 33.5 d. Followed up for 3 months ~ 8 a 6 months, an average of 6 a 4 months. During the follow-up period, patients had poor blood glucose control. Four patients died of cardiac and cerebrovascular emergencies: femoral head necrosis occurred in 2 cases of femoral neck fractures, 1 case of open fractures of tibia and fibula in 3 degrees formed chronic osteomyelitis and 1 case of upper leg Amputation. The remaining cases of fracture healed. Conclusion Fracture patients with diabetes should be carefully treated with surgery, it is necessary to attach great importance to surgical indications and perioperative management, but also pay attention to non-surgical treatment and complications.