| 王 玮,蔣博翔,宝尔江·阿斯哈尔,韩衍龙,哈巴西·卡肯.关节置换治疗关节布鲁氏杆菌感染患者的效果分析[J].,2024,(23):4499-4501 |
| 关节置换治疗关节布鲁氏杆菌感染患者的效果分析 |
| The Effect Analysis of Joint Replacement in Patients withBrucella Joint Infection |
| 投稿时间：2024-05-10 修订日期：2024-06-15 |
| DOI：10.13241/j.cnki.pmb.2024.23.026 |
| 中文关键词: 关节置换 关节布鲁氏杆菌感染 |
| 英文关键词: Joint replacement Brucella joint infection |
| 基金项目:新疆维吾尔自治区自然科学基金项目（2022D01C146） |
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| 中文摘要: |
| 摘要 目的：探讨关节置换治疗关节布鲁氏杆菌感染患者的效果。方法：回顾性选择2018.1-2022.12来诊治的66例关节布鲁氏杆菌感染患者，分为对照组与观察组，对照组行清创治疗，观察组在对照组基础上行关节置换治疗，对比相关指标。结果：66例患者布鲁氏杆菌阳性率为100.00%。观察组术后12个月的显效率较对照组高，P<0.05。术后，两组的生活能力、关节活动能力升高，疼痛情况降低，且观察组与对照组比较有差异，P<0.05。治疗后，两组CRP、ESR水平降低，观察组较对照组低，P<0.05。结论：与清创手术相比，关节置换可提高关节布鲁氏杆菌感染疗效，降低CRP、ESR水平，改善生活能力、关节活动能力、疼痛情况，无明显并发症。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the effect of joint replacement in the treatment of Brucella joint infection. Methods: Retrospectively, 66 patients with Brucella infection of 2018.1-2022.12 were selected and treated and divided into control group and observation group, and the observation group underwent debridement and basic ascending joint replacement treatment in the control group to compare relevant indicators. Results: The positive rate of Brucella was 100.00%. The apparent efficiency of the observation group was higher at 12 months after surgery than in the control group, with P<0.05. After surgery, the living ability increased, joint mobility increased, and pain decreased, and the observation group compared with the control group, P<0.05. After treatment, the CRP and ESR levels were reduced in both groups, and the observation group was lower than the control group, with P<0.05. Conclusion: Compared with debridement surgery, joint replacement can improve the efficacy of Brucella joint infection, reduce CRP and ESR levels, improve life ability, living ability, joint mobility and pain, without obvious complications. |
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