影响破伤风治疗时间相关因素分析

The Related Factors Aualysis of Affecting the Treatment Time of Tetanus

本文运用逐步回归，对我科１９８５年１月～１９９４年１月中所有痊愈的５８例破伤风患者进行统计与分析。结果提示：抗生素与ＴＡＴ使用时间与住院治疗时间有着密切的正相关关系。早期大剂量抗生素的应用治疗是破伤风治愈的关键；ＴＡＴ使用时间长短依赖于伤口的彻底恢复情况；入院时体温升高表明有感染并发症存在及可能有严重代谢功能紊乱，病情危重，预后不佳。潜伏期与住院治疗时间呈负相关。潜伏期越短，住院时间可能越长，预后可能越差。

The article analyzes fifty～eight cured tetanus patients of the ward from Jan.1985 to Jan.1994 by progressive regression.The result reveals:taking time of antibody and TAT has a close positive relation with treatment time of admission.Early use of antibody with big dosage is a key in cure tetanus.How long time of use TAT depends on the recovery of wound.If tempirature rises at admission.it indicated that the patient might have infection cmplication or severe metabolic disorder.the condition was serious and the prognosis wasn't favorable.Incubation period has a negative relation with the treatment time,the shorter the incubation period,the linger the admission time and the worse the prognosis.