骨折合并糖尿病患者术后切口感染的预防和治疗

Prevention and Treatment of Postoperative Wound Infection of Fracture with Diabetic Patients

合并有糖尿病或应激性高血糖的骨折患者较普通骨折患者更易引发切口感染。如治疗不当,将使感染迁延不愈,导致严重的病废。要预防骨折合并糖尿病患者术后切口感染的发生,必须充分的术前准备,精细的术中操作,严密观察患者术后病情变化。一旦发生切口感染,要通过严格监控血糖和饮食治疗,手术治疗,定期规范换药,合理应用抗菌药物有效控制感染和适当镇静止痛等措施,促使患者及早痊愈。其中,控制血糖,规范换药是治疗糖尿病骨折术后切口感染的关键。

Associated with stress fractures in patients with diabetes or high blood sugar caused more than ordinary fracture patients wound infection .If not treated properly, the infection will cause delayed healing and cause serious disease waste. To prevent fracture associated with postoperative wound infection occurred in diabetic patients must be fully preoperative preparation, sophisticated surgery operation, after close observation of the patient＇s condition changes. In the event of wound infection, through strict monitoring of blood glucose and diet therapy, surgery, regular dressing specification, rational use of antimicrobial drugs effective infection control and appropriate sedation and pain relief and other measures to promote early recovery of patients. Control blood sugar, regulate dressing is the key to the treatment of diabetes fracture surgery wound in-fection.