马黄酊预防SandersⅢ-Ⅳ型跟骨骨折术后切口并发症125足

The Preventive Effects of Ma Huang Ding on the Complication of Sanders' s Ⅲ-Ⅳ Calcaneal Fracture after Surgical Treatment

目的：探讨马黄酊预防SandersⅢ-Ⅳ型跟骨骨折术后切口并发症的疗效。方法：SandersⅢ-Ⅳ型跟骨骨折295例患者共323足,均采用切开复位内固定术、植骨术治疗。对照组术后碘伏消毒后包扎,马黄酊组碘伏消毒后马黄酊湿敷,同时配合跟骨骨折术后康复护理。结果：马黄酊组165足中感染5足,皮瓣坏死2足;对照组158足中感染15足,皮瓣坏死20足。马黄酊组12～15 d愈合85足,16～19 d愈合63足,≥20 d愈合17足;对照组12～15 d愈合45足,16～19 d愈合52足,≥20 d愈合61足。马黄酊组足感染率、皮瓣坏死率较对照组明显降低（3.0%VS 9.5%,1.2%VS 12.7%）明显降低,马黄酊组平均愈合时间与对照组比较亦显著减少（12±1d VS 16±2d）。结论：马黄酊湿敷可有效预防跟骨骨折术后刀口皮瓣坏死及感染等并发症。

ObjectiveTo study the effects of Ma Huang Ding on preventing the complication of the patientswith the Sanders＇ s Ⅲ-Ⅳ fracture of calcaneus after surgical treatment.MethodsA total of 323 of feet from295 of the patients with SandersⅢ-Ⅳ calcaneal fracture were analyzed prospectively.In the control group,thewound feet were fell after disinfection with iodine,while the feet in the Ma Huang Ding group were fell with Ma-Huang Ding on the wound after disinfection with iodine.At the same time,the patients in both two groups wererecieved postoperative rehabilitation care.The healing time points were set up as 12～15 days,16～19 days andover 20 days and the number of healing feet were counted.ResultsIn Ma Huang Ding group,5 of 165 of feetwere found with,infection,and the two feet were with skin flap necrosis.In the control group,15 of 158 of feetwere found with infection,and 20 of feet were with skin flap necrosis.The number of the healed feet in the Ma-Huang Ding group were 85,63 and 17 at differnt time points of 12～15 days,16～19 days and over 20 days,re-spectively,while the data were 45,52 and 61 in the control group.Based on above data,in Ma Huang Dinggroup,no matter the infection rate,the rate of skin flap necrosis or healing days were significantly decreased（3.0% VS 9.5%,1.2% VS 12.7%,respectively）as compared to the control,and even the average healing timewas also significantly reduced（12±1d VS 16±2d）.ConclusionWet packing Ma Huang Ding on the surface ofwound feet is an effective way in preventing the complications of the patients with SandersⅢ-Ⅳ calcaneal frac-tures after a surgical trreatment.