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目的:评价用药与配合手术治疗对婴幼儿化脓性关节炎患者的临床疗效。方法:选取2013年7月—2014年7月间收治的化脓性关节炎婴幼儿患者的临床资料60例;给予婴幼儿化脓性关节炎患者足量的敏感性抗菌药物;镜下清洁化脓病灶,手术完成后采用留置灌洗术;术后检测体温、血沉和C反应蛋白值,以及并发症、关节功能的改善情况;抽取3次关节液样本经细菌培养结果判定其疗效,评价治疗后婴幼儿化脓性关节炎的疗效。结果:治疗后,关节疼痛感均消失,其体温、血沉、血常规、C反应蛋白值等均恢复正常,抽取3次关节液样本经细菌培养呈阴性;随访1年均未出现复发和产生并发症。结论:应根据婴幼儿化脓性关节炎患者自身的实际情况,采用适当的治疗手段,从而达到较为满意的临床疗效。
Objective: To evaluate the clinical efficacy of medication and surgical treatment for infantile suppurative arthritis. Methods: Sixty cases of septic arthritis infants and young children admitted to our hospital from July 2013 to July 2014 were enrolled in this study. A total of 60 sensitive antibiotics were given to infantile suppurative arthritis. Postoperative lavage was performed. Postoperative temperature, ESR and C-reactive protein were measured, and the complications and joint function were also improved. The results of bacterial culture of 3 samples of joint fluid were taken to evaluate the curative effect. The efficacy of suppurative arthritis. Results: After treatment, the joint pain disappeared and the body temperature, erythrocyte sedimentation rate, blood routine and C-reactive protein returned to normal. The samples of joint fluid taken three times were negative after bacterial culture. No recurrence and concomitant disease. Conclusion: According to the actual situation of infantile suppurative arthritis patients, appropriate treatment should be adopted so as to achieve satisfactory clinical effect.