摘要
目的探讨负压封闭引流(vacuum sealing drainage,VSD)技术配合优质护理在开放性骨折患者中的应用效果及对软组织感染的预防效果.方法选取2018年10月—2020年5月该院收治的80例开放性骨折患者,采用随机数字表法分为对照组(40例)与观察组(40例).对照组采用常规清创处理联合常规护理,观察组采用VSD技术联合优质护理.对两组护理效果进行比较.结果观察组创面恢复总有效率为85.00%,高于对照组的62.50%,差异有统计学意义(P<0.05).观察组骨性愈合时间、住院时间分别为(115.28±17.65)d、(10.32±3.65)d,均短于对照组的(150.34±19.23)d、(14.15±4.23)d,组间差异有统计学意义(P<0.05).观察组软组织感染发生率5.00%低于对照组的25.00%,差异有统计学意义(P<0.05).护理前,观察组与对照组抑郁评分和焦虑评分比较,组间差异无统计学意义(P>0.05);护理后,观察组抑郁评分和焦虑评分均低于对照组,组间差异有统计学意义(P<0.05).护理前,观察组与对照组生理功能、情感职能、社会功能、精神健康、躯体疼痛、生理职能评分相比,组间差异无统计学意义(P>0.05);观察组护理后上述各项评分均高于对照组,组间差异有统计学意义(P<0.05).结论在开放性骨折患者的临床治疗过程中,VSD技术联合优质护理的应用不仅可以提高创面恢复效果,缩短住院时间和骨性愈合时间,降低软组织感染发生率,还可促进患者生活质量的提高,改善其焦虑、抑郁等不良情绪,值得临床采纳、推广.
Objective To explore the applieation effect of vacuum sealing drainage(VSD)technology combined with high-quality nursing in patients with open fractures and the prevention effect on soft tissue infection.Methods A total of 80 patients with open fractures admitted to the hospital from October 2018 to May 2020 were selected and divided into a control group(40 cases)and an observation group(40 cases)by random number table method.The control group received routine debridement combined with routine nursing,while the observation group received VSD technology combined with high-quality nursing.The nursing effects of the two groups were compared.Results The total effective rate of wound recovery in the observation group was 85.00%,which was higher than 62.50%in the control group,and the difference was statistically significant(P<0.05).The bone healing time and hospital stay in the observation group were(115.28±17.65)d and(10.32±3.65)d respectively,which were shorter than(150.34±19.23)d and(14.15±4.23)d in the control group,and the differences between the groups were statistically significant(P<0.05).The incidence of soft tissue infection in the observation group was 5.00%,which was lower than 25.00%in the control group,and the difference was statistically significant(P<0.05).Before nursing,the depression and anxiety scores of the observation group and the control group were compared,and the differences between the groups were not statistically significant(P>0.05);after nursing,the depression scores and anxiety scores of the ohservation group were lower than those of the control group,and the differences between the groups were statistically significant(P<0.05).Before nursing,the observation group was compared with the control group in terms of physical function,emotional function,social function,mental health,physical pain,and physical function scores,and the differences between the groups were not statistically significant(P>0.05).After nursing,the above scores in the observation group were higher than those in the control group,and the differences between the groups were statistically significant(P<0.05).Conclusion In the clinical treatment of patients with open fractures,the application of VSD technology combined with high-quality nursing can not only improve the wound recovery effect,shorten the hospitalization time and bone healing time,but also reduce the incidence of soft tissue infection,can also improve the quality of life of patients and improve their anxiety,depression and other negative emotions,which is worthy of clinical adoption and promotion.
作者
曾志红
叶晓秋
ZENG Zhihong;YE Xiaoqiu(Department of Infection,Shanghai Tongren Hospital,Shanghai,200336,China)
出处
《反射疗法与康复医学》
2021年第8期141-145,共5页
Reflexology And Rehabilitation Medicine
关键词
开放性骨折
手术
优质护理
负压封闭引流技术
软组织感染
Open fractures
Surgery
High-Quality nursing
Vacuum sealing drainage
Soft tissue infection
