摘要
目的探讨开放性骨折合并软组织缺损的负压封闭引流治疗及护理体会。方法方便选取该院2015年1月—2016年12月收治的90例开放性骨折合并软组织缺损患者为研究对象,将该组患者根据治疗方法不同分为两组,观察组45例患者给予负压封闭引流治疗并给予科学护理,对照组45例患者给予常规治疗和护理,对比两组患者主要手术指标和主要手术指标以及肉芽生长满意度。手术指标包括换药次数、二期缝合修复时间、创面缩小范围;肉芽生长满意度采用问卷调查,分为满意和不满意。结果观察组患者换药次数、二期缝合修复时间分别为(2.6±1.5)次、(7.6±1.4)d,显著低于对照组(11.4±1.7)次、(22.6±2.4)d,创面缩小范围(6.0±0.8)cm2明显大于对照组(2.7±1.0)cm2,差异有统计学意义(t=26.038 0、35.885 4、17.286 1,P<0.05)。观察组患者并发症发生率2.22%明显低于对照组13.33%,肉芽生长满意度91.11%明显高于对照组66.67%,差异有统计学意义(χ2=8.606 9、17.933 4,P<0.05)。结论给予开放性骨折合并软组织缺损患者负压封闭引流治疗与科学护理可缩短治疗时间,减少并发症发生率,促进创面愈合,值得临床推广。
Objective This paper tries to investigate the treatment and nursing experience of negative pressure closure and drainage for open fractures with soft tissue defects. Methods 90 patients with open soft tissue defects associated with open fractures in this hospital from January 2015 to December 2016 were convenient selected and divided into two groups according to different treatment methods. In the observation group, 45 patients were given negative pressure, closed drainage treatment and scientific nursing were given. 45 patients in the control group were given conventional treatment and nursing.The main surgical indicators and main surgical indicators and satisfaction of granulation growth were compared between the two groups. Surgical indicators included the number of dressing changes, the time of second-phase suture repair, and the narrowing of the wound surface. Satisfaction of granulation growth was assessed using a questionnaire and was divided into satisfaction and dissatisfaction. Results The frequency of dressing changes and repair time of the second-phase suture in the observation group were（2.6±1.5）times and（7.6±1.4）days, respectively, which were significantly lower than the control group（11.4±1.7） times and（22.6±2.4）days. The wound reduction range（6.0±0.8）cm^2 was significantly greater than that of the control group of（2.7±1.0）cm^2, the difference was statistically significant（t=26.038 0, 35.885 4, 17.286 1, P〈0.05）. The incidence of complications in the observation group was2.22%, which was significantly lower than that in the control group（13.33%）, and the satisfaction of granulation growth was 91.11%, which was significantly higher than that of the control group（66.67%）. The difference was statistically significant（χ^2=8.606 9, 17.933 4, P〈0.05）. Conclusion For patients with open fractures and soft tissue defects, negative pressure drainage and drainage therapy and scientific nursing can shorten the treatment time, reduce the incidence of complications, and promote wound healing, which is worthy of clinical promotion.
作者
郝丽
牟旭娜
HAO Li;MU Xu-na(Department of Traumatic Orthopedics,Zaozhuang Mining Group Central Hospital,Zaozhuang,Shandong Province,277800 China;Department of Ophthalmology,Zaozhuang Mining Group Central Hospital,Zaozhuang,Shandong Province,277800 China)
出处
《中外医疗》
2018年第14期140-142,共3页
China & Foreign Medical Treatment
关键词
开放性骨折
软组织缺损
负压封闭引流
护理体会
Open fracture
Soft tissue defect
Negative pressure drainage
Nursing experience
