VSD结合Oream护理在慢性骨髓炎引流中的治疗研究.docVIP

VSD结合Oream护理在慢性骨髓炎引流中的治疗研究 　　[摘要] 目的 探讨运用负压封闭引流（vacuum sealing drainage，VSD）结合Oream护理在慢性骨髓炎引流中的疗效研究。方法 收集2008～2013年100例慢性骨髓炎患者，按照随机数字表均分为两组。研究组在Oream护理下予VSD引流，对照组常规手术后予一次性负压吸引器引流，比较两组引流量、置管时间、换药次数、住院时间、换药VAS评分和生活质量各方面的评分等方面。结果 研究组术后引流量、置管时间、换药次数、住院时间、换药VAS评分和生活质量各方面的评分等方面均优于对照组，差异有统计学意义（P0.05）。结论 运用VSD结合Oream护理在慢性骨髓炎引流中有较好的效果，提高医疗护理质量，值得临床推广。 　　[关键词] VSD；慢性骨髓炎；引流；Oream护理 　　[中图分类号] R687.3；R473.6 [文献标识码] B [文章编号] 1673-9701（2014）02-0107-03 　　Clinical research of VSD combined Oream nursing on the drainage of chronic osteomyelitis 　　TONG Zaiju 　　Department of Orthopaedics， the Affillated Wenling Hospital of Wenzhou Medical College， Wenling 317500， China 　　[Abstract] Objective To investigate the curative effect of the VSD combined Oream nursing on the chronic osteomyelitis drainage. Methods Collected 100 cases of patients with chronic osteomyelitis from 2008 to 2013， sorted by hospital successively， who were divided into the research group and the control group randomly. The research group was given the VSD drainage and the Oream nursing， while the control group given routine to one-time negative pressure aspirator drainage after surgery， compared the two groups of traffic and catheter time， switching frequency， length of hospital stay， treatment in all aspects of the VAS score and quality of life score， etc. Results The flow rate， the time of insertion， switching times， length of hospital stay， treatment in all aspects of the VAS score and quality of life scores of the research group were better than that in control group， the difference was statistically significant （P0.05）. Conclusion The VSD combined with Oream nursing has good effect， improving the quality of nursing and patients satisfaction. 　　[Key words] VSD； Chronic osteomyelitis； Drainage； Oream nursing 　　慢性骨髓炎局部皮肤软组织反复溃烂合并缺损，渗出大量脓性组织，创面长期不愈合，骨质缺损破坏严重，骨外露或窦道形成，即使长时间抗感染治疗效果较差，甚至加重骨坏死，预后较差[1]。慢性骨髓炎的治疗常规放置引流，但具体引流材料和方法各异，疗效参差不齐[2]。负压封闭引流（vacuum sealing drainage，VSD）能够去除分泌物、腔隙和坏死组织，有利于愈合[3]。奥瑞姆自理模式强调最终的