VSD负压引流术治疗四肢创伤临床效果探讨.docVIP

VSD负压引流术治疗四肢创伤临床效果探讨 　　[摘要] 目的 探索VSD负压引流术治疗四肢创伤的临床效果。方法 随机选取2015年3月―2017年3月期间该院收治的100例四肢创伤患者，将其抽签化分组，两组各有50例，对照组和观察组分别采用常规开放换药处理和VSD负压引流术治疗，随后对比两组患者的肢体功能恢复时间、骨髓炎发生率、创面皮肤缺损发生率、全身感染发生率、HSS评分、疼痛评分。结果 观察组患者的治疗后3 d疼痛评分（2.10±0.14）分、治疗后7 d疼痛评分（0.84±0.58）分、治疗后7 d HSS评分（86.45±5.32）分、治疗后14 d HSS评分（97.81±1.25）分、骨髓炎发生率（0.00%）、全身感染发生率（2.00%）、创面皮肤缺损发生率（2.00%）、肢体功能恢复时间（17.74±5.36）d均优于对照组（P0.05）。结论 对四肢创伤患者实施VSD负压引流术治疗效果显著。 　　[关键词] VSD负压引流术；四肢创伤；效果 　　[中图分类号] R658 [文献标识码] A [文章编号] 1674-0742（2017）12（a）-0053-03 　　[Abstract] Objective To explore the clinical effect of VSD in treatment of limbs trauma. Methods 100 cases of patients with limbs trauma admitted and treated in our hospital from March 2015 to March 2017 were randomly selected and randomly divided into two groups with 50 cases in each， the control group and the observation group were respectively treated with routine open dressing and VSD， and the limb function recovery time， incidence rates of osteomyelitis and wound skin defect and general infection， HSS score and pain score were compared between the two groups. Results The pain scores after 3 d and 7 d treatment in the observation group were respectively （2.10±0.14）points and （0.84±0.58）points， and the HSS scores after 7 d and 14 d were respectively （86.45±5.32）points and （97.81±1.25）points， and the incidence rate of osteomyelitis， general infection and wound skin defect and recovery time of limb function were respectively （97.81±1.25）points， 0.00%， 2.00%， 2.00%， （17.74±5.36）d， which were better than those in the control group（P0.05）. Conclusion The effect of VSD in treatment of patients with limbs trauma can obviously improve the treatment effect. 　　[Key words] VSD； Limbs trauma； Effect 　　近年?恚?随着工农业和交通运输业的发展，机械绞砸伤和车致伤引起的创面感染、各型骨折、撕脱伤、四肢软组织缺损发生率逐渐上升，其严重影响患者日常生活水平，目前常实施的处理方案为：定期更换伤口敷料，实施伤口引流，二期进行手术创面闭合术，虽然效果显著，但医疗费用高，且住院时间长，因此部分学者提议实施VSD负压引流术治疗，其能够减少患者住院费用，缩短患者住院时间，提高整体疗效[1]。而该文在2015年3月―2017年3月期间对100例四肢创伤患者进行了深入探索，且分别采用了常规开放换药处理和VSD负压引流术治疗，并对比两种治疗方式的安全性和疗效，现报道如下。 　　1