VSD负压引流术联合持续冲洗治疗骨折合并皮肤软组织缺损效果及护理研究.docVIP

VSD负压引流术联合持续冲洗治疗骨折合并皮肤软组织缺损效果及护理研究 　　DOI：10.16662/j.cnki.1674-0742.2017.07.137 　　[摘要] 目的 探?使用负压封闭式引流技术（VSD）联合持续冲洗治疗骨折合并软组织缺损的治疗效果，并总结分析治疗过程中的护理经验。方法 方便选取该院2013年9月―2015年9月期间接收的49例骨折合并皮肤软组织缺损的患者为研究对象，其中25例患者接受VSD联合持续冲洗治疗措施，提供综合性护理措施，作为观察组，另外24例患者则给予常规引流治疗配合临床基础护理服务，作为对照组。对比两组患者经治疗及护理干预后伤口变化，评估骨折愈合情况，同时记录两组患者伤口愈合时间、住院时间，并调查其满意度。结果 观察组中20例患者骨折局部无反常活动，治疗后创面完全愈合、无并发症出现的患者23例，而对照组患者有18例（75.0%）创面完全愈合，6例患者骨折愈合延迟；且观察组患者新生肉芽组织生长时间、伤口愈合时间以及住院时间明显短于对照组患者、疼痛程度评分低于对照组，满意度评分中各项内容得分结果均高于对照组患者，上述差异有统计学意义（P0.05）。结论 负压封闭式引流技术联合持续冲洗治疗，效果满意，同时配合综合性护理措施，可有效减轻术后疼痛及其他并发症出现，缩短患者住院时间，提高预后生活质量。 　　[关键词] 负压封闭引流技术；持续冲洗；骨折；软组织缺损；护理 　　[中图分类号] R47 [文献标识码] A [文章编号] 1674-0742（2017）03（a）-0137-03 　　Research on Effect and Nursing of VSD Negative Pressure Drainage and Continuous Washing in Treatment of Fracture and Skin and Soft Tissue Defect 　　LI Xue-ping 　　Department of Orthopedics and Traumatology， Hezhou Hospital of Traditional Chinese Medicine， Hezhou， Guangxi， 542899 China 　　[Abstract] Objective To discuss the effect of VSD negative pressure drainage and continuous washing in treatment of fracture and skin and soft tissue defect and summarize the nursing experiment in the treatment course. Methods 49 cases of patients with fracture and skin and soft tissue defect admitted and treated in our hospital from September 2013 to September 2015 were convenient selected and divided into two groups， the observation group with 25 cases adopted the VSD and continuous washing treatment measures， while the control group with 24 cases adopted the routine drainage and clinical basic nursing service， and the wound changes were compared between the two groups， and the fracture healing was evaluated and the wound healing time， length of stay and satisfactory degree of the two groups were recorded. Results In the observation group， the local fracture of 20 cases had no abnormal activity， and 23 cases with wound complete healing and no complications， in the control group， there were 18 cases（75.0%） with wound c