负压封闭引流技术治疗骨科创伤及感染创面的护理研究

摘要

Objective To explore effect of different nursing in the treatment of orthopedic trauma and infected wounds treated by vacuum sealing drainage (VSD).Methods A total of 165 patients with orthopedic trauma and infected wounds were randomly divided into four groups.Group A was treated with VSD channel technique,group B with VSD discontinuous high-concentration oxygen care,group C with VSD channel and VSD discontinuous high-concentration oxygen care,the control group with routine nursing.Clinical indicators,wound charges after nursing,pain relieving and nursing of four groups were compared.Results The number of catheter occlusion,VSD implantation time,graft survival rate,comfort and hospitalization time in group C were better than that of other three groups,while the cost of hospitalization was higher than that of group B.The pain-relieving condition of group C was better than the other three groups (P ＜ 0.01),but there was no significant difference in nursing satisfaction (P ＞ 0.05).Conclusion The effect of VSD channel and VSD discontinuous high-concentration oxygen care is the best in the treatment of orthopedic wounds and infected wounds.So it is worthy of clinical application.%目的 探讨不同护理模式在负压封闭引流技术(VSD)治疗骨科创伤及感染创面中的辅助效果.方法 选取160例负压封闭引流技术治疗骨科创伤及感染创面患者随机分为4组,A组患者采用VSD通道建立护理技术,B组患者采用VSD间断高浓度给氧护理技术,C组患者采用VSD通道建立+VSD间断高浓度给氧护理技术,对照组患者则采用常规护理模式,比较4组患者相关临床指标、护理前后创面大小、疼痛缓解情况与满意度.结果 C组患者导管堵塞次数、VSD植入时间、植皮成活率、舒适度与住院时间总体水平均优于其他3组,而住院费用仅显著高于B组,C组患者护理后疼痛缓解情况显著优于其他3组,差异有统计学意义(P＜0.01);4组患者护理满意度比较,差异无统计学意义(P＞0.05).结论 VSD通道建立+ VSD间断高浓度给氧护理技术在VSD治疗骨科创伤及感染创面中的辅助效果最佳,值得临床借鉴.