局部有效加压包扎及负压引流技术应用于跟骨骨折的术后护理

摘要

目的:探讨局部有效加压包扎及负压引流技术应用于跟骨骨折的价值并总结其术后护理经验.方法:回顾性分析我院2007年1月～2011年12月行骨折切开复位内固定手术治疗的91例(96足)跟骨骨折患者,术后切口行局部有效加压包扎及负压引流,密切观察患肢情况及切口加压包扎与负压引流的有效性,加强引流管、切口护理及术后康复锻炼.结果:本组患者住院时间12 ～ 31 d,平均13.6 d.86例(91足)切口甲级愈合,占94.5％;3例(3足)出现皮缘轻度坏死;2例(2足)出现切口渗液.随访5～32个月,按Maryland足部评分系统评价术后功能,总体优良率达86.3％.结论:局部有效加压包扎及负压引流技术对跟骨骨折术后切口愈合效果满意,可减少切口并发症的发生率,值得临床推广应用,而精心的术后护理和合理的康复锻炼是治疗成功的重要保证.%Objective:To investigate the value of the local effective pressure dressing and negative pressure drainage for the treatment of calcaneal fractures and to summarize the experience of postoperative nursing. Methods: From January 2007 to December 2011, 91 patients of the calcaneal fracture (96 feet) with retrospective analysis were treated with open reduction and internal fixationin in our hospital. The incisal opening of the patients treated with effective local pressure dressing and negative pressure drainage after surgery. The condition of the limbs of patients and the effectiveness of local pressure dressing and negau'ye pressure drainage were needed to observe closely. The care of the drainage tube and incision and post - operative rehabilitation exercises were strengthened. Results;The length of stay period ranged from 12 days to 31 days, with an average of 13.6 days. The incisal opening healing of 86 cases (91 feet) was graded as the first rate, accounting for 94.5% in all the cases. We obtained mild necrosis of skin edge in 3 caies (3 feet) , exudation at incision in two cases (2 feet). The follow-up time was 5 -32 months. According to the Maryland foot scoring aystem.the total excellent and good rate was 86.3%. Conclusion:Treating wound healing of calcaneal fracture with effective local pressure dressing and negative pressure drainage is effective, which can reduce the rates of the complications and is valuable in clinical application. And careful postoperative care and reasonable rehabilitation exercise is an important guarantee for the success of treatment.