首页|负压封闭引流对开放性骨折术后慢性难愈性创面患者创面愈合与安全性的影响

负压封闭引流对开放性骨折术后慢性难愈性创面患者创面愈合与安全性的影响

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目的 探讨负压封闭引流(VSD)在开放性骨折术后慢性难愈性创面患者中的应用效果.方法 选取2019年8月—2023年8月我院收治的86例开放性骨折术后慢性难愈性创面患者为研究对象,按随机数字表法将其分为对照组和观察组,各43例.对照组采取常规处理,观察组采取VSD处理.对比两组的临床疗效、创面完全愈合时间、创面愈合质量、安全性.结果 观察组治疗总有效率为93.02%,高于对照组的76.74%,创面完全愈合时间为(9.14±1.48)周,短于对照组的(11.25±2.26)周,创面色泽、血管、柔软性、厚度、疼痛、瘙痒评分及并发症发生率均低于对照组,组间差异有统计学意义(P<0.05).结论 对开放性骨折术后慢性难愈性创面患者采取VSD处理,能够缩短创面完全愈合时间,提高修复质量,可降低并发症发生率.
Effect of Vacuum Sealing Drainage on Wound Healing and Safety in Patients with Chronic and Refractory Wounds after Open Fracture Surgery
Objective To explore the application effect of vacuum sealing drainage (VSD) in patients with chronic and refractory wounds after open fracture surgery. Methods A total of 86 patients with chronic and refractory wounds after open fracture surgery admitted to our hospital from August 2019 to August 2023 were selected as the research subjects,divide them into a control group and an observation group using a random number table method,with 43 cases in each group. The control group received routine treatment,while the observation group received VSD treatment. Compare the clinical efficacy,complete healing time of the wound,wound healing quality,and safety between two groups. Results The total effective rate of the observation group was 93.02%,which was higher than 76.74% of the control group,the complete healing time of the wound was (9.14±1.48) weeks,which was shorter than the control group's (11.25±2.26) weeks,the wound color,blood vessels,softness,thickness,pain,itching score,and incidence of complications were all lower than those of the control group,the differences between groups were statistically significant (P<0.05). Conclusion Adopting VSD treatment for patients with chronic and refractory wounds after open fracture surgery can shorten the time of wound healing,improve the quality of repair,and can reduce the incidence of complications.

Open fractureChronic and refractory woundsVacuum sealing drainageWound healingComplications

杨法报、王云霞、崔静

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聊城市中医医院手足外科,山东聊城 252000

聊城市中医院检验科,山东聊城 252000

开放性骨折 慢性难愈性创面 负压封闭引流 创面愈合 并发症

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(18)