基于创伤保护理念的VSD在骨髓炎伴骨缺损术后患者中的应用
Application of protection in patients with osteomyelitis and bone defects after surgery
张航航 1冯卫华 2谢若菲 1姜雪1
作者信息
- 1. 河南省洛阳正骨医院/河南省骨科医院郑州院区 麻醉与围术期医学科,郑州 450000
- 2. 河南省洛阳正骨医院/河南省骨科医院郑州院区 骨与关节感染二科,郑州 450000
- 折叠
摘要
目的 探讨基于创伤保护理念的负压封闭引流术(VSD)在骨髓炎伴骨缺损术后患者中的应用效果.方法 选取88 例骨髓炎伴骨缺损术后患者,按照随机数字表法分成对照组和观察组,每组44 例.对照组按照临床护理路径开展围手术期管理,观察组 44 例增加基于创伤保护理念的VSD.对比两组术后恢复状况、血清炎症指标、术后并发症及创面I期愈合率.结果 观察组换药次数少于对照组,创面愈合时间、肉芽组织覆盖时间、抗生素使用时间、骨折愈合时间均短于对照组,差异有统计学意义(P<0.05).干预后观察组白介素-6(IL-6)、白介素-8(IL-8)、肿瘤坏死因子-α(TNF-α)水平均低于对照组(P<0.05).观察组并发症发生率低于对照组,创面 I 期愈合率高于对照组(P<0.05).结论 基于创伤保护理念的VSD应用于骨髓炎伴骨缺损术后患者中可有效促进创面愈合,改善血清炎症指标,降低并发症风险.
Abstract
Objective To explore the application effects of vacuum sealing drainage(VSD)based on the concept of trauma protection in promoting wound healing and reducing the risk of wound infection in patients with osteomyelitis and bone defect after surgery.Methods 88 patients with osteomyelitis with bone defect were selected as the study subjects,with 44 cases in each group.The control group were received perioperative management according to clinical nursing path,and the study group were received the extra vacuum sealing drainage based on the concept of trauma protection.The postoperative recovery status,serum inflammatory indexes,postoperative complications and surface of a wound healing rate at stage I were compared between the two groups.Results The times of dressing change in the study group were less than those in the control group,and the wound healing time,granulation tissue covering time,antibiotic use time and fracture healing time were all shorter than those in the control group,with a statistically significant difference(P<0.05).After intervention,the levels of IL-6,IL-8 and TNF-α in both groups were lower than those before intervention(P<0.05).The complication rate of study group was lower than that of control group,and the wound healing rate at stage I of study group was higher than that of control group(P<0.05).Conclusion Based on the concept of trauma protection,vacuum sealing drainage can effectively promote wound healing,improve serum inflammatory indexes,and reduce the risk of complications.
关键词
骨髓炎/骨缺损/创面/创伤保护理念/负压封闭引流术/炎症反应Key words
osteomyelitis/bone defect/surface of a wound/the concept of trauma protection/vacuum sealing drainage/inflammatory response引用本文复制引用
出版年
2024
NETL
NSTL
万方数据