Application of protection in patients with osteomyelitis and bone defects after surgery
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.
osteomyelitisbone defectsurface of a woundthe concept of trauma protectionvacuum sealing drainageinflammatory response
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