摘要
目的分析负压吸引术在四肢骨折伴严重软组织损伤患者的临床应用效果。方法将符合条件的83例患者分为观察组(n=42)和对照组(n=41)。观察组采用负压吸引术治疗,对照组采用常规换药治疗。比较2组植皮所需时间、住院时间、首次植皮存活率及创面细菌感染率。结果观察组患者植皮所需时间及住院时间均显著短于对照组,2组比较差异有统计学意义(P<0.05);观察组首次植皮存活率显著高于对照组(P<0.05),创面细菌感染率显著低于对照组(P<0.01)。结论负压吸引术对于四肢骨折伴严重软组织损伤患者临床疗效优于传统换药法,值得临床推广应用。
Objective To study the effect of vacuum sealing drainage on limb fractures with severe soft tissue injury. Methods 83 patients were divided into study group（ n = 42 ）and control group（ n = 41 ）. The therapy of vacuum sealing drainage was used in study group, conventional dressing therapy was used in control group. The time of skin grafts, hospitalization time, the first skin graft survival and wound bacterial infection between 2 groups were compared. ResultsSkin grafts time and hospitalization time in study group were significantly shorter than those in control group, the difference was statistically significant（ P 〈 0.05 ）. The first skin graft survival in study group was significantly higher than control group （ P 〈 0.05 ）. Wound bacterial infection in study group was significantly lower than control group （ P 〈 0.01 ）. Conclusion The effect of vacuum sealing drainage on limb fractures with severe soft tissue injury is better than conventional dressing therapy, and it is worthy of clinical application.
出处
《局解手术学杂志》
2014年第4期411-412,共2页
Journal of Regional Anatomy and Operative Surgery
关键词
负压吸引术
传统换药
四肢骨折
严重软组织损伤
vacuum sealing drainage
conventional dressing therapy
limb fractures
severe soft tissue injury
