摘要
目的:探讨负压封闭引流手术(VSD)在下肢严重开放性骨关节创伤急诊手术中的应用效果。方法:选取2018年4月-2019年3月于笔者所在医院接受急诊手术治疗的108例下肢严重开放性骨关节创伤患者,随机分为观察组(VSD治疗)和对照组(常规创面处理),各54例。观察两组骨伤愈合效果及恢复情况。结果:观察组骨伤愈合优良率为92.59%,高于对照组的77.78%,差异有统计学意义(P<0.05)。观察组术后并发症发生率3.70%、换药次数(2.02±0.55)次,均低于对照组的14.81%、(9.73±1.98)次,差异均有统计学意义(P<0.05)。观察组创面愈合时间(15.72±5.16)d、住院时间(19.84±3.62)d,均短于对照组的(22.03±7.85)、(27.56±4.31)d,差异均有统计学意义(P<0.05)。结论:在下肢严重开放性骨关节创伤急诊手术中使用VSD治疗,能够有效促进患者术后恢复情况,减少并发症的发生。
Objective: To investigate the effect of vacuum sealing drainage (VSD) in emergency operation for severe open bone and joint trauma of lower limbs. Method: A total of 108 patients with severe open bone and joint trauma of lower extremities who underwent emergency surgery in our hospital from April 2018 to March 2019 were selected and divided into the observation group (VSD treatment) and the control group (routine wound treatment), with 54 cases in each group. The healing effect of wound and recovery of the two groups were observed. Result: The excellent and good rate of wound healing in the observation group was 92.59%, higher than 77.78% of the control group, and the difference was statistically significant (P<0.05). While the incidence of postoperative complications was 3.70% and the time of dressing changes was (2.02±0.55) times in the observation group, lower than 14.81%,(9.73±1.98) times of the control group, and the differences were statistically significant (P<0.05). The wound healing time was (15.72±5.16) d and hospitalization time was (19.84±3.62) d in the observation group, shorter than (22.03±7.85) d and (27.56±4.31) d of the control group, and the differences were statistically significant (P<0.05). Conclusion: The use of VSD in emergency operation for severe open bone and joint trauma of lower limbs can effectively promote the postoperative recovery of patients and reduce the occurrence of complications.
作者
余宏福
YU Hongfu(Sanming Integrated Medicine Hospital, Sanming 365001, China)
出处
《中外医学研究》
2019年第28期20-22,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
下肢
开放性骨关节创伤
急诊手术
VSD治疗
Lower limbs
Open bone and joint trauma
Emergency surgery
VSD treatment
