中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
18期
82-84
,共3页
负压封闭引流术%临床护理%骨科感染创面
負壓封閉引流術%臨床護理%骨科感染創麵
부압봉폐인류술%림상호리%골과감염창면
Vacuum sealing drainage%Clinical interventions%Orthopedic wound infection
目的：探讨骨科采用负压封闭引流术治疗感染创面的疗效及安全性，及强化护理对此类患者疗效的影响。方法随机选取110例骨科感染创面患者，将其按照数字随机表法分为对照组和观察组，每组55例，对照组予以常规换药和临床诊治观察，观察组则予以VSD技术和临床护理，观察两组治疗后在临床效果、疼痛和抑郁评分以及满意度上的差异性。结果对照组治愈率为41.82%，总有效率为74.55%；观察组治愈率为72.73%，总有效率为94.55%，两组比较差异有统计学意义（P<0.05）；两组平均疼痛评分和抑郁情绪评分及疼痛评分和抑郁情绪评分分级、满意度和依从性比较，差异有统计学意义（P<0.05）。结论负压封闭引流术能控制骨科感染创面，提高创面愈合时间、满意度，改善患者生活质量。
目的：探討骨科採用負壓封閉引流術治療感染創麵的療效及安全性，及彊化護理對此類患者療效的影響。方法隨機選取110例骨科感染創麵患者，將其按照數字隨機錶法分為對照組和觀察組，每組55例，對照組予以常規換藥和臨床診治觀察，觀察組則予以VSD技術和臨床護理，觀察兩組治療後在臨床效果、疼痛和抑鬱評分以及滿意度上的差異性。結果對照組治愈率為41.82%，總有效率為74.55%；觀察組治愈率為72.73%，總有效率為94.55%，兩組比較差異有統計學意義（P<0.05）；兩組平均疼痛評分和抑鬱情緒評分及疼痛評分和抑鬱情緒評分分級、滿意度和依從性比較，差異有統計學意義（P<0.05）。結論負壓封閉引流術能控製骨科感染創麵，提高創麵愈閤時間、滿意度，改善患者生活質量。
목적：탐토골과채용부압봉폐인류술치료감염창면적료효급안전성，급강화호리대차류환자료효적영향。방법수궤선취110례골과감염창면환자，장기안조수자수궤표법분위대조조화관찰조，매조55례，대조조여이상규환약화림상진치관찰，관찰조칙여이VSD기술화림상호리，관찰량조치료후재림상효과、동통화억욱평분이급만의도상적차이성。결과대조조치유솔위41.82%，총유효솔위74.55%；관찰조치유솔위72.73%，총유효솔위94.55%，량조비교차이유통계학의의（P<0.05）；량조평균동통평분화억욱정서평분급동통평분화억욱정서평분분급、만의도화의종성비교，차이유통계학의의（P<0.05）。결론부압봉폐인류술능공제골과감염창면，제고창면유합시간、만의도，개선환자생활질량。
Objective To investigate orthopedic wound infection using vacuum sealing drainage clinical results, summa-rized the clinical impact of the intervention on the patient in order to improve the level of clinical treatment. Methods Randomly selected from February 2010-October 2012 110 cases of orthopedic wound infection patients in this study were divided into two groups, control group received conventional dressing and clinical treatment observation, observa-tion group VSD technology and clinical interventions to be observed after treatment in the clinical effects, pain and de-pression scores and satisfaction differences. Results In the control group, the cure rate was 41.82%, total effective rate was 74.55%; observation group cure rate 72.73%, total effective rate was 94.55%, the difference was significantly (P<0.05); the other two groups in the average pain score and depression scores and pain score and depression score grad-ing, satisfaction and compliance was relatively significant difference(P<0.05), there were statistically significant. Con-clusion VSD can control orthopedic surgery wound infection and improve wound healing time , improve patient satis-faction and quality of life.
