中华医院感染学杂志
中華醫院感染學雜誌
중화의원감염학잡지
Chinese Journal of Nosocomiology
2015年
7期
1618-1619,1628
,共3页
祝清蓉%祝应平%毛云梅
祝清蓉%祝應平%毛雲梅
축청용%축응평%모운매
创面封闭式负压引流技术%护理干预%开放性骨折%软组织感染
創麵封閉式負壓引流技術%護理榦預%開放性骨摺%軟組織感染
창면봉폐식부압인류기술%호리간예%개방성골절%연조직감염
Wound closed vacuum sealing drainage%Nursing intervention%Open fracture%Soft tissue infection
目的：探讨创面封闭式负压引流技术及护理干预在预防开放性骨折及软组织感染中的疗效，给临床应用提供参考依据。方法选取2013年1月－2014年1月医院就诊的开放性骨折患者60例，按数学随机方法平均分为观察组和对照组，各30例；观察组患者实施骨折复位内固定或外支架固定联合负压封闭引流术治疗并且护理干预，对照组患者术后只实施常规护理，记录对比两组感染情况及愈合时间，采用SPSS17．0进行统计分析。结果观察组患者中感染3例，感染率10．00％，对照组患者中感染11例，感染率36．67％；患者治愈时间观察组为（17．48±1．24）d ，对照组为（49．89±2．03）d；两组比较，差异均有统计学意义（ P＜0．05）。结论创面封闭式负压引流技术及护理干预在预防开放性骨折及软组织感染中效果确切，能降低感染率，加快愈合速度。
目的：探討創麵封閉式負壓引流技術及護理榦預在預防開放性骨摺及軟組織感染中的療效，給臨床應用提供參攷依據。方法選取2013年1月－2014年1月醫院就診的開放性骨摺患者60例，按數學隨機方法平均分為觀察組和對照組，各30例；觀察組患者實施骨摺複位內固定或外支架固定聯閤負壓封閉引流術治療併且護理榦預，對照組患者術後隻實施常規護理，記錄對比兩組感染情況及愈閤時間，採用SPSS17．0進行統計分析。結果觀察組患者中感染3例，感染率10．00％，對照組患者中感染11例，感染率36．67％；患者治愈時間觀察組為（17．48±1．24）d ，對照組為（49．89±2．03）d；兩組比較，差異均有統計學意義（ P＜0．05）。結論創麵封閉式負壓引流技術及護理榦預在預防開放性骨摺及軟組織感染中效果確切，能降低感染率，加快愈閤速度。
목적：탐토창면봉폐식부압인류기술급호리간예재예방개방성골절급연조직감염중적료효，급림상응용제공삼고의거。방법선취2013년1월－2014년1월의원취진적개방성골절환자60례，안수학수궤방법평균분위관찰조화대조조，각30례；관찰조환자실시골절복위내고정혹외지가고정연합부압봉폐인류술치료병차호리간예，대조조환자술후지실시상규호리，기록대비량조감염정황급유합시간，채용SPSS17．0진행통계분석。결과관찰조환자중감염3례，감염솔10．00％，대조조환자중감염11례，감염솔36．67％；환자치유시간관찰조위（17．48±1．24）d ，대조조위（49．89±2．03）d；량조비교，차이균유통계학의의（ P＜0．05）。결론창면봉폐식부압인류기술급호리간예재예방개방성골절급연조직감염중효과학절，능강저감염솔，가쾌유합속도。
OBJECTIVE To investigate the efficacy of wound closed vacuum sealing drainage (VSD) technology and nursing intervention in the prevention of infections in open fractures and soft tissues ,so as to provide reference for clinical application .METHODS Totally 60 patients with open fractures in our hospital during Jan .2013 to Jan . 2014 were selected and randomly divided into the observation group and the control group according to the mathe‐matical method with 30 cases in each group .The observation group received fracture fixation or external fixation combined with VSD treatment and nursing intervention ,patients in the control group only received routine care . Infection and healing time were recorded and compared for the two groups .The SPSS 17 .0 was used for statistical analysis .RESULTS Infection occurred in 3 cases in the observation group with the infection rate of 10 .00% and in 11 cases in the control group with the infection rate of 36 .67% .The healing time was (17 .48 ± 1 .24) d in the ob‐servation group and (49 .89 ± 2 .03 ) d in the control group . The difference was significant ( P< 0 .05 ) . CONCLUSION The wound closed VSD and nursing intervention in the prevention of infections in open fractures and soft tissues have accurate efficacy ,which can reduce infections and accelerate healing .
