中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
15期
31-33
,共3页
张梅%喻瑛%杨选花%刘运阳
張梅%喻瑛%楊選花%劉運暘
장매%유영%양선화%류운양
病灶清除%灌洗%负压持续吸引%慢性骨髓炎
病竈清除%灌洗%負壓持續吸引%慢性骨髓炎
병조청제%관세%부압지속흡인%만성골수염
Focus clearance%Cleaning%Continuous aspiration in negative pressure%Chronic osteomyelitis
目的：探讨灌洗负压持续吸引术在慢性骨髓炎患者中的应用效果。方法选取本院2012年5月~2014年5月收治的60例慢性骨髓炎患者作为研究对象，随机分成观察组和对照组，各30例。两组均给予一般处理和病灶清除术，在此基础上观察组给予伤口灌洗并负压持续吸引治疗，对照组给予传统伤口换药治疗。比较两组的住院时间、伤口愈合及复发情况、护理并发症等。结果观察组的住院治疗时间为(21.0±2.67) d，显著短于对照组的(40.0±13.8)d，差异有统计学意义(P<0.05)。观察组的伤口愈合优良率为96.7%，显著高于对照组的56.6%，差异有统计学意义(P<0.05)。观察组的复发率为0%，显著低于对照组的16.7%，差异有统计学意义(P<0.05)。观察组无护理并发症发生，对照组出现1例压疮。结论灌洗负压持续吸引术在慢性骨髓炎患者中的应用效果显著，能够促进创面的增生修复，使伤口愈合良好。
目的：探討灌洗負壓持續吸引術在慢性骨髓炎患者中的應用效果。方法選取本院2012年5月~2014年5月收治的60例慢性骨髓炎患者作為研究對象，隨機分成觀察組和對照組，各30例。兩組均給予一般處理和病竈清除術，在此基礎上觀察組給予傷口灌洗併負壓持續吸引治療，對照組給予傳統傷口換藥治療。比較兩組的住院時間、傷口愈閤及複髮情況、護理併髮癥等。結果觀察組的住院治療時間為(21.0±2.67) d，顯著短于對照組的(40.0±13.8)d，差異有統計學意義(P<0.05)。觀察組的傷口愈閤優良率為96.7%，顯著高于對照組的56.6%，差異有統計學意義(P<0.05)。觀察組的複髮率為0%，顯著低于對照組的16.7%，差異有統計學意義(P<0.05)。觀察組無護理併髮癥髮生，對照組齣現1例壓瘡。結論灌洗負壓持續吸引術在慢性骨髓炎患者中的應用效果顯著，能夠促進創麵的增生脩複，使傷口愈閤良好。
목적：탐토관세부압지속흡인술재만성골수염환자중적응용효과。방법선취본원2012년5월~2014년5월수치적60례만성골수염환자작위연구대상，수궤분성관찰조화대조조，각30례。량조균급여일반처리화병조청제술，재차기출상관찰조급여상구관세병부압지속흡인치료，대조조급여전통상구환약치료。비교량조적주원시간、상구유합급복발정황、호리병발증등。결과관찰조적주원치료시간위(21.0±2.67) d，현저단우대조조적(40.0±13.8)d，차이유통계학의의(P<0.05)。관찰조적상구유합우량솔위96.7%，현저고우대조조적56.6%，차이유통계학의의(P<0.05)。관찰조적복발솔위0%，현저저우대조조적16.7%，차이유통계학의의(P<0.05)。관찰조무호리병발증발생，대조조출현1례압창。결론관세부압지속흡인술재만성골수염환자중적응용효과현저，능구촉진창면적증생수복，사상구유합량호。
Objective To explore the application effect of cleaning by negative pressure in continuous aspiration in pa-tients with chronic osteomyelitis. Methods 60 patients with chronic osteomyelitis from May 2012 to May 2014 in our hospital were selected and randomly divided into the observation group and the control group.General treatment and fo-cus clearance were provided in both groups.The observation group was treated with wound cleaning and continuous as-piration in negative pressure,the control group was treated with traditional wound dressing.The hospital stay,wound heal-ing,recurrence and nursing complication in two groups was compared. Results The hospital stay in the observation group was (21.0±2.67) days,which was shorter than (40.0±13.8) days in the control group,with significant difference(P<0.05).The excellent and good rate of wound healing in the observation group was 96.7%,which was higher than 56.6%in the control group,with significant difference (P<0.05).The recurrence rate in the observation group was 0%,which was lower than 16.7% in the control group,with significant difference (P<0.05).There was no nursing complication occurred in the observation group.There was one case with skin pressure sore in the control group. Conclusion The application effect of cleaning by negative pressure in continuous aspiration in patients with chronic osteomyelitis is significant, which can promote proliferation of wound repair and the wound healed well.
