摘要
目的：探讨内固定联合封闭负压治疗胫腓骨骨折的效果及护理。方法将我院2011年1月～2013年1月收治的50例胫腓骨骨折患者随机分作观察组25例和对照组25例。对照组采取一期常规清创、外固定、术后换药及二期手术内固定及创面修复治疗，观察组采取内固定联合封闭负压吸引技术。且两组患者均予以有效护理。观察两组临床治疗效果。结果观察组全部患者创面修复以及骨折愈合良好，对照组有4例骨折延迟愈合。观察组与对照组相比，缩短了住院时间及二期创面修复时间，减小了创面感染率，组间差异有统计学意义（P＜0.05），予以有效护理后且两组患者护理满意度均较高。结论内固定联合封闭负压技术治疗腓骨骨折，可取得良好效果；有效的护理对手术质量及患者术后康复有利，提高了医生及病患对护理工作的满意度。
Objective To observe the effect and nursing of internal fixation with vacuumsealing drainage in tibiofibula fracture patients. Methods 50 cases of tibiofibula patients received from January 2011 to January 2013 in our hospital were randomly divided into observation group（25 cases） and control group（25 cases）.control group were treated with primary debridement, external fixation, postoperative dressing changes, second phase surgical internal fixation, observation group were treated with internal fixation combined with VSD. The clinical effect of both groups were compared. Results 25 cases of observation group completely healed without infection, 4 cases of control group fracture bone healing delayed. Compared with control group, the length of hospital stay of observation group and second phase wound repairing time were shorter, wound infection rate reduced, there was significantly difference （P〈0.05）;Nursing quality in both groups was satisfied. Conclusion The vacuum assisted closure technology can gain good effect; Effective nursing is benefit for surgery quality and patients＇ recovery and increase patients＇ and doctors＇ satisfaction.
出处
《中国医药科学》
2014年第14期195-197,200,共4页
China Medicine And Pharmacy
