封闭式负压引流技术在骨外科护理中的应用

Application of Vacuum Sealing Drainage Technology in Orthopedic Surgery Nursing

目的探讨封闭式负压引流技术在骨外科创伤患者护理中的应用效果。方法选择2015年3月~2017年3月在我院收治的骨外科创伤患者136例,采用随机数字表法将其分为对照组、观察组,每组70例。对照组在术后给予传统橡皮管自然引流配合常规护理干预,观察组在术后给予封闭式负压引流技术配合相应的护理,比较两组患者的创面疗效,创面换药次数、愈合时间以及护理满意度。结果观察组患者的创面治疗中愈合24例、显效22例,有效18例,总有效率为95.59%,高于对照组的80.88%;观察组患者的创面换药次数和创面愈合时间均低于对照组,而护理满意度评分则高于对照组,差异均有统计学意义(P<0.05)。结论在骨外科创伤患者中应用封闭式负压引流技术配合相应的护理干预进行治疗,能够促进患者的创面愈合,减少切口换药次数,有助于患者早日康复,从而提高护理满意度,值得临床进一步进行推广和应用。

Objective To explore the effect of application of vacuum sealing drainage technology in the nursing care of patients with orthopedic trauma.Methods Altogether 136 cases of bone trauma patients who were treated in our hospital from March 2015 to March 2017 were selected as the research object and divided into control group and observation group according to the random number table method,with 68 cases in each group.The control group was treated with traditional natural rubber tube drainage combined with routine nursing intervention postoperatively;the observation group was treated with vacuum sealing drainage with the corresponding nursing;the wound curative effect,the number of wound dressing changes,healing time and patients＇ nursing satisfaction of two groups were compared.Results Among patients in the observation group,the wound was healed in 24 cases,the treatment was markedly effective in 22 cases and effective in 18 cases;the total effective rate was 95.59%,higher than that of control group （80.88%）;the number of wound dressing changes and wound healing time of observation group were lower than those of control group,and patients＇ nursing satisfaction scores of observation group were higher than those of control group,with statistically significant differences （P〈0.05）.Conclusion Application of combination of vacuum sealing drainage technology and appropriate nursing intervention treatment in patients with orthopedic trauma can promote wound healing,reduce the number of wound dressing changes and helps patients＇ early recovery,which improves patients＇ nursing satisfaction and is worthy of further promotion and application.