改良封闭式负压引流技术在骨外科创伤治疗中的应用以及价值分析

Application and Value Analysis of Modified Closed Negative Pressure Drainage Technique in the Treatment of Osteosurgery Trauma

目的：探讨改良封闭式负压引流技术骨外科创伤的应用效果.方法：回顾2016年1月～2017年12月骨外科创伤患者90例以治疗方法分组.对照组给予常规骨外科创伤处理,观察组则给予改良封闭式负压引流技术.比较2组骨外科创伤治疗效果;平均所需换药时间、住院的平均时间、所产生的医疗费用;治疗前后患者创面炎症指标肿瘤坏死因子-α、CRP、白细胞计数、IL-6;治疗前后患者生活质量SF-36评分;创面感染发生率.结果：观察组骨外科创伤治疗效果高于对照组,P〈0.05;观察组平均所需换药时间、住院的平均时间、所产生的医疗费用少于对照组,P〈0.05;治疗前2组创面炎症指标肿瘤坏死因子-α、CRP、白细胞计数、IL-6相近,P〉0.05;治疗后观察组创面炎症指标肿瘤坏死因子-α、CRP、白细胞计数、IL-6优于对照组,P〈0.05.治疗前2组生活质量SF-36评分相近,P〉0.05;治疗后观察组生活质量SF-36评分优于对照组,P〈0.05.观察组创面感染发生率低于对照组,P〈0.05.结论：改良封闭式负压引流技术骨外科创伤的应用效果确切,可有效控制创面炎症,降低创面感染风险,提高患者生活质量,缩短换药和治疗时间,减少医疗费用,值得推广应用.

Objective： To investigate the effect of modified closed negative pressure drainage technique on bone surgical trauma. Methods： From January 2016 to December 2017, 90 patients with bone surgical trauma were divided into two groups. The observation group was treated with the modified closed negative pressure drainage technique. The results of the two groups were compared, the average time needed to change dressing, the average time of hospitalization, and the medical expenses incurred by the two groups were compared. Before and after treatment, the inflammatory index of wound was TNF - ct CRP, leukocyte count and IL -6, the SF -36 score of patients ＂quality of life and the incidence of wound infection before and after treatment. Results： The treatment effect of bone surgical trauma in the observation group was higher than that in the control group （P 〈 0.05）, and the average time of dressing change and hospitalization in the observation group was higher than that in the control group （ P 〈 0.05 ）. The cost of medical treatment was less than that of the control group （P 〈 0. 05）, the inflammatory index tumor necrosis factor - α CRPand white blood cell count （IL -6） were similar in the two groups before treatment （P 〉 0.05）, and the inflammatory index of wound wound in the observation group （ TNF -α CRP, WBC count IL - 6 ） was better than that in the control group （ P 〉 0.05 ）. Before treatment, the SF - 36 score of the two groups was similar （ P 〉 0.05）, the SF - 36 score of the observation group was better than that of the control group （ P 〈 0.05 ）. The incidence of wound in- fection in the observation group was lower than that in the control group （ P 〈 0.05 ）. Conclusion： The modified closed negative pressure drainage technique is effective in the application of bone surgical trauma. It can effectively control the inflammation of the wound, reduce the risk of wound infection, improve the quality of life of the patients, shorten the time of dressing change and treatment, and reduce the cost of medical treatment. It is worth popularizing and applying.