封闭式负压吸引与常规换药治疗骨科创伤及感染创面的临床分析

Clinical analysis of vacuum sealing drainage and conventional drug dressing in treatment of orthopedic trauma and wound infections

目的：比较封闭式负压吸引技术（VSD）与常规换药治疗骨科创伤及感染创面的临床疗效.方法：选取2014年8月～2017年8月医院治疗的116例骨科创伤及感染创面患者作为研究对象,随机分为观察组与对照组,每组各58例.所有患者均进行常规的清创手术,观察组采用VSD治疗,做好抗感染工作,进行相关的专业处理.对照组采用常规换药治疗,根据患者的创面情况采取相应的措施处理.观察比较2组患者的临床总有效率及平均住院时间,采用SPSS19.0软件进行统计分析.结果：观察组患者的临床症状改善情况明显优于对照组患者,观察组患者治愈21例、显效35例、无效2例,总有效率为96.55%;对照组患者治愈19例、显效28例、无效11例,总有效率为81.03%;观察组总有效率高于对照组,差异具有统计学意义（P〈0.05）.观察组的平均住院时间是16.69±5.65天,显著低于对照组的平均住院时间27.56±6.28天,差异有统计学意义（P〈0.05）.结论：与常规换药治疗相比,VSD治疗骨科创伤及感染创面效果更佳,能够明显加快创面的愈合,缩短住院时间,值得临床推广及应用.

Objectiv： To compare the clinical efficacies of vacuum sealing drainage （ VSD ） and conventional drug dressing in treatment of the orthopedic trauma and wound infections. Methods： 116 cases of orthopedic trauma and wound infection patients who were treated in the hospital from August 2014 to August 2017 were selected as the research objects, randomly divided into observation group and control group, with 58 cases in each group. All patients underwent routine debridement operation, the observation group was treated with the VSD, do well in anti -infection work, carry out related professional treatment. While the control group was treated with the conventional drug dressing, the corresponding treatment measures were taken according to the patients＇ wound. The clinical total effective rate and mean hospitalization time were observed and compared between the two groups of patients, and the statistical analysis was performed with the use of SPSS19.0 software. Results ： The observation group of patients with clinical symptoms improved significantly better than the control group, observation group had 21 cured cases, 35 effective cases and 2 ineffective cases, with total effective rate as 96.55% , while control group had 19 cured cases, 28 effective cases and 11 ineffective cases, with total effective rate as 81.03%. Observation group had higher total effective rate than control group, and the difference was statistically significant （ P 〈 0.05 ）. The mean hospitalization time of the observation group was 16.69± 5.65 days, significantly lower than 27.56 ± 6.28 days of the control group, the difference was statistically significant （P 〈 0.05 ）. Conclusion：As compared with the conventional drug dressing, the VSD can achieve more significant effect on treatment of the orthopedic trauma and wound infections, significantly accelerate the healing of wound surface, shorten hospitalization time, it is worthy of clinical promotion and application.