封闭负压引流用于骨创伤创面的临床治疗分析

Clinical Analysis of Closed Negative Pressure Drainage for the Treatment of Traumatic Wounds

目的主要探究分析封闭负压引流用于骨创伤创面的临床治疗效果。方法随机选取该院骨科2017年1—12月收治的骨创伤患者102例。按照两组不同的治疗措施,随机分为对照组和实验组,实验组患者52例,对照组患者50例。对照组骨创伤患者执行常规的引流技术进行治疗,实验组骨创伤患者执行封闭负压的引流技术进行治疗。在患者出院后,比较两组骨创伤患者的临床治疗效果和并发症发生率。结果在实验组52例患者中,治疗显效人数有28例,有效人数有21例,治疗总有效率达94.23%,有2例发生了伤口感染,并发症发生率为3.85%;而在对照组50例患者中,治疗显效人数有18例,有效人数有22例,治疗总有效率达80.00%,有4例发生了伤口感染,2例伤口化脓,并发症发生率为12.00%;通过对比两组数据发现实验组骨创伤患者的临床治疗有效率(94.23%)显著优于对照组(80.00%),差异有统计学意义(χ~2=10.256,P<0.05)。实验组骨创伤患者并发症发生率(3.85%)明显低于对照组患者(12.00%),差异有统计学意义(χ~2=5.372,P<0.05)。结论在对骨创伤患者进行治疗时,采用封闭负压的引流技术相比常规的引流技术,不仅可以提高骨创伤患者的临床治疗效果,使患者早日恢复健康,而且可以降低患者并发症的发病率,值得在临床上推广应用。

Objective To explore the clinical therapeutic effect of closed negative pressure drainage for wound healing.Methods 102 cases of patients with bone trauma from January to December 2017 were randomly selected. According to two groups of different treatment measures, randomly divided into the control group and the experimental group, 52 cases of patients in the experimental group and 50 cases in the control group. The control group used routine drainage techniques for treatment, and patients with bone trauma in the experimental group used the drainage technique of closed negative pressure for treatment. After discharge, the clinical efficacy, length of stay and incidence of complications were compared between the two groups. Results Of 52 cases in the experimental group, 28 cases were markedly effective, 21 cases were effective, and the total treatment effective rate reached 94.23%, and 2 cases had the wound infection, and the incidence rate of complications was 3.85%, while of 50 cases in the control group, 18 cases were markedly effective, 22 cases were effective, and the total treatment effective rate reached 80.00%, and 4 cases had the wound infection, 2 cases had wound maturation, and the incidence rate of complications reached 12.00%, and the clinical treatment effective rate in the experimental group was obviously better than that in the control group,（94.23% vs80.00%）, and the difference was statistically significant（χ2=10.256,P〈 0.05）, and the incidence rate of complications in the experimental group was obviously lower than that in the control group,（3.85% vs 12.00%）, and the difference was statistically significant（χ2=5.372,P〈 0.05）. Conclusion The closed negative pressure drainage in treatment of patients with bone trauma can not only improve the clinical treatment effect of patients with bone wound, make the patients early recover, but also decrease the onset rate of complications, and it is worth clinical promotion and application compared with the routine drainage technology.