创伤保护护理理念在骨髓炎术后护理中的应用研究

Study of the Application of Trauma Protection Nursing Concept in Postoperative Nursing of Osteomyelitis

目的:研究创伤保护护理理念在骨髓炎术后护理中的应用效果。方法:将某院收治的140例骨髓炎手术患者随机分为C组和C+B组各70例,术后护理中分别实施常规护理、常规护理+创伤保护护理。对比两组患者的康复进程和术后并发症的发生率,并于患者护理前后检测血清炎症指标(血清IL-6、IL-8、TNF-α)。结果:C+B组患者创面愈合时间、引流管留置时间、住院耗时均短于C组(P<0.05);术后1d、3d,C+B组患者VAS评分均低于C组(P<0.05)。护理后,C+B组患者血清IL-6、IL-8、TNF-α均低于C组(P<0.05)。C+B组术后共7.14%的患者发生并发症,低于C组的17.14%(P<0.05)。结论:于骨髓炎患者术后联合开展创伤保护护理能有效加快患者创口的康复进程,抑制炎症反应,并降低术后并发症的发生率。

Objective:To study the application effect of trauma protection nursing concept in postoperative nursing of osteomyelitis.Methods:140 cases of osteomyelitis patients admitted to a hospital were randomly divided into group C(70 cases)and group C+B(70 cases).The routine care and routine care+trauma protection care were implemented in postoperative care,respectively.The recovery process and incidence of postoperative complications were compared between the two groups,and serum inflammatory indicators(serum IL-6,IL-8,TNF-α)were detected before and after nursing.Results:The wound healing time,drainage tube indwelling time and hospitalization time in group C+B were shorter than those in group C(P<0.05).1d and 3d after surgery,VAS scores in C+B group were lower than those in C group(P<0.05).After nursing,serum IL-6,IL-8 and TNF-αin C+B group were lower than those in C group(P<0.05).7.14%of patients in group C+B had postoperative complications,lower than 17.14%in group C(P<0.05).Conclusion:Combined trauma protection nursing for patients with osteomyelitis after surgery can effectively accelerate the healing process of the wound,inhibit the inflammatory response,and reduce the incidence of postoperative complications.