封闭式负压引流技术在开放性骨折的临床应用研究

Clinical application of vacuum sealing drainage in open fracture

目的探讨应用负压封闭引流技术(VSD)对开放性骨折创面恢复的影响。方法选择2018年6月至2021年10月重庆慎安医院(重庆莱佛士医院)骨科共收治的开放性骨折80例,随机分成VSD组(n=40)和常规组(n=40),比较两组患者住院时间、抗菌药物使用时间、创面愈合时间、治疗效果、疼痛、舒适度、应激障碍、满意度、术后恢复等。结果两组性别、年龄、体重指数、骨折类型、伤处面积比较,差异均无统计学意义(P>0.05);两组患者住院时间、抗菌药物使用时间、伤处愈合时间、医疗费用比较,差异均有统计学意义(P<0.05);两组住院费用比较,差异无统计学意义(P>0.05);两组总体有效率比较,差异有统计学意义(P<0.05)。术后疼痛评分、舒适度评分、应激障碍评分、满意度评分比较,差异均有统计学意义(P<0.05)。两组术后恢复(QOR-15)术后1 d组间比较,差异无统计学意义(P>0.05);术后3、7 d组间比较,差异有统计学意义(P<0.05)。结论VSD治疗开放性骨折可加速创面愈合,减轻患者疼痛,降低抗菌药物的应用,缩短住院时间,提高患者舒适度、满意度,降低创伤应激障碍给患者带来的伤害,促进术后恢复。

Objective To explore the effect of vacuum sealing drainage(VSD)on wound healing of open fracture.Methods From June 2018 to October 2021,A total of 80 cases of open fracture were from this department randomly divided into the VSD group(n=40)and the routine group(n=40).The hospitalization time,antibacterial drug use time,wound healing time,treatment effect,pain,comfort,stress disorder,satisfaction and postoperative recovery of the two groups were compared.Results There was no significant difference in sex,age,body mass index,fracture type and wound area between the two groups(P>0.05).There were significant differences in hospital stay,antibacterial drug use time,wound healing time and medical expenses between the two groups(P<0.05).There was no significant difference in hospitalization expenses between the two groups(P>0.05).The total effective rate of the two groups was statistically significant(P<0.05).There were significant differences in postoperative pain score,comfort score,stress disorder score and satisfaction score(P<0.05).There was no significant difference between the two groups on the 1st day after quality of recovery-15 scale(QOR-15)(P>0.05).There was significant difference between the two groups on the 3rd and 7th day after operation(P<0.05).Conclusion VSD can accelerate wound healing,relieve patients′pain,reduce the use of antibacterial drugs,shorten hospitalization time,improve patients′comfort and satisfaction,reduce the harm caused by traumatic stress disorder and promote postoperative recovery,which has clinical promotion value.