VSD技术治疗基层医院骨科下肢创伤感染患者的临床疗效分析

Clinical Analysis of VSD Technique in Treating Lower Limb Trauma Infection Patients in Orthopaedics Department of Basic Hospital

目的探讨VSD技术治疗基层医院骨科下肢创伤感染患者的临床康复情况。方法依据随机数字表法将2017年1月—2018年10月80例骨科下肢创伤感染患者分成,对照组和观察组。对照组予常规换药治疗;观察组则予常规换药与VSD技术治疗。记录比较两组创伤感染的治疗效果、创面愈合的时间、骨折愈合的时间、创面疼痛程度。结果观察组下肢创伤感染的治疗效果明显优于对照组,差异有统计学意义(P<0.05),其下肢创伤感染创面愈合的时间和骨折愈合的时间均明显较对照组缩短,差异有统计学意义(P<0.05)。在治疗前两组的创面疼痛程度相近,差异无统计学意义(P>0.05),而治疗后观察组创面疼痛程度明显低于对照组,差异有统计学意义(P<0.05)。结论常规换药联合VSD技术,在治疗基层医院骨科下肢创伤感染的临床效果确切,能有效抑制炎症、促进创面和骨折愈合、缓解痛苦、加速患者康复进程,值得在基层医院推广应用。

Objective To investigate the clinical effect of VSD technique in treating orthopedic patients with trauma infection. Methods 80 patients with orthopedic trauma infection were divided into three groups: control group and observation group. The control group was treated with routine dressing change. The observation group was treated with routine dressing change and VSD technique. The therapeutic effect, wound healing time, fracture healing time and wound pain degree were recorded and compared between the two groups. Results The therapeutic effect of trauma infection in the observation group was better than that in the control group,the difference was statistically significant(P < 0.05), The wound healing time and fracture healing time of lower limb trauma infection were significantly shorter than those of control group(P < 0.05). Before treatment, the degree of wound pain in the two groups was similar,the difference was not statistically significant(P< 0.05), but after treatment, the degree of wound pain in the observation group was significantly lower than that in the control group,the difference was statistically significant(P< 0.05). Conclusion Routine dressing change combined with VSD technique is effective in the treatment of orthopedic trauma infection in primary hospitals. It is worth popularizing and applying in basic hospital.