袁国辉

[摘要]目的 探讨负压封闭引流技术（VSD）治疗骨科创伤患者的效果。方法 选取2015年1月～2017年12月我院收治的骨科创伤患者60例，按随机双盲法分为治疗组（32例）和对照组（28例）。治疗组给予VSD术治疗，对照组给予常规换药治疗。比较两组的临床疗效。结果 治疗组总有效率（96.87%）明显高于对照组（71.43%），差异有统计学意义（P<0.05）；治疗前，两组视觉模拟评分法（VAS）评分比较差异无统计学意义（P>0.05），治疗后，两组VAS评分较治疗前明显降低，治疗组VAS评分显著低于对照组，差异均有统计学意义（P<0.05）；治疗组换药次数少于对照组，治疗组实施Ⅱ期的手术时间与住院时间均短于对照组，差异有统计学意义（P<0.05）；治疗组创伤修复时间、伤口愈合时间、创面完全愈合时间均短于对照组，差异均有统计学意义（P<0.05）。结论 实施VSD术较实施常规治疗效果更为显著，患者术后疼痛少，换药次数少，Ⅱ期手术时间与住院时间短，创面愈合较快，值得临床推广应用。

[关键词]负压封闭引流技术；骨科创伤；创面愈合

[中图分类号] R687 [文献标识码] A [文章编号] 1674-4721（2018）9（a）-0106-03

[Abstract] Objective To explore the effect of negative pressure closed drainage technique （VSD） on orthopedic trauma patients. Methods 60 cases of orthopaedic trauma patients admitted in our hospital from January 2015 to December 2017 were selected according to the randomized double blind method， they were divided into the treatment group （32 cases） and control group （28 cases）， treatment group was given treatment of VSD， the control group was given conventional treatment therapy. The clinical efficacy of the two groups was compared. Results The total effective rate of the treatment group （96.87%） was significantly higher than that of the control group （71.43%）， and the difference was statistically significant （P<0.05）. Before the treatment， VAS score of two groups was no significant difference （P>0.05）， after treatment， VAS score two groups of was significantly lower than before treatment， and the treatment group was significantly lower than control group （P<0.05）； Dressing changing in times treatment group was less than the control group， implementing Ⅱ period during the surgery operation time and hospital stay in the treatment group were shorter than the control group， the difference was statistically significant （P<0.05）； the time of wound healing， wound healing time and total healing time of wound healing in the treatment group were significantly shorter than that in the control group （P<0.05）. Conclusion The implementation of the VSD technique is a more significant effect of conventional treatment， patients with less postoperative pain， less dressing， Ⅱ period shorter operation time and hospital stay， wound healing faster， worthy of clinical popularization and application.

[Key words] VSD surgery； Orthopedics trauma； Wound healing

骨科創伤在临床中较为常见，受到创伤时常伴随着不同等级的感染，运动神经与肢体感觉也因感染创面和骨科创伤导致传导障碍，且常伴有较剧烈的疼痛，易引发其他严重的并发症[1]。对严重的软组织损伤和创面感染者，传统的换药处理感染创面和骨科创伤效果不佳，不仅导致创面愈合时间慢，加大患者痛苦[2]。负压封闭引流技术（VSD）作为一种新型的治疗方式，对创伤导致的创面感染和软组织损伤效果较好.本研究对我院收治的骨科创伤患者分别采用VSD术和常规治疗，比较两组临床效果、患者疼痛情况及创面愈合时间，现报道如下。

1资料与方法

1.1一般资料

选取我院2015年1月～2017年12月收治的骨科创伤患者60例，并按随机双盲法分为治疗组（32例）与对照组（28例）。治疗组男17例，女15例；年龄19～59岁，平均（41.3±8.1）岁。对照组男16例，女12例；年龄22～62岁，平均（42.0±8.9）岁。两组的一般资料比较，差异无统计学意义（P>0.05），具有可比性。

1.2纳入标准