陈春成

摘要：目的：探析针对骨科创伤感染患者采取不同方式治疗后的临床疗效。方法：选取时间2018年7月至2020年7月，病例数选取为我院收治的骨科创伤感染患者98例;给予统一编号后按照单双号分为实验组和常规组，分别给予封闭式负压吸引治疗（n = 49）和常规换药治疗（n = 49），探析两种治疗方法对患者的临床疗效。结果：实验组换药次数、伤口愈合时间、创伤面积及感染创面清洁程度相比常规组改善效果较好，且常规组的创面愈合率为75.51%（37/49），实验组的创面愈合率为91.84%（45/49），两组对比差异存在统计学意义（P < 0.05）。结论 相比常规换药治疗，给予骨科创伤感染患者采取封闭式负压吸引治疗后的效果更加显著，具有可应用价值。

关键词：封闭式负压吸引;常规换药;骨科创伤感染;临床疗效

Abstract： Objective： To explore the clinical efficacy of different treatment methods for patients with orthopedic trauma infection. Method： From July 2018 to July 2020， 98 cases of orthopedic trauma infection patients in our hospital were selected; after unified number， they were divided into experimental group and conventional group according to single and even number， and were given closed negative pressure suction treatment （n = 49） and conventional dressing change treatment （n = 49）， respectively， to explore the clinical efficacy of the two treatment methods for patients. Result： The wound healing rate of the conventional group was 75.51% （37 / 49） and that of the experimental group was 91.84% （45 / 49）. The difference between the two groups was statistically significant （P < 0.05）. Conclusion： Compared with the conventional dressing change treatment， the effect of closed negative pressure suction treatment for orthopedic trauma infection patients is more significant， which has practical value.

Keywords： Closed negative pressure suction; conventional dressing change; orthopedic trauma infection; clinical efficacy

一、前言

近几年来，我院骨科创伤感染疾病患者的发病率逐渐递增，其直接严重影响了患者的日常生活质量以及身体健康;临床中需要针对该类疾病患者采取有效地治疗和干预措施，以整体缩短其伤口愈合时间和康复时间，获取较好的临床治疗及预后效果[1]。传统的换药治疗中，一般需要等待其创面出现新生肉芽且生长丰满以后方可以进行缝合，而且在换药过程中一旦疏忽便可以导致伤口分泌物增多，影响其整体恢复，加大患者的创伤面积，其整体应用效果不是较为明显，仍需要进一步的研究和分析。相关医学研究专家表示，封闭式负压吸引技术的应用可以整体提高骨科创伤感染患者创面的临床疗效。……