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目的探讨开放性骨折合并软组织缺损的负压封闭引流治疗效果以及相应的护理措施。方法选取开放性骨折合并软组织缺损患者60例为此次研究对象,将60例开放性骨折合并软组织缺损患者随机分为观察组和对照组,各30例,对照组患者给予常规方法进行治疗,观察组患者给予负压封闭引流术进行治疗,观察比较2组患者的治疗效果。结果观察组患者的换药次数、创面缩小程度、二期缝合、植皮以及皮瓣修复分别为(1.6±1.3)次、(6.0±0.9)cm、(8.5±5.1)d,对照组患者的换药次数、创面缩小程度、二期缝合、植皮以及皮瓣修复分别为(8.3±4.0)次、(2.5±0.8)cm、(16.7±8.2)d。2组患者的差异具有统计学意义(P<0.05)。结论临床治疗开放性骨折合并软组织缺损患者时,应首选负压封闭引流术进行治疗,有助于提高患者的治疗效果,促进患者早日康复,值得大力推广应用。
Objective To investigate the effect of negative pressure closed drainage on open fractures with soft tissue defects and corresponding nursing measures. Methods Sixty patients with open fracture and soft tissue defect were selected as the study object. Sixty patients with open fracture and soft tissue defect were randomly divided into observation group and control group, with 30 cases in each group. Patients in control group were treated by conventional method and observed Group patients underwent negative pressure drainage treatment, the treatment was observed and compared two groups of patients. Results In the observation group, the frequency of dressing change, the degree of wound reduction, the number of second suture, skin grafting and skin flap repair were (1.6 ± 1.3), (6.0 ± 0.9) cm and (8.5 ± 5.1) days, respectively The number of wounds, degree of wound reduction, stage II suture, skin grafting and skin flap repair were (8.3 ± 4.0), (2.5 ± 0.8) cm and (16.7 ± 8.2) days, respectively. The differences between the two groups were statistically significant (P <0.05). Conclusion In the clinical treatment of patients with open fracture and soft tissue defect, negative pressure and closed drainage should be the first choice for treatment, which will help improve the therapeutic effect of the patient and promote the early recovery of the patient, which is worth popularizing and applying.