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目的探讨不同护理模式在负压封闭引流技术(VSD)治疗骨科创伤及感染创面中的辅助效果。方法选取160例负压封闭引流技术治疗骨科创伤及感染创面患者随机分为4组,A组患者采用VSD通道建立护理技术,B组患者采用VSD间断高浓度给氧护理技术,C组患者采用VSD通道建立+VSD间断高浓度给氧护理技术,对照组患者则采用常规护理模式,比较4组患者相关临床指标、护理前后创面大小、疼痛缓解情况与满意度。结果 C组患者导管堵塞次数、VSD植入时间、植皮成活率、舒适度与住院时间总体水平均优于其他3组,而住院费用仅显著高于B组,C组患者护理后疼痛缓解情况显著优于其他3组,差异有统计学意义(P<0.01);4组患者护理满意度比较,差异无统计学意义(P>0.05)。结论 VSD通道建立+VSD间断高浓度给氧护理技术在VSD治疗骨科创伤及感染创面中的辅助效果最佳,值得临床借鉴。
Objective To investigate the auxiliary effects of different nursing modes in the treatment of traumatic wounds and wounds in patients with negative pressure closed drainage (VSD). Methods A total of 160 cases of patients with orthopedic trauma and wound infection were selected and divided into 4 groups randomly. A group of patients were treated with VSD channel, the patients in group B were treated with intermittent high concentration oxygen therapy (VSD), and the patients in group C were treated with VSD Channel + VSD intermittent high concentration of oxygen therapy technology, the control group of patients using the conventional nursing mode, the relative clinical indicators of the four groups were compared, the size of the wound before and after nursing, pain relief and satisfaction. Results The number of catheter occlusion, VSD implantation, skin graft survival, comfort and length of hospital stay in group C were better than those in the other three groups, while the cost of hospitalization was only significantly higher in group B than in group C The difference was statistically significant (P <0.01). There was no significant difference in nursing satisfaction between the 4 groups (P> 0.05). Conclusion VSD channel established + VSD intermittent high-concentration oxygen therapy in VSD treatment of orthopedic trauma and wounds in the best supporting effect, is worth clinical reference.