负压封闭引流(VSD)联合间断快速冲洗技术在下肢开放性骨折合并软组织缺损中的应用研究

Study on the Application of Negative Pressure Sealed Drainage (VSD) Combined with Intermittent Rapid Irrigation in the Treatment of Open Fractures of Lower Limbs Complicated with Soft Tissue Defects

摘要: 目的：探讨负压封闭引流(VSD)联合间断快速冲洗技术在下肢开放性骨折合并软组织缺损的应用研究。方法：选取我院创伤骨科2020年1月~2020年10月收治的50例下肢开放性骨折合并软组织缺损行VSD负压引流术后的患者，分为实验组25例用生理盐水快速间断冲洗创面及对照组25例用生理盐水持续冲洗创面，分别对两组护理效果进行比较。通过记录每例发生引流管堵塞的次数、患者疼痛指数评分、使用VSD平均治疗时间、创面愈合效果及疗效显现时间、出院患者满意度进行对比。结果：VSD负压引流术后采用间断冲洗与持续冲洗防止引流管管道堵塞的效果无差别(P > 0.05)，实验组的疼痛程度低于对照组(P < 0.05)，实验组使用VSD平均治疗时间短于对照组，实验组创面愈合效果优于对照组(P < 0.05)，实验组疗效显现时间短于对照组(P < 0.05)，实验组的满意度高于对照组(P < 0.05)。结论：负压封闭引流(VSD)联合间断快速冲洗技术能显著促进下肢开放性骨折合并软组织缺损创面的愈合，降低患者的疼痛程度，缩短治疗时间，提高患者满意度，值得推广应用。

Abstract: Objective: To investigate the application of negative pressure closed drainage (VSD) combined with intermittent rapid irrigation in the treatment of open fractures of lower limbs complicated with soft tissue defects. Methods: A total of 50 patients with open fractures of lower extremity combined with soft tissue defects admitted to the Department of Trauma and Orthopedics of our hospital from January 2020 to October 2020 were selected after VSD negative pressure drainage. The patients were divided into the experimental group (n = 25) and the control group (n = 25), who were rapidly and discontinuously irrigated with normal saline. The nursing effects of the two groups were compared respectively. The frequency of blockage of drainage tube, pain index score of patients, average treatment time with VSD, wound healing effect and curative effect appearance time, and satisfaction of discharged patients were recorded. Results: After VSD negative pressure drainage by intermittent flush with continuous irrigation to prevent drainage pipe blockage effect difference (P > 0.05), the experimental group level of pain is lower than the control group (P < 0.05), the experimental group used the VSD treatment time is shorter than the control group on average, the experimental group wound healing effect is better than that of control group (P < 0.05), the experimental group curative effect appears shorter than the control group (P < 0.05), the satisfaction degree of the experimental group is higher than control group (P < 0.05). Conclusion: The technique of negative pressure sealed drainage (VSD) combined with intermittent rapid irrigation can significantly promote the wound healing of lower extremity open fracture combined with soft tissue defect, reduce the pain degree of patients, shorten the treatment time and improve patient satisfaction, which is worthy of promotion and application.