摘要
目的 骨科患者因创伤导致的感染问题一直是临床治疗中的重要挑战之一,不仅延长了患者的住院时间,增加了医疗费用,还可能引发一系列严重的全身性反应,因此本文对骨科患者创伤感染治疗的临床疗效进行分析,旨在探讨不同治疗方法的临床效果。方法 连续纳入92例我院收治的骨科创伤感染患者,对比分析不同治疗方案的两组临床疗效。结果 观察组14 d治愈率、28 d 创面闭合率以及炎性指标与疼痛评分、住院时间和换药次数方面均显著优于对照组,组间存在对比意义(P<0.05)。结论 VSD技术在骨科创伤感染治疗中具有显著的临床疗效,不但可显著缩短骨科创伤感染愈合周期,降低炎症水平,还能减少换药次数,减轻患者痛苦,值得在临床中广泛应用和推广。
关键词: 骨科创伤感染;感染治疗;疗效分析
Abstract
Objective Trauma-induced infections in orthopedic patients remain a critical clinical challenge, prolonging hospital stays, increasing medical costs, and potentially triggering severe systemic reactions. This study analyzed the clinical efficacy of different treatment approaches for trauma infections in orthopedic patients. Methods A total of 92 trauma infection patients admitted to our hospital were consecutively enrolled, with comparative analysis of clinical outcomes between treatment groups. Results The observation group demonstrated significantly better 14-day cure rates, 28-day wound closure rates, inflammatory markers, pain scores, hospitalization duration, and dressing changes frequency compared to the control group (P <0.05). Conclusion VSD technology demonstrates remarkable clinical efficacy in treating orthopedic trauma infections. It not only accelerates healing cycles and reduces inflammation levels but also decreases dressing changes and alleviates patient discomfort, making it worthy of widespread clinical application and promotion.
Key words: Orthopedic trauma infection; Infection treatment; Efficacy analysis
参考文献 References
[1] 许硕贵.创伤救治的液体治疗[J].中华急诊医学杂志, 2022, 31(5):582-584.
[2] 许鹏飞,李金瑞,贺帅帅.益气活血方联合封闭负压引流术治疗骨创伤感染临床疗效评价[J].深圳中西医结合杂志,2021,31(14):54-55.
[3] Yao Q, Fu Y Y , Sun Q N ,et al. Comparison of intracorporeal and extracorporeal anastomosis in left hemicolectomy: updated meta-analysis of retrospective control trials[J].Journal of Cancer Research and Clinical Oncology, 2023(15):149.
[4] 中华医学会外科学分会外科感染与重症医学学组,中国医师协会外科医师分会肠痿外科医师专业委员会,任建安.中国手术部位感染预防指南[J].中华胃肠外科杂志, 2019,22(04):301-314.
[5] 刘英春.骨科患者创伤感染治疗的临床疗效分析[J].中国伤残医学,2021,29(16):29-31.
[6] 陈巧红,蓝丽玲.藻酸盐银离子敷料与凡士林纱布敷料对慢性感染伤口愈合效果的影响比较[J].吉林医学,2022 (4):1120-1122.
[7] 袁书逸,汤路路,王安素,等.负压伤口疗法治疗骨创伤患者创面感染疗效及安全性的Meta分析[J].中华创伤杂志,2025,41(01):82-89.
[8] 陈兴超,邹永刚,高振华,等.封闭负压引流技术治疗骨科创伤感染的疗效分析[J].智慧健康,2024,10(18):114-116.
[9] Xin X ,Yanhua S .Nursing countermeasures for VSD treatment of orthopedic trauma and infected wounds.[J]. American journal of translational research, 2021,13(9): 10625-10632.
[10] Lei Z ,Yao Z ,Yan L , et al.Effects of vacuum sealing drainage to improve the therapeutic effect in patients with orthopedic trauma and to reduce post-operative infection and lower-limb deep venous thrombosis.[J].Experimental and therapeutic medicine,2020,20(3):2305-2310.