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目的：观察负压封闭引流技术对四肢创伤复杂创面治疗的临床疗效。方法选取来我院就诊的四肢创伤性骨折伴有严重皮肤损伤的患者84例，随机分为两组，观察组42例、对照组42例。对照组采用传统的方法进行治疗，观察组采用负压封闭引流技术方法进行治疗。记录治疗前后患者的创伤面积变化以及创面清洁时间，植皮后临床效果，换药次数，住院时间，并发症的情况等。结果两组患者植皮后的临床疗效相比，观察组的优良率为92.86%，对照组的优良率为64.29%，两者的差异具有统计学意义(<0.05)；两组患者的创面清洁时间，换药次数，治疗前后创面面积情况以及住院时间，并发症率比较得到观察组的效果都较对照组的效果好(<0.05)。结论负压封闭引流技术在四肢创伤复杂创面的治疗效果显著，较传统的单用换药方式效果好，且并发症发生率较低。因此，在临床的工作过程中要积极的应用该方法进行四肢创伤复杂创面的治疗。“,”Objective To investigate the clinical curative ef ect of vacuum sealing drainage in limbs trauma complicated wound. Methods 84 cases of limbs traumatic fracture with severe skin injury were randomly divided into the observation group (42 cases) and control group (42 cases).The control group was given the traditional methods, while the observation group was given vacuum sealing drainage. The wound area, wound cleaning time, skin ef ect, the dressing time, hospitalization time, complications of two groups was compared.Results The excel ent skin grafting rate of the observation group (92.86%)was significantly higher than that of control group (64.29%) ( <0.05). The wound cleaning time, dressing change times, wound area, hospitalization time, complications rate of the observation group was significantly bet er than that of the control group ( <0.05). Conclusion Vacuum sealing drainage in treatment of limb trauma complicated wound is ef ective, has low incidence of complications,and is worthy of promotion.