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目的研究封闭式负压引流技术对骨感染及软组织感染的预防效果以及护理干预对生活质量的影响。方法选取泸州市人民医院近年收治的开放性骨折患者共76例,均采用外支架固定或骨折复位内固定治疗,随机分为对照组及观察组,每组38例。对照组采用常规基础护理干预;观察组在常规基理护理基础上采用封闭式负压引流技术治疗及护理干预。对比两组各项生活质量情况以及骨与软组织感染的差异。结果观察组情感职能、精力、躯体疼痛、社会功能、生理职能、生理机能、精神健康、一般健康状况均优于对照组,差异有统计学意义(P均<0.05)。治疗1周后对照组感染率为28.95%,观察组感染率为10.53%,两组差异有统计学意义(χ~2=4.876,P=0.027);治疗1个月后对照组感染率为18.42%,观察组感染率为2.63%,两组差异有统计学意义(χ~2=4.725,P=0.029)。结论封闭式负压引流术及护理干预明显降低了骨与软组织的感染率,提升了患者治疗后的生活质量。
Objective To study the preventive effect of closed negative pressure drainage technique on bone infection and soft tissue infection and the effect of nursing intervention on quality of life. Methods A total of 76 patients with open fractures admitted to Luzhou People’s Hospital in recent years were treated with external fixation or fracture reduction and internal fixation. They were randomly divided into control group and observation group, with 38 cases in each group. The control group received routine basic nursing intervention; the observation group was treated with closed negative pressure drainage technique and nursing intervention on the basis of routine basic nursing. The quality of life and the difference of bone and soft tissue infection between the two groups were compared. Results The emotional function, energy, body pain, social function, physiological function, physiological function, mental health and general health status in the observation group were better than those in the control group (P <0.05). After 1 week of treatment, the infection rate of the control group was 28.95%, and the infection rate of the observation group was 10.53%. There was significant difference between the two groups (χ ~ 2 = 4.876, P = 0.027). After 1 month of treatment, the infection rate of the control group was 18.42 %, The observation group infection rate was 2.63%, the difference between the two groups was statistically significant (χ ~ 2 = 4.725, P = 0.029). Conclusion Closed negative pressure drainage and nursing intervention significantly reduce the infection rate of bone and soft tissue and improve the quality of life of patients after treatment.