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目的探讨采用封闭式负压引流技术(VSD)联合开放植骨治疗胫骨创伤性骨髓炎的护理。方法 23例胫骨创伤性骨髓炎患者,采用VSD联合开放植骨治疗,配合围手术期心理护理、饮食调护、皮肤准备、术后体位护理、VSD护理、外固定支架护理、供受皮区护理、功能锻炼指导,观察其临床效果。结果术后2例患者出现外固定架针道感染,给予抗生素治疗后感染控制;修复术后创面均Ⅰ期愈合,顺利出院。23例患者均获随访,随访时间10~18个月,平均随访时间13.5个月。1例患者于术后3个月感染复发而放弃治疗;其余患者随访期间无感染复发。结论 VSD联合开放植骨是一种治疗胫骨创伤性骨髓炎的有效方法 ,护理工作的有效配合促进了患者的康复。
Objective To investigate the nursing of tibia traumatic osteomyelitis treated with closed negative pressure drainage (VSD) combined with open bone grafting. Methods Twenty-three cases of tibial traumatic osteomyelitis were treated with VSD combined with open bone grafting, with perioperative psychological nursing, diet nursing, skin preparation, postoperative body care, VSD nursing, external fixation and stent care, Functional exercise guidance, observe its clinical effect. Results External fixator needle tract infection occurred in 2 patients after operation, and the infection was controlled after antibiotic treatment. All the wounds were healed in the first stage and discharged smoothly. Twenty-three patients were followed up for 10-18 months with an average follow-up of 13.5 months. One patient relapsed after 3 months and gave up treatment. The rest of the patients relapsed during the follow-up period. Conclusion VSD combined with open bone graft is an effective method for the treatment of tibial traumatic osteomyelitis. The effective coordination of nursing work promotes the recovery of patients.