负压封闭引流联合内外固定治疗胫腓骨开放性骨折的护理  

Nursing of vacuum sealing drainage plus internal and external fixator in treating open tibia and fibula fractures

作　　者：蔡义红[1] 

机构地区：[1]南通大学附属海安医院,江苏海安226600

出　　处：《实用临床医药杂志》2011年第12期60-62,共3页Journal of Clinical Medicine in Practice

摘　　要：目的探讨负压封闭引流联合内外固定治疗胫腓骨开放性骨折的护理要点。方法 17例胫腓骨严重开放性骨折患者,清创后骨折用外固定支架固定,创面或创腔用负压封闭引流技术材料覆盖,接负压封闭吸引,7~10 d后二期缝合、植皮或皮瓣转移。结果患者创面均愈合,骨折一期临床愈合14例（82.4%）,延迟愈合3例（17.6%）,平均愈合时间为（6.5±2.8）个月,无1例针道感染。结论密切的创面护理观察,有效的持续负压引流,良好的心理护理及康复护理是护理的关键。Objective To evaluate the nursing of vacuum sealing drainage plus internal and external fixator in treating open tibia and fibula fractures.Methods Seventeen patients with severe open tibia and fibula fractures were treated with external fixator following debridement.Their wound surfaces or cavities were filled with foams with embedded drainage tubes connected to a vacuum bottle.The wounds were closed with secondary suturing,or free flap,orloco-regional flap 7 to 10 days later.Results The wounds of the 17 patients all healed.14 cases（82.4%） had bone primary union,and 3 cases（17.6%） delayed union.The average union time was（6.5±2.8）months.There was none of pintract infection.Conclusion Close observation of the wound,the sustained and effective drainage,good psychological and rehabilitation care are critical to the nursing of vacuum sealing drainage plus internal and external fixator in treating open tibia and fibula fractures.

关 键 词：负压封闭引流 护理 胫腓骨开放性骨折 外固定支架 

分 类 号：R473.6[医药卫生—护理学]