张加勇（1988.7-），男，安徽舒城县人，硕士，住院医师，主要从事关节与创伤方面研究
R683
目的 探讨创面冲洗-负压封闭引流技术在四肢骨折术后伤口愈合不良患者中的应用效果。方法 选取2021年3月-2023年2月于合肥市骨科医院实施手术治疗后发生术后伤口愈合不良的60例四肢骨折患者 为研究对象，按照随机数字表法分为对照组和观察组，每组30例。对照组给予常规治疗，观察组给予创面 冲洗-负压封闭引流技术治疗，比较两组临床疗效、康复情况、创口症状评分及创口美观满意度。结果 观 察组治疗总有效率为93.33%，高于对照组的70.00%（P＜0.05）；观察组创口面积小于对照组，肉芽组织覆 盖率和首次植皮成功率均高于对照组（P＜0.05）；观察组治疗后创口红肿、疼痛、渗液症状评分均低于对 照组（P＜0.05）；观察组治疗后创口美观满意度（CS）评分高于对照组（P＜0.05）。结论 创面冲洗-负 压封闭引流技术在四肢骨折术后伤口愈合不良患者中的应用效果确切，能有效控制创口部位症状，加快创 口愈合，有利于提高创口美观满意度，促进恢复。
Objective To explore the application effect of wound washing-negative pressure closed drainage technology in patients with poor wound healing after limb fracture surgery. Methods A total of 60 patients with limb fractures who had poor wound healing after surgical treatment in Hefei Orthopedic Hospital from March 2021 to February 2023 were selected as the research objects. According to the random number table method, they were divided into control group and observation group, with 30 patients in each group. The control group was given routine treatment, and the observation group was treated with wound washing-negative pressure closed drainage technology. The clinical efficacy, rehabilitation, wound symptom score and wound aesthetic satisfaction were compared between the two groups. Results The total effective rate of treatment in the observation group was 93.33%, which was higher than 70.00% in the control group (P
张加勇.创面冲洗-负压封闭引流技术在四肢骨折术后伤口愈合不良患者中的应用效果[J].医学美学美容,2023,32(12):131-134.
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