VSD技术结合中药消炎膏、生肌膏治疗四肢开放性、感染性骨折的临床研究【摘要】目的探討应用负压封闭引流技术(VSD)结合中药消炎膏、生肌膏治疗四肢开放性、感染性骨折的临床疗效和意义。方法90例四肢开放性、感染性骨折患者，随机分为观察组和对照组，各45例。观察组应用VSD技术结合中药消炎膏、生肌膏治疗，对照组单独应用VSD技术治疗。比较两组患者治疗效果、手术指标(使用VSD次数、平均恢复时间、肉芽组织生长时间、上皮组织生长时间)、二次手术率及平均住院费用等。结果观察组优良率88.89%高于对照组的71.11%；观察组使用VSD次数(51+11)明显少于对照组(73±15)次；观察组患者二次手术率26.67%明显低于对照组的77.78%；观察组平均恢复时间、肉芽组织生长时间、上皮组织生长时间分别为(16・5±3・6)、(4.8±2.3)、(6.7+3.4)d,短于对照组的(23.2+3.9).(12.6±2.5)、(12.7+4.6)d；观察组患者平均住院费用(8374.2+765.2)元明显低于对照组的(14596・6±2341・5)元；差异均具有统计学意义(P<0.05)o结论VSD技术结合中药消炎膏、生肌膏治疗四肢开放性、感染性骨折临床疗效肯定，此疗法可以明显缩短疗程，降低治疗费用，减轻社会和家庭的经济负担，具有良好的社会效益，值得基层医院推广应用。---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---开放性;感染性【关键词】负压封闭引流技术；消炎膏；生肌膏；骨折;---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---DOI：10.14163/jki.11-5547/r.2017.08.001[Abstract】ObjectiveToexploretheclinicalcurativeef-fectandsignificanceofvacuumsealingdrainage(VSD)tech-niquecombinedwithtraditionalChinesemedicineantiphlogisticointmentandSheng激ointmentinthetreat-mentofopenandinfectiousfracturesofextremities.Method-sAtotalof90patientswithopenandinfectiousfracturesofex-tremitieswererandomlydividedintoobservationgroupandcon-trolgroup,with45casesineachgroup・Theobservation-groupreceivedVSDtechniquecombinedwithtraditionalChi-nesemedicineantiphlogisticointmerrtandSheng激ointment-fortreatment,andthecontrolgroupreceivedVSDtechniqueon-lyfortreatment・Comparisonweremadeontreatmenteffect,op-erationindicators(VSDusing,averagerecoverytime,granulationtis-suegrowthtime,epithelialtissuegrowthtime),secondary-surgery:raleandaveragehospitalizationcostsintwogroups・ResuItsTheobservationgrouphadhigherexcellence-goodrateas88.89%than71.11%inthecontrolgroup；theobser-vationgrouphadobviouslylessVSDusingas(51+11)than(73+15)inthecontrolgroup；theob----本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除---hospi-tals.当今社会由于大量高动能交通事故的发生,servationgrouphadobviouslylowersecondary-surgeryrateas26.67%than77.78%inthecontrolgroup；theob-servationgrouphadaveragerecoverytime,granulationtissue-growthtime,epithelialtissuegrowthtimerespectivelyas(16・5±3.6),(4・8±2.3)and(6・7±3・4)d,whichwerelowerthan(23.2±3.9),(12.6+2.5)and(12.7±4.6)dinthecontrolgroup；theobser-vationgrouphadobviouslyloweraveragehospitalizationcost-sas(8374・2+765.2)yuanthan(14596・6±2341.5)yuaninthecontrolgroup・Alltheirdif-ferencehadstatisticalsignificance(P<0.05)・Conclusion-CombinationofVSDtechniqueandtraditionalChi-nesemedicineantiphlogisticointment,Sheng激oint-mentshowsaffirmativecurativeeffectinthetreatmerrto-fopenandinfectiousfracturesofextremities,whichcanobvi-ouslyshortentreatmentcourse,reducetreatmentcosts,easeeconomicburdenofsocietyandfamily,andithasgoodsocialeffi-ciency.Soitisworthwidepopularizationandapplicationinbasic-level---本文来源于网络，仅供参考，勿照抄，如有侵权请联系删除------本文来源于网络，仅供参考...