The application of wound-bed preparation sequential plan in the treatment of postsurgical unhealed wound following tibiofibula open fracture
10.3969/j.issn.1009-0754.2015.01.012
- VernacularTitle:伤口床准备贯序处置方案在胫腓骨开放性骨折术后创面不愈合中的应用
- Author:
Da TENG
1
;
Jing HAN
;
Xueyuan DENG
;
Yan YAN
;
Shuhua WU
Author Information
1. 海军总医院骨科
- Keywords:
Wound bed preparation;
Tibiofibular;
Open fracture;
Unhealed wound surface
- From:
Journal of Navy Medicine
2015;(1):31-33
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of wound-bed preparation sequential plan on wound healing following tibiofibula open fracture .Methods Forty-six patients with postsurgical unsealed wound following tibiofibula open fracture , who were admitted into the Navy General Hospital from May 2011 to May 2014 were selected for our study .With the knowledge and consent of the patients , the patients were randomly divided into 2 groups:the wound-bed preparation sequential plan group ( or simply the sequential plan group ) (n=23) and the control group (n=23).Evaluation indicators included:improvement of wound surface, total time of wound surface healing and standard wound surface healing time .Results No.of days when fresh granulation appeared for the sequential plan group were (4.30 ±1.49) d, which were shorter than those of the routine treatment group (6.00 ±2.31) d, with statistical significance (P=0.001).Total time of wound surface healing and standard wound surface healing time for the sequential plan group were respec -tively (36.00 ±12.74) d and (2.01 ±0.69) d/cm3 .However, for the routine treatment group , total time of wound surface healing and standard wound surface healing time were respectively (51.70 ±16.45) d and (2.60 ±1.03) d/cm3 , and statistical significance could be noted, when comparisons were made between the 2 groups(P=0.001, 0.027).Conclusion When used in the treatment of postsurgical unsealed wound following tibiofibula open fracture , the standard wound-bed preparation sequential plan was beneficial to the improvement of wound bed , enhancement of granulation and acceleration of wound healing .
