Nursing observation of antibiotic cement in patients with chronic osteomyelitis
慢性骨髓炎患者抗生素骨水泥的护理观察

摘要

目的 探讨慢性骨髓炎患者应用抗生素骨水泥治疗期间的优化护理方案，评估精细化护理干预对创面愈合、炎症控制及并发症防控的临床效果，提升慢性骨髓炎围手术期护理质量。方法 选取2025年4月-2026年2月我院骨科收治的76例慢性骨髓炎患者，随机分为对照组、实验组各38例。对照组实施骨科常规护理，实验组在常规护理基础上，构建围手术期精细化分层护理体系，涵盖术前精准评估、术中无菌管控、术后创面护理、康复督导、疼痛管理及感染防控全流程干预，持续干预至创面愈合。结果 实验组创面愈合时间短于对照组，炎症因子水平改善优于对照组，并发症发生率低于对照组，组间数据差异有统计学意义（P＜0.05）。结论 针对抗生素骨水泥治疗的慢性骨髓炎患者实施精细化分层护理，可加速创面修复、强化炎症控制、降低并发症风险，助力患者康复，具备临床推广价值。

Abstract

Objective To explore an optimized nursing protocol for patients with chronic osteomyelitis undergoing antibiotic cement therapy, evaluate the clinical efficacy of refined nursing interventions on wound healing, inflammation control, and complication prevention, and improve perioperative nursing quality for chronic osteomyelitis.
Methods A total of 76 patients with chronic osteomyelitis admitted to the Department of Orthopedics from April 2025 to February 2026 were randomly divided into a control group (n=38) and an experimental group (n=38). The control group received conventional orthopedic nursing, while the experimental group received a refined hierarchical perioperative nursing system based on routine care, including preoperative precision assessment, intraoperative aseptic control, postoperative wound care, rehabilitation supervision, pain management, and infection prevention throughout the entire intervention process until wound healing.
Results The experimental group demonstrated shorter wound healing time, superior improvement in inflammatory cytokine levels, and lower complication incidence compared to the control group, with statistically significant differences (P<0.05).
Conclusion   Implementing refined hierarchical nursing for patients with chronic osteomyelitis treated with antibiotic cement can accelerate wound repair, enhance inflammation control, reduce complication risks, and promote patient recovery, demonstrating clinical applicability.