目的 研究负压封闭引流技术联合外固定器对四肢开放性骨折患者护理的临床效果。方法 选取2013年6月-2016年6 月在我院接收治疗的68例四肢开放性骨折患者，按随机数字表达法分为两组，两组患者均接受负压封闭引流技术联 合外固定器，观察组（n=34例）和对照组（n=34例），对照组为常规护理组，观察组为针对性护理组，观察对比两 组的护理效果。结果 观察组患者治疗的总有效率（83.00%）明显高于对照组（58.00%）患者，差异具有统计学意 义（P<0.05）。通过疗效判断标准发现，观察组对护士护理的满意程度评分（87±5.4）分高于对照组（62±1.7） 分，差异具有统计学意义（P<0.05）。结论 对于四肢开放性骨折的患者采用负压封闭引流加外固定的治疗方法， 并给予有针对性的护理，能够显著降低再次感染风险，提高临床治疗的有效率和对护理的满意程度。

Objective To study the clinical effect of negative pressure occlusion drainage combined with external fixator in nursing patients with open fractures of limbs. Methods 68 cases of patients with open fractures were enrolled in this study from June 2013 to June 2016. They were divided into two groups according to the random number expression. The patients in both groups received negative pressure closed drainage technique combined with external fixator . The observation group (N=34 cases) and the control group (n=34 cases). The control group was the routine nursing group. The observation group was the targeted care group, and the nursing effect of the two groups was observed and compared. Results The total effective rate (83.00%) in the observation group was significantly higher than that in the control group (58.00%), the difference was statistically significant (P<0.05). Through the efficacy of the criteria found, the satisfaction degree of nurses was (87±5.4) in the observation group, which was higher than that in the control group of (62±1.7), the difference was statistically significant (P<0.05). Conclusion The patients with open fractures of the limbs adopt negative pressure closed drainage and external fixation treatment, and give targeted care, can significantly reduce the risk of re - infection, improve the effectiveness of clinical treatment and satisfaction with the care.