摘要
目的探索封闭式负压引流（VSD）治疗老年腹部创伤及感染创面的临床疗效及安全性。方法选择老年腹部创伤及感染创面患者82例为研究对象，根据治疗时间编号后分成两组，其中对照组为单号41例，予常规换药处理和抗生素治疗，观察组为双号41例，予VSD治疗和抗生素治疗，评价治疗后临床疗效及安全性。结果观察组患者日引流量（48．67±3．87）mL，较对照组明显增加，而换药次数（8．59±1．04）次、住院时间（18．33±1．50）d，较对照组明显减少、缩短，差异均有统计学意义（t=8．56、7．88、6．74，均P〈0．05）。观察组患者治疗后VAS评分（3．38±0．51）分，较治疗前和对照组明显减少，差异均有统计学意义（t=8．06、7．56，均P〈0．05）；而QOL评分（88．69±5．87）分，较治疗前和对照组明显增加，差异均有统计学意义（t=7．84、6．88，均P〈0．05）。观察组患者感染控制率92．68％，较对照组明显增加，而不良反应发生率4．88％，较对照组明显减少，差异均有统计学意义（x2=6．87、7．69，均P〈0．05）。结论封闭式负压引流技术治疗老年腹部创伤及感染创面的疗效显著，可有效控制感染，减少换药次数，减轻患者痛苦，且操作简单、安全性高，适合进行推广和应用。
Objective To explore the clinical efficacy and safety of closed negative pressure drainage（VSD） in the treatment of elderly patients with abdominal trauma and infection. Methods 82 elderly patients with abdominal trauma and infection were selected into clinical research, they were divided into two groups according to the treatment time number. 41 cases of odd numbers were in the control group, they were given conventional dressing change and antibiotic therapy. 41 cases of double numbers were in the observation group ,they were given VSD therapy and antibiotic therapy. The clinical efficacy and safety after treatment was evaluated. Results The daily volume of the observation group[ （48.67 ± 3.87 ）mL] was significantly increased compared with the control group ,the dressing times[ （8.59 ± 1.04 ）times ], hospitalization time[ （18.33 ± 1.50 ）d] were significantly reduced compared with the control group, the differences were statistically slgnificant（t = 8.56,7.88,6.74, all P 〈 0.05 ）. The VAS score after treatment of the observation group was （3.38 ± 0.51 ）points, which was significantly lower than those before treatment and of the control group, the difference was statistically significant （ t = 8.06,7.56, all P 〈 0.05 ）. The infection control rate of the observation group was 92.68 %, which was higher than that of control group, and the incidence of adverse reactions of the observation group was 4.88% ,which was lower than that of the control group ,the differences were statistically significant（ X2 = 6.87,7.69, all P 〈 0.05 ）. Conclusion The effect of vacuum sealing drainage technique in the treatment of elderly abdominal trauma and wound infection is significantly, it can effectively control the infection, reduce the number of dressing, relieve the pain of patients, and has the advantages of simple operation, high safety, which is suitable for promotion and application.
出处
《中国基层医药》
CAS
2017年第7期1098-1101,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
引流术
感染创面
Drainage
Infection wound
