一次性负压封闭引流管在皮肤撕脱伤患者预防感染的效果研究

发布时间：2018-05-29 11:27

本文选题：预防感染 + 皮肤撕脱伤　；参考：《中华医院感染学杂志》2016年06期

【摘要】：目的探讨使用一次性负压封闭引流(VSD)在皮肤撕脱伤患者治疗预防感染中的应用及效果分析。方法选取2014年1月-2015年1月27例皮肤撕脱伤住院患者作为研究组,对患者进行伤口创面治疗的过程中使用VSD引流管,并对引流管固定、负压、充分引流及异常情况进行护理,选取2013年2月-2014年1月31例皮肤撕脱伤住院患者作为对照组,对患者伤口创面治疗使用VSD引流管的过程中进行常规护理,比较两组治疗期间伤口创面感染率、负压引流装置的更换次数,比较一期手术后至二期手术期间住院天数,采用SPSS 19.0软件对所有数据进行统计分析。结果研究组伤口创面感染率为7.41%,更换负压引流装置(3.9±1.3)次,住院时间为(9.1±3.3)d;对照组伤口创面感染率为32.26%,更换负压引流装置(6.5±3.4)次,住院时间为(12.9±3.6)d,两组比较差异有统计学意义(P0.05)。结论使用VSD引流管可促进皮肤撕脱伤患者伤口创面条件改善,降低感染率,减少负压引流装置更换次数,降低患者痛苦,显著减少住院时间,值得临床应用和推广。
[Abstract]:Objective to explore the application and effect of once-time negative pressure sealing drainage (VSD) in the treatment of skin avulsion injury. Methods from January 2014 to January 2015, 27 inpatients with skin avulsion injury were selected as the study group. VSD drainage tube was used in the treatment of wound, and the drainage tube was fixed, negative pressure, adequate drainage and abnormal condition were nursing. From February 2013 to January 2014, 31 patients with skin avulsion injury were selected as the control group. The wound infection rate was compared between the two groups during the course of using VSD drainage tube in wound treatment. The replacement times of negative pressure drainage device and the days of hospitalization from the first stage operation to the second stage operation were compared. All the data were statistically analyzed by SPSS 19.0 software. Results the wound infection rate in the study group was 7.41 and the times of replacement of the negative pressure drainage device was 3.9 卤1.3, and the hospitalization time was 9.1 卤3.3 days, while in the control group, the wound infection rate was 32.26 and the negative pressure drainage device was changed 6.5 卤3.4 times, and the hospitalization time was 12.9 卤3.6 days. The difference between the two groups was statistically significant (P 0.05). Conclusion the use of VSD drainage tube can improve the wound condition, reduce the infection rate, reduce the times of replacement of the negative pressure drainage device, reduce the pain of the patients, and significantly reduce the hospital stay, which is worthy of clinical application and popularization.
【作者单位】：解放军总医院骨一科;
【基金】：解放军总医院临床科研基金资助项目(2013FC-GLCX-1001)
【分类号】：R473.6

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