持续冲洗结合负压封闭引流治疗儿童急性化脓性关节炎

发布时间：2018-01-31 06:20

本文关键词： 负压封闭引流儿童急性化脓性关节炎　出处：《临床骨科杂志》2016年05期 　论文类型：期刊论文

【摘要】：目的观察持续冲洗结合负压封闭引流(VSD)治疗儿童急性化脓性关节炎临床疗效。方法将血培养阳性的急性化脓性关节炎患儿按治疗方法分为观察组(持续冲洗结合VSD,22例)和对照组(传统冲洗,24例),对两组的住院时间、体温恢复正常时间、换药次数、治疗次数进行比较。结果观察组随访6个月~2年,对照组随访1~5年。观察组并发症明显低于对照组,两组比较差异有统计学意义(P0.05)。住院时间、体温恢复正常时间、换药次数、治疗次数观察组均优于对照组,差异均有统计学意义(P0.05)。结论持续冲洗结合VSD治疗儿童急性化脓性关节炎效果理想,可以缩短康复时间、减少换药及治疗次数。
[Abstract]:Objective to observe the clinical effect of continuous washing combined with negative pressure blocking drainage (VSD) in the treatment of acute suppurative arthritis in children. Methods Children with acute suppurative arthritis with positive blood culture were divided into two groups according to the treatment method. Continuous irrigation combined with VSD. 22 cases were compared with the control group (24 cases of traditional irrigation), the time of hospitalization, the time of body temperature returning to normal, the times of dressing change and the times of treatment were compared between the two groups. Results the observation group was followed up for 6 months to 2 years. The patients in the control group were followed up for 1 ~ 5 years. The complications in the observation group were significantly lower than those in the control group. The difference between the two groups was statistically significant (P 0.05). The treatment times in the observation group were better than those in the control group, and the difference was statistically significant (P 0.05). Conclusion continuous irrigation combined with VSD is effective in the treatment of acute suppurative arthritis in children and can shorten the rehabilitation time. Reduce the frequency of dressing change and treatment.
【作者单位】：首都医科大学附属北京儿童医院骨科;
【分类号】：R726.8
【正文快照】： 2011年1月~2014年1月,我科采用持续冲洗结合负压封闭引流(VSD)治疗儿童急性化脓性关节炎患者,效果满意,报道如下。1材料与方法1.1病例资料入选标准:具有儿童急性化脓性关节炎的临床表现及症状,主要表现为感染关节的肿胀、疼痛、发热、血象增高等。本组46例,男27例,女19例,年龄

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