负压封闭引流技术治疗骨科创伤感染患者的临床疗效

发布时间：2018-09-08 10:57

【摘要】：目的探讨负压封闭引流技术(VSD)在骨科创伤感染中的治疗效果。方法选择2012年3月-2015年3月于医院进行治疗的60例骨科创伤感染患者为研究对象,将其随机分为对照组和治疗组,每组各30例,对照组患者采用传统常规的清洗换药方法,治疗组患者采用VSD进行治疗,观察比较两组患者的临床治疗效果。结果治疗后,治疗组患者的治愈率56.7%与有效率36.7%,显著高于对照组的40.0%、26.7%;治疗组创伤面的恢复时间显著短于对照组,对照组的住院时间显著高于治疗组;治疗组患者并发症的发生率20.00%显著低于对照组的43.33%;治疗组患者的视觉模拟评分法(VAS)显著低于对照组,其差异均有统计学意义(P0.05)。结论与传统常规的清洗换药治疗方法相比,VSD治疗效果更佳,应在骨科创伤感染治疗中得到推广。
[Abstract]:Objective to investigate the effect of negative pressure sealing and drainage (VSD) in the treatment of orthopedic trauma infection. Methods 60 patients with orthopedic trauma infection who were treated in hospital from March 2012 to March 2015 were randomly divided into control group (n = 30) and treatment group (n = 30). The patients in the treatment group were treated with VSD, and the clinical effects of the two groups were observed and compared. Results after treatment, the cure rate and effective rate of the patients in the treatment group were 56.7% and 36.7%, respectively, which were significantly higher than those in the control group (40.010 / 26.7), the recovery time of the trauma surface in the treatment group was significantly shorter than that in the control group, and the hospitalization time of the control group was significantly higher than that of the treatment group. The incidence of complications in the treatment group (20.00%) was significantly lower than that in the control group (43.33%), and the visual analogue score (VAS) in the treatment group was significantly lower than that in the control group (P0.05). Conclusion compared with the conventional cleaning and dressing changing therapy, VSD is more effective and should be popularized in the treatment of orthopedic trauma infection.
【作者单位】：浙江省长兴县中医院骨伤科;浙江省中医院骨伤科;
【基金】：浙江省自然基金资助项目(Y2004310)
【分类号】：R687.3

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