负压封闭引流技术治疗对外踝部复合组织缺损患者感染控制及足微循环状态的影响观察

发布时间：2018-09-15 07:10

【摘要】：目的观察负压封闭引流技术(VSD)治疗对外踝部复合组织缺损患者感染控制及足微循环状态的影响情况,以了解VSD治疗在此类患者中的应用价值。方法选取2015年3月-2016年6月58例外踝部复合组织缺损患者为研究对象,将其随机分为两组,对照组29例患者进行常规的外踝部复合组织缺损治疗,观察组29例患者则在对照组的基础上加用VSD治疗,统计两组的感染率,比较两组治疗前后足微循环状态相关指标(甲襞微循环与血液流变学)。结果观察组感染率为3.45%,明显低于对照组13.79%,治疗后足微循环状态相关指标(甲襞微循环与血液流变学)明显好于对照组(P0.05),两组间均有显著性差异。结论 VSD治疗对外踝部复合组织缺损患者感染控制效果较好,且对足微循环状态的影响也更为积极,VSD治疗在此类患者中的应用价值较高。
[Abstract]:Objective to observe the effect of negative pressure sealing drainage (VSD) on infection control and foot microcirculation in patients with external ankle complex tissue defect and to understand the value of VSD in the treatment of this kind of patients. Methods from March 2015 to June 2016, 58 patients with complex tissue defect of ankle were randomly divided into two groups. 29 patients in control group were treated with routine treatment of compound tissue defect of lateral malleolus. 29 patients in the observation group were treated with VSD on the basis of the control group. The infection rate of the two groups was counted and the relative indexes (nailfold microcirculation and hemorheology) were compared between the two groups before and after treatment. Results the infection rate in the observation group was 3.45, which was significantly lower than that in the control group (13.79). After treatment, the relative indexes of microcirculation of foot (nailfold microcirculation and hemorheology) were significantly better than those in the control group (P0.05), and there was significant difference between the two groups. Conclusion the effect of VSD on infection control of patients with external ankle complex tissue defect is better, and the effect on the state of microcirculation of foot is more positive. The application value of VSD in this kind of patients is higher.
【作者单位】：解放军第九八医院骨三科;
【基金】：全军医药卫生科研基金资助项目(14MS007)
【分类号】：R658.3

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