摘要
目的分析使用简易负压引流治疗腹股沟疝术后浅部感染的效果。方法回顾性分析2016年1月至2022年8月南京医科大学附属南京医院(南京市第一医院)伤口门诊收治的32例腹股沟疝术后手术浅部感染的患者,根据伤口换药方式不同,将患者分为普通换药组(14例)和简易负压组(18例)。其中普通换药组清创后常规换药,简易负压组行简易负压引流治疗,比较2组患者创面愈合时间、换药次数、焦虑抑郁情绪改善情况和出院满意度。结果2组患者均临床治愈出院。简易负压组患者的创面完全愈合时间和换药次数明显短或少于普通换药组,出院满意度高于普通换药组,简易负压组患者的负性情绪明显缓解,差异均有统计学意义(P<0.05)。结论在腹股沟疝术后手术浅部感染的治疗过程中,简易负压引流能够有效加速创面愈合,减少换药次数,改善患者的负性情绪,提高患者出院满意度。
Objective To analyze the effect of simple vaccum sealing drainage in the treatment of superficial surgical site infection after inguinal hernia repair.Methods A retrospective analysis of 32 patients with superficial surgical site infection after inguinal hernia repair admitted to Nanjing Hospital Affiliated to Nanjing Medical University(Nanjing First Hospital)from January 2016 to August 2022 was performed.Patients were divided into routine dressings group(14 cases)and simple vaccum sealing drainage group(18 cases)according to the different wound dressing methods.The routine dressings group was treated with conventional dressings after wound debridement,while the simple vaccum sealing drainage group was treated with simple vaccum sealing drainage after wound debridement.The wound healing time,frequency of dressings change,improvement of anxiety and depression,and discharge satisfaction were compared between the two groups.Results Both groups were cured and discharged from hospital.The complete wound healing time and frequency of dressings change of the patients in the simple vaccum sealing drainage group were significantly lower than those in the routine dressings group,and the discharge satisfaction was higher than that of the routine dressings group,the negative emotions of the patients in the simple vaccum sealing drainage group were significantly relieved,and the differences were statistically significant(P<0.05).Conclusion In the treatment of superficial surgical site infection after inguinal hernia repair,the simple vaccum sealing drainage can effectively accelerate wound healing and reduce the number of dressing changes,improve patients'negative emotions and satisfaction at discharge.
作者
李静如
王江玲
吴向阳
Li Jingru;Wang Jiangling;Wu Xiangyang(Department of Outpatient Wound Dressings,Nanjing First Hospital,Nanjing Medical University,Nanjing,Jiangsu 210006,China;Department of Hernia Surgery,Nanjing First Hospital,Nanjing Medical University,Nanjing,Jiangsu 210006,China)
出处
《中华疝和腹壁外科杂志（电子版）》
2023年第6期745-749,共5页
Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)
关键词
疝
腹股沟
手术部位感染
浅部感染
负压引流
Hernia,inguinal
Surgical site infection
Superficial infection
Vaccum sealing drainage
作者简介
通信作者:吴向阳,Email:wuxiangyang.1969@163.com
