负压封闭引流技术对四肢创伤修复皮肤患者的效果分析被引量：12

Effect of vacuum sealing drainage technique in treatment of patients with skin repair of limb trauma

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摘要目的探讨四肢创伤修复皮肤患者应用负压封闭引流(VSD)技术的疗效。方法将80例四肢创伤修复皮肤患者分为对照组33例(常规换药治疗)和VSD组47例(VSD治疗)。比较2组治疗效果、创伤面积的改善情况、并发症发生情况。结果VSD组治疗总有效率高于对照组,差异有统计学意义(P<0.05)。2组治疗后创伤面积均小于治疗前,且VSD组治疗后创伤面积小于对照组,差异有统计学意义(P<0.05)。VSD组并发症发生率低于对照组,差异有统计学意义(P<0.05)。2组病原菌标本阳性率差异有统计学意义(P<0.05)。VSD组对红霉素的分离率高于对照组,差异有统计学意义(P<0.05)。结论VSD治疗四肢创伤修复皮肤患者具有显著的效果,可缩小创伤面积,同时对创面细菌耐药性较低。 Objective To investigate the efficacy of vacuum sealing drainage(VSD) technique in treatment of patients with skin repair of limb trauma. Methods A total of 80 patients with skin repair of limb trauma were divided into control group(n=33, treated with conventional dressing change) and VSD group(n=47, treated with VSD). Therapeutic effect, improvement of wound area and incidence of complications were compared between two groups. Results The total effective rate of the VSD group was significantly higher than that of the control group(P<0.05). The wound area after treatment in both groups was significantly less than that before treatment, and the wound area after treatment in the VSD group was significantly less than that in the control group(P<0.05). The incidence of complications in the VSD group was significantly lower than that in the control group(P<0.05). There was a significant difference in the positive rate of pathogenic specimen between the two groups(P<0.05). The separation rate of erythromycin in the VSD group was significantly higher than that in the control group(P<0.05). Conclusion VSD has a significant effect in the treatment of patients with skin repair of limb trauma, which can shrink the wound area and cause low drug resistance to wound bacteria.

作者于满秋毕宏政侯仁平 YU Manqiu;BI Hongzheng;HOU Renping(Department of Traumatic Restoration,Wendeng Osteopathic Hospital in Shandong Province,Weihai,Shandong,264400;Department of Health Management,Wendeng Osteopathic Hospital in Shandong Province,Weihai,Shandong,264400)

机构地区山东省文登整骨医院创伤整复科山东省文登整骨医院健康管理科

出处《实用临床医药杂志》 CAS 2021年第22期109-112,共4页 Journal of Clinical Medicine in Practice

基金山东省科技发展计划项目(2014GSF118042) 山东省中医药科技发展计划项目(2019-0790) 齐鲁医派中医学术流派传承项目。

关键词负压封闭引流四肢创伤修复皮肤感染病原菌红霉素 vacuum sealing drainage limb trauma skin repair infection pathogenic bacteria erythromycin

分类号 R722.142 [医药卫生—儿科] R641 [医药卫生—外科学]

作者简介通信作者:毕宏政。

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