负压封闭引流技术配合冰洁露冲洗治疗大面积软组织缺损感染的临床研究  

Clinical study on the curative effects of vacuum sealing drainage combined with BINGJIELU irrigation on a large area of soft tissue defect combined with infection

作　　者：韩方磊[1] 丛海波[1] 王祝民[1] 王晨霖[1] 江龙河[1] 余志平[1] 

机构地区：[1]山东省文登整骨医院,山东文登264400

出　　处：《中医正骨》2011年第9期6-8,共3页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:研究负压封闭引流技术配合冰洁露冲洗治疗大面积软组织缺损感染的临床疗效。方法:将符合要求的81例患者随机分为2组,观察组43例,对照组38例。清创后观察组采用负压封闭引流技术配合冰洁露冲洗治疗,对照组单纯采用负压封闭引流技术治疗。自第1次植入负压封闭引流专用敷料开始观察记录2组患者的引流通畅情况、创面感染控制情况、更换负压封闭引流专用敷料情况及创面愈合时间。结果:观察组引流通畅情况、创面感染控制情况、更换负压封闭引流专用敷料情况优于对照组,差异有统计学意义(χ2=19.970,P=0.000;χ2=7.503,P=0.003;χ2=8.838,P=0.003);观察组创面愈合时间比对照组短(t=14.330,P=0.000)。结论:负压封闭引流技术配合冰洁露冲洗能提高引流效果,缩短创面愈合时间,治疗大面积软组织缺损感染疗效确切,值得临床推广。Objective：To study the clinical curative effects of vacuum sealing drainage（VSD）combined with BINGJIELU irrigation on a large area of soft tissue defect combined with infection.Methods：Eighty-one patients met the criteria were randomly divided into 2 groups.After debridement,43 patients in the observation group were administrated with VSD combined with BINGJIELU irrigation,while the others in the control group were administrated with VSD only.Such information as the condition of drainage,infection control of raw surface,replacement of VSD special dressings and raw surface healing times of the patients in the 2 groups were recorded since the beginning of the first implantation of VSD special dressings.Results：The condition of drainage,infection control of raw surface,replacement of VSD special dressings in the observation group were better than those in the control group respectively,and there was statistical difference between the two groups（χ2=19.970,P=0.000;χ2=7.503,P=0.003;χ2=8.838,P=0.003）.Raw surface healing times of patients in the observation group were shorter than those in the control group（t=14.330,P=0.000）.Conclusion：The method of VSD combined with BINGJIELU irrigation has definite curative effect on a large area of soft tissue defect combined with infection.It can heighten the effect of drainage and shorten the time of raw surface healing,and it is worth popularizing in clinic.

关 键 词：负压伤口疗法 软组织损伤 软组织感染 冰洁露 治疗 临床研究性 

分 类 号：R658[医药卫生—外科学]