可冲洗负压封闭引流治疗腹部手术后感染伤口的临床观察  

作　　者：杨杰[1] 章跃民[1] 朱新生[1] 

机构地区：[1]武警广东总队医院普外科,510507

出　　处：《当代医学》2012年第24期41-42,共2页Contemporary Medicine

摘　　要：目的探讨和评价可冲洗负压封闭引流治疗腹部手术后感染伤口的临床效果。方法 140例腹部手术后感染伤口,分为观察组(可冲洗负压封闭引流组)和对照组(无冲洗负压封闭引流组),每组70例,观察比较两组在浅部感染伤口、深部感染伤口中的愈合情况。结果对于浅部感染伤口,观察组与对照组在伤口清洁时间、伤口愈合时间方面差异无统计学意义(P>0.05),但换药次数明显减少(P<0.05);而对于深部感染伤口,在伤口清洁时间、伤口愈合时间及换药次数等方面,观察组与对照组比较,差异均有统计学意义([6.6±2.1)d比(9.2±3.4)d,(14.3±4.3)d比(18.8±5.3)d,(1.8±0.3)次比(3.2±0.8)次,均P<0.05]。结论应用可冲洗负压封闭引流治疗腹部手术后感染伤口,尤其是深部感染伤口,其效果优于无冲洗负压封闭引流。Objective To explore and evaluate the clinical effect of the washing vacuum sealing drainage in the treatment of wound infection after abdominal surgery. Methods 140 cases of the infected wounds after abdominal surgery, were divided into observation group（washing vacuum sealing drainage group） and the control group （no washing vacuum sealing drainage group）, each of 70 cases, observation and comparison the healing of the two group in the superficial infected wound and deep wound. Results For superficial wound infection, the two groups are not significantly different in wound clean time and wound healing time（P〉0.05 ）, but the observation group marked declined in dressing time （P〈0.05）;For deep wound infection, wound cleaning time, wound healing time and time of changing dressing, there were significant differences （P〈0.05） in two groups. Conclusion Washing vacuum sealing drainage in the treatment of wound infection after abdominal surgery, especially deep wound infection, it is better than no washing vacuum sealing drainage.

关 键 词：负压封闭引流 冲洗 腹部手术 感染伤口 

分 类 号：R656[医药卫生—外科学]