封闭式负压引流术应用于心胸外科术后胸骨骨髓炎的疗效观察  

Clinical observation of vacuum sealing drainage in osteomyelitis of sternum after cardio-thoracic surgery op- eration

作　　者：陈斌[1] 朱家源[1] 朱斌[1] 唐冰[1] 胡志成[1] 张凯[1] 李小卉[1] 

机构地区：[1]中山大学附属第一医院烧伤外科,广东省广州510080

出　　处：《中国基层医药》2012年第23期3550-3551,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的评价封闭式负压引流术在心胸外科手术后胸骨骨髓炎创面治疗效果。方法132例心胸外科手术后胸骨骨髓炎患者随机分为观察组（72例）和对照组（60例），对照组给予常规治疗及普通换药；观察组采用创面准备及封闭式负压引流术。观察两组创面愈合时间及临床治疗效果。结果患者年龄与术后胸骨骨髓炎的发生显著相关（OR=1．153，P=0．004）。经治疗，观察组平均愈合时间（3．1±0．8）个月，明显短于对照组的（7．2±1．5）个月（t=4．78，P〈0．05）。结论采用负压引流术可有效治疗心胸外科手术后胸骨骨髓炎，缩短愈合时间。Objective To explore detection value of vacuum sealing drainage in osteomyelitis of sternum af- ter cardio-thoracic surgery operation. Methods 132 cases of osteomyelitis of sternum after cardio-thoracic surgery op- eration were randomly divided into two groups（research group and control group）. The research group had 72 cases） and the control group had 60 cases. The control group was treated with conventional treatment. The research group was treated with vacuum sealing drainage. The average healing time and clinical therapeutic effect of the two groups were observed. Results The patients＇ age and the sternum of osteomyelitis was significantly related,with OR = 1. 153 and P 〈 0.05. After treatment,the average healing time of the research group was （ 3.1 ± 0.8 ） months. The average heal- ing time of the control group was （ 7.2 ± 1.5 ） months. The average healing time of the two groups had significant difference （ P 〈 0.05 ）. Conclusion Vacuum sealing drainage in osteomyelitis of sternum after cardio-thoracic surgery operation has sure curative effect. It can change chronic wounds for acute tissue effectively ,shorten the healing time. It has high application value in the first phase of treatment and the second phase of repair.

关 键 词：负压引流术 骨髓炎 胸骨 感染 

分 类 号：R654[医药卫生—外科学] R655[医药卫生—临床医学]