负压封闭引流技术在蛇咬伤治疗中的应用  

Application of vacuum sealing drainage technique in the treatment of snake bites

作　　者：陈锦锋[1] 张兰[1] 

机构地区：[1]四川省人民医院急救中心,四川省成都610072

出　　处：《中国基层医药》2013年第7期984-985,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨负压封闭引流（VSD）技术对蛇咬伤治疗效果的影响。方法对108例蛇咬伤需要切开减压的患者，按随机数字表法分为两组，VSD组（创面持续负压封闭引流）58例，常规组（创面传统换药）50例，比较两组患者二期缝合时间、换药次数、材料消耗费用、抗生素使用费用、创面感染率、住院平均时间。结果VSD组与常规组相比二期缝合时间短（t=11．743，P〈0．05）、换药次数少（t=50．661，P〈0．05），材料消耗费用少（t=9．054，P〈0．05）、抗生素使用费用少（t=21．515，P〈0．05）、创面感染率低（x^2=9．155，P〈0．05）、住院平均时间短（t=10．350，P〈0．05），差异均有统计学意义。结论创面封闭式负压引流（VSD）是现阶段治疗蛇咬伤较理想的方法，值得广泛推广。Objective To explore the influence of vacuum sealing drainage（VSD） technology in snake bite treatment. Methods 108 patients of snake bites need to incision decompression were randomly divided into two groups, VSD group （VSD） 58 cases, conventional group （wound change dressings ordinarily） 50 cases. The secondary suture of time, the number of change dressings, material consumption fees, antibiotics use cost, wound infection rate, in hospital,average length of hospital stay were compared between two groups. Results Compared the VSD group with the conventional group, the secondary suture of time （ t = 11. 743, P 〈 0.05 ）, the number of change dressings （ t = 50. 661, P 〈 0.05 ）, material consumption fees （ t = 9. 054, P 〈 0.05 ）, antibiotics use cost （ t = 21.515, P 〈 0.05 ）, wound infection rate（x2 =9. 155 ,P 〈0.05） ,in hospital,average length of hospital stay（t = 10. 350,P 〈0.05） had significant differences. Conclusion VSD technique can be a ideal way to treat snake bites patients and worth populari- zing at this stage.

关 键 词：蛇咬伤 引流术 封闭敷料 伤口愈合 

分 类 号：R646[医药卫生—外科学]