可调节负压引流技术联合局部氧疗治疗腹部切口感染创面的临床观察  

Clinical Observation of Adjustable Negative Pressure Wound Therapy plus Regional Oxygen Therapy in the Treatment of Abdomen Incision Infection Wound

作　　者：李永忠[1] 陈莉[1] 李云飞[1] 胡晓东[1] 蒋朔[1] 肖潇[1] 李卉丹[1] 魏雨婷[1] 

机构地区：[1]德阳市人民医院烧伤整形科,四川德阳618000

出　　处：《华西医学》2013年第6期810-812,共3页West China Medical Journal

摘　　要：目的观察可调节负压引流技术联合局部氧疗治疗腹部切口感染创面的临床效果。方法对2009年5月-2012年9月28例腹部切口感染创面患者使用可调节负压引流技术联合局部氧疗治疗,创口内填入负压吸附垫,持续输氧0.5～1 L/min,可调节负压采用连续工作模式,使密闭创面保持60～120 mm Hg(1 mm Hg=0.133 kPa)的负压状态,3～7 d更换负压吸附垫和引流管。结果 28例切口创面感染得到控制。8例经一次治疗创面愈合,15例经2～4次治疗创面愈合,2例行Ⅱ期缝合,3例患者对贴膜过敏,治疗一次后改为换药治疗。28例患者创面愈合时间4～28 d,平均14 d,随访1～18个月无切口裂开,7例有凹陷瘢痕,余瘢痕平整。结论可调节负压引流技术联合局部氧疗治疗腹部切口感染创面,具有操作简便、安全可靠、疗效明显的优点,可加快创面愈合,缩短住院时间,提高切口的愈合质量,减轻患者痛苦及医务人员的工作量。Objective To observe the effect of adjustable negative pressure wound therapy plus regional oxygen therapy in the treatment of abdomen incision infection wound.Methods Twenty-eight abdomen incision infection wound patients were treated with adjustable negative pressure wound therapy plus regional oxygen therapy in our department between May 2009 and September 2012.The wound was filled with negative pressure absorption layer,with successive oxygen therapy at 0.5-1 L per minute.The adjustable negative pressure remained a continuous mode and kept the sealed wound in a negative pressure state at 60-120 mm Hg（1 mm Hg=0.133 kPa）.The negative pressure absorption layer and drainage canal were changed every 3-7 days.Results All the 28 incision infection wounds got controlled.Eight of them got cured with only one treatment;Fifteen of them got cured with 2-4 treatments;Two patients got a phase-Ⅱ stitching;Three patients were allergic to film,and the treatment was changed into common medical therapy for healing.The healing time for those 28 patients were 4-28 days,averaging 14 days.The follow-up lasted 1-18 months,and 7 patients had pitting scars.Conclusions Adjustable negative pressure wound therapy plus regional oxygen therapy in the treatment of abdomen incision infection wound is easy and safe.The curative effect is evident.It can accelerate the healing,shorten patients＇ hospital stay,improve healing quality,and reduce patients＇ pain and workload of doctors and nurses.

关 键 词：可调节负压引流技术 局部氧疗 腹部切口感染 治疗 

分 类 号：R656[医药卫生—外科学]