改良封闭负压引流术对软组织缺损合并骨外露感染的预防效果分析  

Analysis on prevention effectiveness of improved closed negative pressure drainage for soft tissue defects with exposed bone infections

作　　者：郑艳峰[1] 沈晓震 陈有芬[1] 朱家骏[1] 

机构地区：[1]金华市人民医院骨一科,浙江金华321000

出　　处：《中华医院感染学杂志》2014年第16期4074-4075,4099,共3页Chinese Journal of Nosocomiology

基　　金：金华市卫生局专项基金资助项目(ZJ-2010B-033)

摘　　要：目的探讨改良封闭负压引流术治疗软组织缺损、骨外露合并感染的临床效果,以期提高临床治疗水平。方法选取2010年4月-2013年2月118例软组织缺损、骨外露合并感染患者为研究对象,分成两组,对照组58例,采用传统的换药、抗菌药物对症治疗等常规方法,观察组60例,在对照组的基础上应用改良封闭负压引流术,观察两组治疗后的临床效果情况,采用SPSS13.0软件进行分析。结果患者治疗后总有效率对照组为74.14%;观察组为90.00%;住院费用观察组为(14 942.7±4 283.3)元,对照组为(5 959.43±1 842.3)元;两组比较,差异均有统计学意义(P<0.05)。结论改良封闭负压引流术治疗软组织缺损、骨外露合并感染临床效果满意,可提高患者生存质量。OBJECTIVE To investigate the clinical effect of the improved closed negative pressure drainage in the treatment of soft tissue defects and bone exposure complicated by infections in order to improve the level of clinical treatment.METHODS Totally 118 patients with soft tissue defects and bone exposure complicated by infections during Apr.2010-Feb.2013 were selected as the study subjects and were divided into two groups.The control group（n=58）received conventional methods including dressing change and antibiotic symptomatic treatment.The observation group（n=60）received improved closed negative pressure drainage in addition to the treatment in the control group.The clinical effect after treatment was observed for the two groups and data were analyzed by SPSS 13.0.RESULTS The total effective rate was 74.14% in the control group and 90.00% in the observation group.The hospitalization cost was（14 942.7±4 283.3）yuan in the observation group and（5 959.43±1 842.3）yuan in the control group.Difference between the two groups was significant（P0.05）.CONCLUSION The improved closed negative pressure drainage for the treatment of soft tissue defects and bone exposure complicated with infection achieves satisfactory clinical results,which can improve life quality of patients.

关 键 词：改良封闭负压引流术 软组织缺损、骨外露 感染 临床效果 

分 类 号：R181.32[医药卫生—流行病学]