负压封闭引流技术在老年人软组织创面中的应用  

Application of vacuum sealing drainage in elderly patients with severe skin and soft tissue injury

作　　者：刘朝普[1] 胡平[1] 李昌华[1] 何平[1] 王建柏[1] 韦功滨[1] 李辉[1] 

机构地区：[1]重庆市急救医疗中心创伤科,400014

出　　处：《中华老年医学杂志》2016年第2期141-143,共3页Chinese Journal of Geriatrics

摘　　要：目的探讨负压封闭引流（VSD）技术对老年软组织创伤患者的临床效果。方法按纳入标准进入我院的75例严重创伤性皮肤软组织损伤按人院时间分组，单日入院为VSD治疗组（观察组40例），双日入院为传统换药组（对照组35例）。观察两组患者的疼痛评分，创面愈合时间，感染率，并发症等临床指标的差异。结果两组患者平均住院时间：观察组21．3d，对照组30．7d，两组患者比较差异有统计学意义（t=7．60，P=0．0000）。观察组治疗期间感染率为12．5％（5／40），对照组感染率为54．3％（19／35），两组患者比较差异有统计学意义（χ2=13．12，P=0．0003）。观察组并发症发生率为15．0％（6／40）；对照组并发症发生率为42．9％（15／35），两组患者比较差异有统计学意义（χ2=5．87，P=0．0154）。观察组住院期间无死亡；对照组住院期间因急性肺栓塞死亡1例。结论采用负压封闭引流对老年严重软组织创伤进行治疗，能够有效减轻疼痛、减少感染率，缩短住院时间，减少因长期卧床出现的并发症等，在临床上有应用价值。Objective To analyze the clinical effect of vacuum sealing drainage （VSD） on skin and soft tissue injury in elderly patients. Methods A total of 75 patients with severe skin and soft tissue injury who met the inclusion criteria were enrolled in this study. They were divided into two groups based on admission dates： the observation group （n = 40, receiving VSD treatment, odd- number date admission） and the control group （n=35, receiving routine dressing changes, even- number date admission）. The clinical indexes including pain score, wound healing time, infection rate and complications were analyzed and compared between the two groups. Results There was a significant difference in the average length of hospitalization between the two groups （21.3 days w 30.7 days, t：7.60, P=0. 0000）. The infection rate was lower in the observation group than in the control group （12.5% or 5/40 w 54. 3% or 19/35, ）χ2=13.12, P= 0. 0003）. The incidence of complications was lower in the observation group than in the control group （15.0% or 6/40 w 42.9% or 15/35, ）d =5.87, P=0. 0154）. There were no deaths in the observation group, but one patient died from acute pulmonary embolism in the control group during hospitalization. Conclusions VSD can alleviate pain, reduce the infection rate, shorten the length of hospitalization and decrease bedridden complications in elderly patients with severe skin and soft tissue injury, and has valuable applications in clinical practice.

关 键 词：负压伤口疗法 引流术 软组织损伤 

分 类 号：R641[医药卫生—外科学]