骨科创伤感染治疗的临床疗效分析  

Clinical efficacy of treatment of trauma infections in orthopedics department

作　　者：郭远清[1] 李国威[1] 陈涛[1] 孔凡根[1] 于兵[1] 苏永辉[2] 

机构地区：[1]中山大学附属第五医院骨外科,广东珠海519000 [2]中山大学附属第五医院普外科,广东珠海519000

出　　处：《中华医院感染学杂志》2016年第6期1354-1355,1361,共3页Chinese Journal of Nosocomiology

基　　金：广东省卫计委医学科研基金资助项目(A2013346)

摘　　要：目的探讨VSD用于骨科创伤感染者治疗的临床疗效,为临床治疗提供参考依据。方法选择2013年9月-2015年3月于医院进行治疗的骨科创伤感患染者60例为研究对象,随机分为试验组和对照组,各30例;对比两组患者临床疗效,数据SPSS 13.0软件进行统计分析。结果试验组患者治疗后总有效率为93.4%,明显高于对照组的70.0%,差异有统计学意义(P<0.05);试验组患者愈合时间以及住院时间均少于对照组,差异有统计学意义(P<0.05);试验组患者并发症发生率为20.0%,低于对照组的46.7%,差异有统计学意义(P<0.05)。结论选择VSD对骨科创伤感染者进行治疗的疗效显著,使患者愈合以及住院的时间得以缩短,换药次数也得以减少,有助于患者的康复,同时感染后出现并发症情况也显著减少,因此在临床上值得推广。OBJECTIVE To explore the clinical efficacy of VSD in treatment of trauma infections in orthopedics department so as to provide guidance for clinical treatment.METHODS A total of 60 patients with trauma infections who were treated in the department of orthopedics from Sep 2013 to Mar 2013 were recruited as the study objects and randomly divided into the experimental group and the control group,with 30 cases in each.The clinical efficacy was observed and compared between the two groups of patients,and the statistical analysis of data was performed with the use of SPSS 13.0software.RESULTS The total effective rate of treatment of the experimental group was 93.4%,significantly higher than 70.0% of the control group（P0.05）.The healing time and length of hospital stay were significantly shorter in the experimental group than in the control group（P0.05）.The incidence rate of complications was 20.0%in the experimental group,significantly lower than 46.7%in the control group（P0.05）.CONCLUSIONThe VSD can achieve significant efficacy in treatment of the patients with trauma infections in the department of orthopedics,remarkably shorten the healing time and length of hospital stay,and reduce the frequency of drug dressing;it is conducive to the rehabilitation of the patients and significantly reduce the incidence rate of complications induced by the infections.

关 键 词：封闭式负压吸引技术 骨科 创伤感染 疗效 

分 类 号：R683[医药卫生—骨科学]