胸外科患者术后切口感染负压封闭引流治疗的疗效研究  

Effect of vacuum sealing drainage on treatment of postoperative incision infections in patients of thoracic surgery department

作　　者：蔡中立[1] 丁春萍 黄国胜[1] 冀胜辉 陈凡州 

机构地区：[1]南阳医学高等专科学校第一附属医院胸外科,河南南阳473006 [2]南阳医学高等专科学校第一附属医院骨科,河南南阳473006

出　　处：《中华医院感染学杂志》2016年第14期3252-3254,共3页Chinese Journal of Nosocomiology

基　　金：河南省科技厅研究基金资助项目(2013-07389)

摘　　要：目的研究胸外科手术后胸壁切口感染患者负压封闭引流术的治疗效果,为提高临床疗效提供依据。方法选取2014年9月-2015年10月医院诊治20例胸外科手术后胸壁切口感染患者资料进行研究,根据随机数字方法将患者分为两组,每组10例;对照组采用普通清创换药治疗,试验组采用负压封闭引流技术治疗,比较两组患者临床疗效;数据采用SPSS18.0软件进行统计分析。结果试验组患者清洁时间、手术后胸壁切口感染愈合时间,显著低于对照组,差异有统计学意义(P<0.05);试验组患者治疗后并发症发生率为20.0%,显著低于对照组的50.0%,差异有统计学意义(P<0.05);患者治疗后VAS评分试验组低于对照组,差异有统计学意义(P<0.05);试验组患者治疗后满意度高于对照组,差异有统计学意义(P<0.05)。结论胸外科手术后胸壁切口感染患者采用负压封闭引流技术治疗效果理想,能够提高临床疗效,缩短愈合时间,降低切口感染率,值得推广应用。OBJECTIVETo observe the effect of vacuum sealing drainage on treatment of postoperative chest wall incision infections in patients of thoracic surgery department so as to improve the clinical effect.METHODSA total of20 patients with postoperative chest wall incision infections who were treated in the hospital from Sep 2014 to Oct2015were enrolled in the study and randomly divided into two groups,with 10 cases in each.The control group was treated with common debridement and dressing,while the experimental group was treated with vacuum sealing drainage.The clinical effects were observed and compared between the two groups of patients,and the statistical analysis of data was performed with the use of SPSS18.0software.RESULTS The cleaning time and healing time of postoperative chest wall incision infections were significantly shorter in the experimental group than in the control group（P〈0.05）.The incidence of complications of the experimental group was 20.0% after the treatment,significantly lower than 50.0% of the control group（P〈0.05）.The VAS score of the experimental group was significantly lower than that of the control group after the treatment（P〈0.05）.The satisfaction of the experimental group was significantly higher than that of the control group,and there was significant difference（P〈0.05）.CONCLUSIONThe vacuum sealing drainage can achieve ideal effect on treatment of the postoperative chest wall incision infections in the patients of thoracic surgery department,improve the clinical effect,shorten the healing time,and reduce the incidence of incision infections,it is worthy to be promoted.

关 键 词：胸外科手术 负压封闭引流技术 切口感染 治疗效果 

分 类 号：R655[医药卫生—外科学]