负压封闭引流术治疗四肢软组织缺损的体会  

Experience of vacuum sealing drainage in the treatment of soft tissue defects of extremities

作　　者：李鹏[1] 欧治平 刘海棠[1] 谢沛军 叶锦发[1] 

机构地区：[1]东莞市黄江医院骨科,523750

出　　处：《中国现代药物应用》2016年第14期13-15,共3页Chinese Journal of Modern Drug Application

摘　　要：目的研究负压封闭引流术治疗四肢软组织缺损的临床效果。方法 60例四肢软组织缺损患者,随机分为对照组与实验组,各30例。两组均行手术治疗,对照组在此基础上采用传统换药方法治疗,实验组则行负压封闭引流术。评估两组创面愈合率、平均换药次数、抗生素用药时间、控制感染所需时间,观察首次清创后3、5、7 d时两组Mc Gill疼痛评分改善情况。结果实验组创面愈合率96.7%优于对照组80.0%(P<0.05);实验组患者平均换药次数(1.84±0.55)次少于对照组(14.92±4.88)次,抗生素用药时间(3.77±1.14)d、控制感染所需时间(10.64±2.33)d短于对照组(7.61±2.16)、(18.81±3.52)d(P<0.05);实验组首次清创后3、5、7 d时Mc Gill疼痛评分(5.12±1.36)、(4.11±0.49)、(1.31±0.79)分优于对照组(6.88±2.11)、(5.34±1.61)、(4.14±0.71)分(P<0.05)。结论应用负压封闭引流术治疗四肢软组织缺损效果确切,创面修复速度更快,愈合率更高,控制感染所需时间更短,较传统多次换药方案更佳。Objective To research clinical effect by vacuum sealing drainage in the treatment of soft tissue defects of extremities. Methods A total of 60 patients with soft tissue defects of extremities were randomly divided into control group and experimental group, with 30 cases in each group. Both groups received surgical therapy, while the control group received additional dressing change for treatment, and the experimental group received vacuum sealing drainage. Evaluation was made on wound healing rate, mean dressing change times, antibiotics administration time and infection control time. Improvements of Mc Gill pain scores in 3, 5, 7 d after first debridement were observed in both groups. Results The experimental group had better wound healing rate as 96.7% than 80.0% of the control group（P〈0.05）; it had less mean dressing change time as（1.84±0.55） times than（14.92±4.88） times in the control group, and it had shorter antibiotics administration time as（3.77±1.14） d and infection control time as（10.64±2.33） d than（7.61±2.16） and（18.81±3.52） d of the control group（P〈0.05）.Mc Gill pain scores in the experimental group in 3, 5, 7 d after first debridement were all better as（5.12±1.36）,（4.11±0.49）,（1.31±0.79） points than（6.88±2.11）,（5.34±1.61） and（4.14±0.71） points in the control group（P〈0.05）. Conclusion Implement of vacuum sealing drainage provides precise effect in treating soft tissue defects of extremities, along with quick wound repair speed, high healing rate, and short infection control time. This method is superior to conventional multiple dressing change.

关 键 词：四肢软组织缺损 负压封闭引流术 创面感染 换药治疗 

分 类 号：R473.6[医药卫生—护理学]