持续冲洗结合负压封闭引流治疗儿童急性化脓性关节炎  

Continuous douche combined with vacuum sealing drainage in the treatment of pediatric acute septic arthritis

作　　者：宋宝健[1] 王强[1] 

机构地区：[1]首都医科大学附属北京儿童医院骨科,北京100045

出　　处：《临床骨科杂志》2016年第5期578-579,582,共3页Journal of Clinical Orthopaedics

摘　　要：目的：观察持续冲洗结合负压封闭引流（ VSD）治疗儿童急性化脓性关节炎临床疗效。方法将血培养阳性的急性化脓性关节炎患儿按治疗方法分为观察组（持续冲洗结合VSD,22例）和对照组（传统冲洗,24例）,对两组的住院时间、体温恢复正常时间、换药次数、治疗次数进行比较。结果观察组随访6个月-2年,对照组随访1-5年。观察组并发症明显低于对照组,两组比较差异有统计学意义（ P〈0．05）。住院时间、体温恢复正常时间、换药次数、治疗次数观察组均优于对照组,差异均有统计学意义（P〈0.05）。结论持续冲洗结合VSD治疗儿童急性化脓性关节炎效果理想,可以缩短康复时间、减少换药及治疗次数。Objective To observe the effect of vacuum sealing drainage （ VSD） in the treatment of pediatric acute septic arthritis. Methods The blood culture positive acute septic arthritis patients, according to the treatment meth-od, were divided into the observation group （ continuous irrigation combined with VSD, 22 cases） and the control group （ traditional irrigation, 24 cases） ,two groups of hospitalization time, body temperature recovery normal time, dressing change frequency and times of treatment were compared. Results The observation group were followed up for 6 months to 2 years. The control group was followed up for 1-5 years. The complication in the observation group was significantly lower than that in the control group, the difference was statistically significant （P〈0. 05）. The ob-servation group with hospitalization time, body temperature returned to normal time, dressing change times and times of treatment were better than the control group, the differences were statistically significant （P〈0. 05）. Conclusions The ideal VSD treatment for children with acute septic arthritis effect, can shorten the recovery time, reduce the number of dressing and the number of treatment.

关 键 词：负压封闭引流 儿童 急性化脓性关节炎 

分 类 号：R687.4[医药卫生—骨科学] R684.3[医药卫生—外科学]