负压封闭引流治疗腹壁感染创面的临床效果分析  

Clinical effect analysis of vacuum sealing drainage in treatment of abdominal wall wounds infection

作　　者：王文礼[1] 黄永红[2] Wang Wenli;Huang Yonghong(General practice,Inner Mongolia Baogang Hospital,Inner Mongolia,Baotou 014010,China;Pharmacy Department,Inner Mongolia Baogang Hospital,Inner Mongolia,Baotou 014010,China)

机构地区：[1]内蒙古包钢医院全科,包头014010 [2]内蒙古包钢医院药剂科,包头014010

出　　处：《中华疝和腹壁外科杂志（电子版）》2019年第6期529-532,共4页Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition)

摘　　要：目的探讨负压封闭引流(VSD)治疗腹壁感染创面的临床效果。方法选取2014年12月至2016年1月,内蒙古包钢医院收治的70例腹壁感染创面患者为研究对象,依据随机数字表法将其分为观察组与对照组,每组35例。观察组采用VSD进行治疗,对照组采取常规治疗。比较2组创口愈合时间、住院天数、换药次数及换药费用,统计治疗过程中并发症发生情况。结果观察组创口愈合时间和住院时间分别为(10.42±4.09)d、(20.52±3.59)d,与对照组(17.75±6.32)d、(28.40±4.27)d比较,差异均有统计学意义(P<0.05);观察组换药次数和换药费用分别为(10.45±2.70)次和(1002.43±188.69)元,均显著少于对照组(16.03±5.04)次、(2481.30±310.55)元,差异均有统计学意义(P<0.05)。观察组治疗过程中2例横结肠患者发生创周张力性水疱,消毒后抽取疱液,再次置入敷料时加垫纱布,1周后拆除VSD材料,水疱区域完全愈合。结论VSD治疗腹壁感染创面的临床效果优于常规治疗,可有效促进患者康复,因此值得推广应用。Objective To explore the clinical effect of vacuum sealing drainage(VSD)in the treatment of abdominal wall wounds infection.Methods 70 patients with abdominal wall wounds infection in Inner Mongolia Baogang Hospital from December 2014 to January 2016 were selected as the study objects,and the patients were divided into the observation group and the control group according to random number table method,with 35 cases in each group.The observation group was treated with VSD,while the control group was treated with routine therapy.The time of wound healing time,hospitalization days,the number of dressing change and the cost of dressing change were compared between the two groups.The occurrence of complications in the course of treatment were statistically analyzed.Results The wound healing time and hospitalization days in the observation group(10.42±4.09)days were significantly shorter than those in the control group(20.52±3.59)days,and the number of dressing changes(10.45±2.70)times and the cost of dressing changes(1002.43±188.69)yuan in the observation group were significantly less than those in the control group[(16.03±5.04)times,(2481.30±310.55)yuan;P<0.05].In the observation group,two patients with transverse colon developed tension blisters around the wound.After sterilization,the blister fluid was extracted,and the gauze was added to the dressing.After one week,the VSD material were removal and blister area were completely healed.Conclusion The clinical effect of VSD in the treatment of abdominal wall wounds infection is better than that of routine treatment,and it can effectively promote the recovery of patients,so it is worth popularizing and applying.

关 键 词：负压封闭引流 腹壁感染创面 临床效果 

分 类 号：R47[医药卫生—护理学]