负压引流与皮片引流对跟骨骨折患者并发症及切口愈合情况的影响对比  

Effect comparison of negative pressure drainage and skin drainage on calcaneal fracture patients′complications and incision healing

作　　者：郭继伟[1] GUO Ji-wei(Department of Orthopaedics,Kunshan Second People′s Hospital,Jiangxi Province,Kunshan215300,China)

机构地区：[1]江苏省昆山市第二人民医院骨科,江苏昆山215300

出　　处：《中国当代医药》2020年第34期85-87,共3页China Modern Medicine

基　　金：江苏省南通市市级科技计划(指导性)项目(GJZ16118)。

摘　　要：目的探究负压引流与皮片引流对跟骨骨折患者并发症及切口愈合情况的影响。方法回顾性分析昆山市第二人民医院2014年8月~2019年11月收治的46例跟骨骨折手术患者的病历资料。根据引流方式不同,分为负压引流组(22例)和皮片引流组(24例)。比较两组总引流量、引流物放置时间、干燥时间、切口愈合时间及并发症总发生率。结果负压引流组患者总引流量多于皮片引流组,引流物放置时间长于皮片引流组,干燥时间及切口愈合时间短于皮片引流组,差异均有统计学意义(P<0.05);负压引流组并发症总发生率低于皮片引流组,差异有统计学意义(P<0.05)。结论负压引流方式引流彻底、并发症发生率低,患者切口愈合速度更快,与皮片引流相比优势明显,可以临床推广。Objective To explore the effect of negative pressure drainage and skin drainage on calcaneal fracture patients′complications and incision healing.Methods The medical records of 46 patients who underwent calcaneal fracture surgery in Kunshan Second People′s Hospital from August 2014 to November 2019 were retrospectively analyzed.According to the different drainage methods,they were divided into negative pressure drainage group(22 cases)and skin drainage group(24 cases).The total drainage volume,drainage placement time,drying time,incision healing time and the incidence of complications were compared between the two groups.Results The total drainage volume of patients in the negative pressure drainage group was more than that in the skin drainage group,the drainage time was longer than that of the skin drainage group,the drying time and incision healing time were shorter than those of the skin drainage group,and the differences were statistically significant(P<0.05).The total incidence of complications in the negative pressure drainage group was lower than that in the skin drainage group,and the difference was statistically significant(P<0.05).Conclusion Negative pressure drainage has thorough drainage,low complication rate,faster healing of patients′incisions,and obvious advantages compared with skin drainage,which can be used clinically.

关 键 词：跟骨骨折 负压引流 皮片引流 切口愈合 

分 类 号：R816.8[医药卫生—放射医学]