Drainobag法引流手术在儿童软组织感染中的应用效果分析  

Clinical application of Drainobag drainage in the treatment of soft tissue infection in children

作　　者：韩立玲 章均[1] 吕麟亚[1] 孔祥如[1] 杨超[1] 赵珍珍[1] 邓晓斌[1] 李长春[1] 王珊[1] 魏光辉[1] Han Liling;Zhang Jun;Lyu Linya;Kong Xiangru;Yang Chao;Zhao Zhenzhen;Deng Xiaobin;Li Changchun;Wang Shan;Wei Guanghui(Department of Surgical Oncology,Affiliated Children's Hospital,Chongqing Medical University/Ministry of Education Key Laboratory of Children's Development&Disorders/National Clinical Research Center for Children's Health&Disorders/China International Science&Technology Cooperation Base of Children's Development&Critical Disorders/Chongqing Key Laboratory of Pediatrics,Chongqing 400014,China)

机构地区：[1]重庆医科大学附属儿童医院肿瘤外科,儿童发育疾病研究教育部重点实验室,国家儿童健康与疾病临床医学研究中心,儿童发育重大疾病国家国际科技合作基地,儿科学重庆市重点实验室,400014

出　　处：《中华小儿外科杂志》2021年第1期29-33,共5页Chinese Journal of Pediatric Surgery

基　　金：重庆市科委社会事业与民生保障科技创新专项(一般)(cstc2017shmsA130112,csts2018jscx-msybX0031);重庆市科卫联合医学科研项目(2021MSXM298)。

摘　　要：目的评估Drainobag法引流手术在儿童软组织感染治疗中的临床应用效果。方法收集2011年4月至2018年4月因软组织感染并接受手术治疗的共2136例患儿的相关资料。将行切开引流手术(open incision and drainage,I&D)的患儿作为I&D组(972例),行Drainobag法引流手术的患儿作为Drainobag组(1164例)。I&D组中,男480例,女492例;年龄为(6.5±6.3)岁。Drainobag组中,男544例,女620例;年龄为(6.2±5.9)岁。两组患儿的手术均由同一组医生完成,术后均按照专家共识或者药敏结果选择有效的抗生素行抗感染治疗,均在门诊随访。比较两组患儿手术后的治疗时间、换药次数以及术后换药时的改良面部表情评分(FLACC评分)。结果Drainobag组患儿手术后的治疗时间明显缩短、换药次数明显减少,差异具有统计学意义(P<0.001)。Drainobag组患儿术后换药时的FLACC评分比I&D组患儿的明显降低,差异具有统计学意义(P<0.001)。Drainobag组患儿术后无脓肿复发,I&D组有15例患儿术后于术前相同部位复发脓肿,再次行手术治疗。结论Drainobag法引流手术安全、有效而且明显减轻了患儿换药时的痛苦,可在儿童软组织感染治疗中推广使用。Objective To evaluate the clinical application of Drainobag drainage for soft tissue infection in children.Methods From April 2011 to April 2018,a total of 2136 surgical children with soft tissue infection were recruited.Based upon open incision and drainage(I&D),they were divided into I&D group(n=972)and drainobag group(n=1164).There were 480 boys and 492 girls with an age range of(6.5±6.3)years in I&D group and 544 boys and 620 girls with an age range of(6.2±5.9)years in Drainobag group.All operations were performed by the same group of surgeons in the operating room.Antibiotics were prescribed for two groups according to expert consensus or drug sensitivity results.Outpatient follow-ups were conducted.Treatment duration,frequency of dressing changing and Faces Legs Activity Cry Consolability(FLACC)score during changing dressing were compared between two groups.Results Treatment duration was significantly shorter in Drainobag group and the frequency of dressing changing decreased markedly(P<0.001).The mean FLACC score was significantly lower in Drainobag group than that in I&D group(P<0.001).There was no recurrence of abscess in Drainobag group and 15 children recurred in I&D group at the same site.Conclusions Both safe and effective for soft tissue infection,Drainobag drainage may significantly relieve the pain of dressing changing in children.

关 键 词：脓肿 封闭式负压引流技术 儿童 

分 类 号：R726[医药卫生—儿科]