不同滴注式负压伤口治疗对感染伤口的效果比较  

Comparison of the effects of different drip-type negative pressure wound therapy on infected wounds

作　　者：马世河 李豪 Ma Shihe;Li Hao(Department of Infectious Disease,the People's Hospital of Kaizhou District,Chongqing City,Chongqing 405400)

机构地区：[1]重庆市开州区人民医院感染科,重庆405400

出　　处：《中国社区医师》2021年第5期45-46,共2页Chinese Community Doctors

摘　　要：目的:对比不同滴注式负压伤口治疗(NPWT)对感染伤口的效果。方法:选取2019年7月-2020年7月接受手术治疗的全层伤口患者116例,随机分为两组,各58例。NPWT时,对照组选择持续滴注;观察组选择间歇滴注。比较两组治疗效果。结果:观察组干预7 d、14 d后细菌阳性率、14 d后压疮愈合程度(PUSH)评分、再次行皮片移植术率均优于对照组,差异有统计学意义(P<0.05)。结论:NPWT时选择持续滴注、间歇滴注均可对伤口感染情况实施有效控制,有助于缩小伤口,可使抑制皮片成活的概率提升,但就治疗效果而言,间歇滴注的效果更佳。Objective:To compare the effects of different drip-type negative pressure wound therapy(NPWT)on infected wounds.Methods:From July 2019 to July 2020,116 cases of full-thickness wounds patients who received surgical treatment were enrolled,they were randomly divided into two groups with 58 cases in each group.During NPWT,the control group chose continuous infusion.The observation group selected intermittent infusion.The therapeutic effect of the two groups was compared.Results:Positive rate of bacteria after 7 d,14 d of intervention,PUSH scale score after 14 d,the probability of skin graft again in observation group were better than those in the control group,the differences were statistically significant(P<0.05).Conclusion:Continuous infusion and intermittent infusion during NPWT can both effectively control wound infection,they can help to reduce the wound and increase the probability of inhibiting the survival of the skin grafting,but the effect of intermittent infusion is better.

关 键 词：持续滴注 间歇滴注 感染 伤口 皮片移植术 细菌阳性率 

分 类 号：R641[医药卫生—外科学]