封闭负压引流技术联合银离子冲洗在治疗感染创面中的临床应用  

Clinical application of closed negative pressure drainage combined with silver ion irrigation in the treatment of infected wounds

作　　者：唐天生 邓朝[2] 赵强[3] 陈兴爱 谭显春[1] 李彤红 何侨蔚 何芳[1] Tang TianSheng;Deng Zhao;Zhao Qiang;Chen Xingai;Tan Xianchun;Li Tonghong;He Qiaowei;He Fang(Department of Orthopaedics,Dazhou Integrated Traditional Chinese and Western Medicine Hospital,Sichuan Dazhou 635000;Dazhou Central Hospital,Sichuan Dazhou 635000;The People's Hospital of Dayi County ,Sichuan Dayi 611300)

机构地区：[1]达州市中西医结合医院骨科,四川达州635000 [2]达州市中心医院,四川达州635000 [3]大邑县人民医院,四川大邑611300

出　　处：《中国社区医师》2021年第18期50-51,54,共3页Chinese Community Doctors

基　　金：达州市支撑计划项目(达市财建[2015]61号)。

摘　　要：目的:探讨封闭负压引流技术(VSD)联合银离子冲洗在治疗感染创面中的应用效果。方法:2014年6月-2018年12月收治感染创面患者80例,分为两组。对照组感染创面用VSD+生理盐水+庆大霉素冲洗,同时使用敏感抗生素治疗;观察组感染创面用VSD+生理盐水+那格银子液冲洗,同时使用敏感抗生素治疗。比较两组治疗效果。结果:观察组平均住院日、平均杀菌时间及肉芽生长时间均短于对照组,抗生素平均费用少于对照组,差异有统计学意义(P<0.05);观察组治疗后白细胞计数、红细胞沉降率及C反应蛋白水平均低于对照组,差异有统计学意义(P<0.05)。结论:观察组在治疗感染创面中,可以更有效地杀灭耐药菌株、减少住院费用、缩短住院时间、快速生长肉芽,能提高临床疗效。Objective:To explore the effect of vacuum sealing drainage(VSD)combined with silver ion irrigation in the treatment of infected wounds.Methods:From June 2014 to December 2018,80 patients with infected wounds were selected,they were divided into the two groups.The infected wounds in the control group were rinsed with VSD+saline+gentamicin and treated with sensitive antibiotics,while those in the observation group were rinsed with VSD+saline+Nag silver solution and treated with sensitive antibiotics at the same time.The therapeutic effects of the two groups were compared.Results:The average hospital stay,average sterilization time and granulation growth time in the observation group were shorter than those in the control group,and the average cost of antibiotics in the observation group was significantly lower than that in the control group,the differences were statistically significant(P<0.05).After treatment,the white blood cell count,erythrocyte sedimentation rate and C-reactive protein level in the observation group were significantly lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:In the treatment of infected wounds,the observation group can more effectively kill drug-resistant strains,reduce hospitalization costs,shorten hospitalization time,rapidly grow granulation,and improve clinical efficacy.

关 键 词：银离子 VSD 感染 

分 类 号：R632[医药卫生—外科学]