VSD治疗骨科软组织创伤及创面感染的临床效果分析  

Clinical Effect of VSD in the Treatment of Orthopedic Soft Tissue Trauma and Wound Infection

作　　者：张春[1] 王锦姝 王寿宇[1] 刘兵 王思懿 ZHANG Chun;WANG Jin-shu;WANG Shou-yu;LIU Bing;WANG Si-yi(Department of Trauma Surgery,the First Affiliated Hospital of Dalian Medical University,Dalian 116011,Liaoning,China)

机构地区：[1]大连医科大学附属第一医院创伤外科,辽宁大连116011

出　　处：《医学信息》2021年第23期47-49,共3页Journal of Medical Information

基　　金：辽宁省“兴辽英才计划”项目(编号:XLYC1802014)。

摘　　要：目的分析封闭式负压引流技术(VSD)治疗骨科软组织创伤及创面感染的临床效果。方法选取2020年1月-2021年1月我院收治的94例骨科软组织创伤伴创面感染病例,采用随机数字表法分为对照组和观察组,各47例。对照组采用常规清创治疗,观察组则应用VSD治疗,比较两组治疗效果、愈合情况、不同时间段疼痛程度[数字分级法(NRS)评分]、炎性指标[超敏C-反应蛋白(hs-CRP)、白介素-6(IL-6)、血沉(ESR)]以及并发症情况。结果观察组治疗有效率为95.74%,高于对照组的80.85%(P<0.05);观察组的换药次数少于对照组,且感染控制时间及创面愈合时间均短于对照组(P<0.05);治疗后7天两组NRS评分较治疗前下降,治疗后14天两组NRS评分较治疗后7天下降,且观察组低于对照组(P<0.05);治疗后,两组hs-CRP、IL-6、ESR指标较治疗前下降,且观察组较对照组低(P<0.05);观察组并发症发生率为2.13%,低于对照组的14.89%(P<0.05)。结论VSD治疗骨科软组织创伤伴创面感染疗效肯定,可有效缩短患者的感染控制时间与创面愈合时间,减少换药次数、降低疼痛程度,同时下调机体的炎性表达,降低并发症的发生风险。Objective To analyze the clinical effects of vacuum sealing drainage(VSD)in the treatment of orthopedic soft tissue trauma and wound infection.Methods A total of 94 cases of orthopedic soft tissue trauma with wound infection in our hospital from January 2020 to January 2021 were selected and divided into control group and observation group by random number table,with 47 cases in each group.The control group was treated with conventional debridement,and the observation group was treated with VSD.The treatment effect,healing,pain degree[numerical grading method(NRS)score],inflammatory index[high-sensitivity C-reactive protein(hs-CRP),interleukin-6(IL-6),erythrocyte sedimentation rate(ESR)]and complications were compared between the two groups.Results The effective rate of treatment in the observation group was 95.74%,which was higher than 80.85%in the control group(P<0.05).The number of dressing changes in the observation group was less than that in the control group,and the infection control time and wound healing time were shorter than those in the control group(P<0.05).7 days after treatment,the NRS scores of the two groups were lower than before treatment,and the observation group was lower than the control group;14 days after treatment,the NRS scores of the two groups were lower than 7 days after treatment,and the observation group was lower than the control group(P<0.05).After treatment,the indexes of hs-CRP,IL-6,and ESR in the two groups were lower than before treatment,and the observation group was lower than the control group(P<0.05).The complication rate of the observation group was 2.13%,which was lower than that 14.89%of the control group(P<0.05).Conclusion VSD is effective in treating orthopedic soft tissue trauma with wound infection,which can effectively shorten the infection control time and wound healing time of patients,reduce the number of dressing changes,reduce the degree of pain,and reduce the inflammatory expression of the body and the risk of complications.

关 键 词：骨科 软组织创伤 创面感染 封闭式负压引流技术 炎性反应 

分 类 号：R68[医药卫生—骨科学]