伤口负压治疗对开放性胫骨骨折患者深部感染发生率的影响  

Effect of wound negative pressure treatment on the incidence of deep infection in patients with open tibial fracture

作　　者：郭立利[1] 张丽萍 钟金东 吴建顺 杨毅诚 张朝晖[1] GUO Li-li;ZHANG Li-ping;ZHONG Jin-dong(Sanming First Hospital,Sanming 365000,China)

机构地区：[1]三明市第一医院,365000

出　　处：《中国现代药物应用》2023年第19期51-54,共4页Chinese Journal of Modern Drug Application

摘　　要：目的 观察开放性胫骨骨折患者接受伤口负压治疗后深部感染的发生情况。方法 98例开放性胫骨骨折并行延迟性软组织覆盖的患者,采用随机数字表法分为常规组及探析组,每组49例。常规组采用传统敷料进行清创治疗,探析组采用伤口负压方法进行清创治疗。比较两组患者创伤面深部感染发生率与感染病菌情况,并发症发生情况,康复进度指标[住院时间、重症加强护理病房(ICU)停留时间]。结果 探析组患者创伤面深部感染发生率8.16%低于常规组的36.73%,差异具有统计学意义(P<0.05)。探析组患者的并发症发生率6.12%低于常规组的28.57%,差异具有统计学意义(P<0.05)。常规组患者的住院时间为(22.41±1.09)d、IUC停留时间为(4.35±0.71)d;探析组患者的住院时间为(16.18±1.13)d、IUC停留时间(2.58±0.53)d。探析组患者的住院时间和ICU停留时间短于常规组,差异具有统计学意义(P<0.05)。结论 开放性胫骨骨折并行延迟性软组织覆盖患者在接受伤口负压治疗后,可以有效减少深部感染的发生风险,同时也能有效降低并发症发生率,缩短患者的住院时间,为促进患者尽快康复奠定基础,应大力推广并应用。Objective To observe the effect of wound negative pressure treatment on the incidence of deep infection in patients with open tibial fracture.Methods A total of 98 patients with open tibial fracture accompanied by delayed soft tissue coverage were divided into conventional group and analysis group according to the random unmerical table,with 49 cases in each group.The conventional group was treated with traditional dressing,and the analysis group was treated with wound negative pressure.The incidence of deep wound infection,bacteria infection,complications,and rehabilitation progress indexes[hospitalization time,intensive care unit(ICU)length of stay]were compared between the two groups.Results The incidence of deep wound infection in the analysis group was 8.16%,which was lower than that of 36.73%in the conventional group,and the difference was statistically significant(P<0.05).The incidence of complications was 6.12%in the analysis group,which was lower than that of 28.57%in the conventional group,and the difference was statistically significant(P<0.05).The hospitalization time and IUC length of stay in the conventional group were(22.41±1.09)and(4.35±0.71)d,and(16.18±1.13)and(2.58±0.53)d in the analysis group;the hospitalization time and ICU length of stay in the analysis group were shorter than those in the conventional group,and the differences were statistically significant(P<0.05).Conclusion For patients with open tibial fracture accompanied by delayed soft tissue coverage,wound negative pressure treatment can effectively reduce the risk of deep infection,and also effectively reduce the incidence of complications,shorten the length of hospital stay of patients,and lay a foundation for promoting the recovery of patients as soon as possible,which should be vigorously promoted and applied.

关 键 词：伤口负压 开放性胫骨骨折 深部感染 并发症 住院时间 重症加强护理病房停留时间 

分 类 号：R687.3[医药卫生—骨科学]