负压封闭引流技术对四肢创伤修复皮肤患者的效果分析

Effect of vacuum sealing drainage technique in treatment of patients with skin repair of limb trauma

  • 摘要:
      目的  探讨四肢创伤修复皮肤患者应用负压封闭引流(VSD)技术的疗效。
      方法  将80例四肢创伤修复皮肤患者分为对照组33例(常规换药治疗)和VSD组47例(VSD治疗)。比较2组治疗效果、创伤面积的改善情况、并发症发生情况。
      结果  VSD组治疗总有效率高于对照组,差异有统计学意义(P < 0.05)。2组治疗后创伤面积均小于治疗前,且VSD组治疗后创伤面积小于对照组,差异有统计学意义(P < 0.05)。VSD组并发症发生率低于对照组,差异有统计学意义(P < 0.05)。2组病原菌标本阳性率差异有统计学意义(P < 0.05)。VSD组对红霉素的分离率高于对照组,差异有统计学意义(P < 0.05)。
      结论  VSD治疗四肢创伤修复皮肤患者具有显著的效果,可缩小创伤面积,同时对创面细菌耐药性较低。

     

    Abstract:
      Objective  To investigate the efficacy of vacuum sealing drainage (VSD) technique in treatment of patients with skin repair of limb trauma.
      Methods  A total of 80 patients with skin repair of limb trauma were divided into control group (n=33, treated with conventional dressing change) and VSD group (n=47, treated with VSD). Therapeutic effect, improvement of wound area and incidence of complications were compared between two groups.
      Results  The total effective rate of the VSD group was significantly higher than that of the control group (P < 0.05). The wound area after treatment in both groups was significantly less than that before treatment, and the wound area after treatment in the VSD group was significantly less than that in the control group (P < 0.05). The incidence of complications in the VSD group was significantly lower than that in the control group (P < 0.05). There was a significant difference in the positive rate of pathogenic specimen between the two groups (P < 0.05). The separation rate of erythromycin in the VSD group was significantly higher than that in the control group (P < 0.05).
      Conclusion  VSD has a significant effect in the treatment of patients with skin repair of limb trauma, which can shrink the wound area and cause low drug resistance to wound bacteria.

     

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