VSD治疗25例骨科创伤感染临床疗效分析

The clinical analysis of 25 cases of infection in orthopedic trauma using VSD treatment

目的分析封闭式负压吸引技术与常规引流技术在治疗骨科创伤感染的临床疗效。方法 50例患者随机分为两组,治疗组与对照组,入组前均常规行清创术,治疗组采用VSD敷料覆盖创面,每次覆盖时间为5-7d,吸引直到肉芽丰满行创面植皮,根据病原学检查继续抗炎。对照组,视创面情况1-2d更换敷料一次,较大创面放置引流条,同时用敏感抗生素抗感染,并每5-7d行病原学检查一次,观察其总疗效和愈合时间的差异。结果治疗组17例治愈（68%）,7例显效（28%）,总有效率96%,与对照组治愈11例（44%）、显效9例（36%）,总有效率80%相比,治愈率差异有统计学意义。治疗组平均伤口愈合时间明显缩短,与对照组相比差异有统计学意义（P〈0.05）。结论 VSD是骨科创伤及感染性创面值得推广应用的一种治疗技术,其效果明显优于传统的换药及引流技术。

Objective the effect of clinical Analysis of closed suction drainage and conventional techniques in the treatment of orthopedic trauma of infection.Methods 50 patients were randomly divided into two groups,treatment group and control group,income group were routinely pre-debridement,the treatment group with VSD dressing covering the wound,covering each time 5-7d,attractive skin grafting until the wound granulation fullness OK,according to anti-inflammatory etiology check.The control group,depending on the situation in 1-2d wound dressing change time,place a larger drainage of the wound,while sensitive to antibiotics with anti-inflammatory,and every 5-7d line pathogenic inspected at least once to observe the overall efficacy and healing time differences.Results Treatment group,17 patients cured（68%）,7 cases markedly effective（28%）,and the total efficiency of 96%.With the control group cured 11 cases（44%） were cured,9 cases（36%）,compared with 80% of the total effective rate,the cure rate were significantly different.The treatment group the average wound healing time was significantly shorter,compared with the control group,significant difference（P〈0.05）.Conclusion VSD is a wound infection in orthopedic trauma and should promote the use of a treatment technology that is superior to the traditional dressing and drainage technology.