封闭式负压引流技术在手外伤感染创面修复治疗中的应用

Application of vacuum sealing drainage technology in repair treatment of hand trauma with wound infections

目的观察封闭式负压引流技术(VSD)治疗手外伤感染创面的临床疗效。方法选取医院收治的29例创面感染的手外伤患者为研究对象,按入院顺序随机分为观察组和对照组,18例观察组患者给予封闭式负压引流技术治疗,11例对照组患者给予常规换药治疗,比较两组患者二次手术率、术后1周愈合率、愈合时间等指标。结果观察组患者二次手术率为11.11%,低于对照组的54.55%,差异有统计学意义(P<0.05);观察组术后1周愈合率为(95.4±2.1)%,高于对照组的(45.7±1.8)%;愈合时间为(17.4±2.4)d,短于对照组(28.7±2.9)d;组织病理学评分为(8.7±0.7)分,高于对照组(4.2±0.4)分;抗菌药物使用时间为(6.1±1.2)d,短于对照组(12.4±2.3)d;住院时间为(18.1±2.1)d,短于对照组(30.4±1.6)d,差异均有统计学意义(P<0.05)。结论封闭式负压引流技术应用于手外伤创面感染的修复中,可有效促进组织愈合、缩短愈合时间、缩短抗菌药物应用时间和住院时间,降低二次手术率,提高临床疗效,值得推广应用。

OBJECTIVE To observe the clinical efficacy of the vacuum sealing drainage technology（VSD） in the treatment of hand trauma with wound infections.METHODS A total of 29 cases of hand trauma patients with infected wound were selected as research objects and were randomly divided into the observation group and the control group,18 cases of patients in the observation group were received the vacuum sealing drainage technology treatment,and 11 cases of patients in the control group were treated with the conventional dressing.The percentage of secondary surgery,the healing rate one week after the surgery,and the healing time of the two groups were compared.RESULTS The percentage of the secondary surgery of the observation group was 11.11%,lower than 54.55% of the control group,the difference was statistically significant（P 0.05）.The healing rate one week after the surgery was（95.4±2.1）% in the observation group and（45.7±1.8）% in the control group,the difference was statistically significant;the healing time was（17.4±2.4）d,shorter than（28.7±2.9）d of the control group;the wound healing histopathological grading of the observation group was（8.7±0.7）,higher than（4.2±0.4） of the control group;the antibiotics use time of the observation group was（6.1±1.2）d,shorter than（12.4±2.3）d of the control group;the hospitalization duration was（18.1±2.1）d,shorter than（30.4±1.6）d of the control group,the difference was statistically significant（P0.05）.CONCLUSION Vacuum sealing drainage technology in the treatment of hand trauma patients with infection wound repair can effectively promote the tissue healing,shorten the time of antibiotics treatment,healing time and the length of hospital stay,and reduce the rate of the secondary operation so as to improve the clinical curative effect,which is worthy of the promotion.