封闭式负压引流技术在四肢毁损伤感染控制中的应用

Role of VSD technique in controlling infection in treatment the serious mutilating injury of limb

目的探讨负压封闭引流技术在治疗四肢毁损伤感染控制中的作用。方法回顾性分析我院2009年1月至2013年12月35例四肢毁损患者治疗情况,对比分析应用负压引流技术和未使用患者感染情况、抗生素使用情况以及平均住院日等资料。结果所有35例四肢毁损伤病人总共有13例发术后感染,感染率为37.14%;其中VSD组5例感染率为15.79%,常规对照组8例感染率为50%。VSD组和常规治疗组在平均住院日、抗生素平均费用、创面感染细菌检出率以及平均手术次数方面均有显著性差异(P<0.05)。结论应用负压封闭引流技术可以明显降低感染几率,缩短平均住院日、减少抗生素使用量、减少患者手术次数。

Objective To compare and analyze the effect of vacuum sealing drainage（ VSD） technique in controlling infection in treatment the serious mutilating injury of limb. Methods A retrospective analysis of 35 cases of limbs damaged patients in our hospital from 2009 to 2013,Comparative analysis data of patients in application of VSD and unused patients of infected condition,antibiotic using,and average length of stay. Results 13 cases of postoperative infection in all 35 cases of limbs damaged patients,37. 14% infection rate; 3 cases in group of VSD,15. 79% infection rate; 8 cases in control group,50% infection rate. There was significant differences between VSD group and the conventional treatment group at an average length of stay,the average cost of antibiotics,wound infection bacterial detection rate and the average number of operations（ P〈0. 05）. Conclusions Application of VSD technique can significantly reduce the chances of infection and shorten the average length of stay,reduce antibiotic usage and the number of operations of patients