洗必泰在骨科术后感染伤口VSD冲洗引流中的应用

The application and effect of vacuum sealing drainage and chlorhexidine in orthopaedic postoperative infected wounds

目的:比较负压封闭引流(VSD)治疗骨科术后感染创面时应用生理盐水冲洗与生理盐水联合洗必泰冲洗2种方法的效果。方法:2013年3月至2015年3月,共收集骨科术后感染创面应用VSD治疗的患者56例,其中28例VSD患者使用生理盐水冲洗(对照组),28例VSD患者使用洗必泰联合生理盐水冲洗(观察组),比较2组患者创面的细菌培养结果阴性例数及需二次清创手术的例数。结果:生理盐水联合洗必泰冲洗方法在研究指标上均优于生理盐水冲洗方法(P<0.05),且创面愈合疗效满意,并减少了二次手术的机率。结论:骨科术后感染创面的治疗,应用VSD覆盖同时洗必泰和生理盐水联合冲洗创面,在感染的控制及创面的愈合方面,收到良好的效果。

[ Objective]To compare the clinic effects of washing orthopaedic postoperative infected wounds which treated with vacuum sealing drainage technology（VSD） between using saline solution and chlorhexidine plus saline solution. [ Method] From March 2013 to March 2015, 56 orthopaedic postoperative patients with infected wounds whom treated with VSD technolo- gy were collected. Among them, 28 patients＇ wounds were washing with saline solution （ as control group）, others were wash- ing with chlorhexidine plus saline solution （as experimental group）. Then compare these two groups with their bacterial culture results of wound negative cases, and cases which need secondary debridement surgery. [ Result] In the experimental group, the wounds washed using chlorhexidine plus saline solution had a good result compare with the control group（ P 〈 0.05）. And in the experimental group, patients wounds healed better than the contlol group, the ratio of secondary debridement surgery was re- duced. [ Conclusion] Orthopaedic postoperative patients with infected wounds, treated by VSD combining washing the wounds with chlorhexidine plus saline solution, had better effectson infection controlling, and wounds healing.