一次性负压封闭引流管在皮肤撕脱伤患者预防感染的效果研究

Effects of VSD drain pipe in prevention of infections in patients with avulsion injury of skin

目的探讨使用一次性负压封闭引流(VSD)在皮肤撕脱伤患者治疗预防感染中的应用及效果分析。方法选取2014年1月-2015年1月27例皮肤撕脱伤住院患者作为研究组,对患者进行伤口创面治疗的过程中使用VSD引流管,并对引流管固定、负压、充分引流及异常情况进行护理,选取2013年2月-2014年1月31例皮肤撕脱伤住院患者作为对照组,对患者伤口创面治疗使用VSD引流管的过程中进行常规护理,比较两组治疗期间伤口创面感染率、负压引流装置的更换次数,比较一期手术后至二期手术期间住院天数,采用SPSS 19.0软件对所有数据进行统计分析。结果研究组伤口创面感染率为7.41%,更换负压引流装置(3.9±1.3)次,住院时间为(9.1±3.3)d;对照组伤口创面感染率为32.26%,更换负压引流装置(6.5±3.4)次,住院时间为(12.9±3.6)d,两组比较差异有统计学意义(P<0.05)。结论使用VSD引流管可促进皮肤撕脱伤患者伤口创面条件改善,降低感染率,减少负压引流装置更换次数,降低患者痛苦,显著减少住院时间,值得临床应用和推广。

OBJECTIVE To investigate the application and effects of VSD drain pipe in prevention of infections in patients with avulsion injury of skin.METHODS A total of 27 patients with avulsion injury of skin treated in our hospital from Jan.2014 to Jan.2015 were enrolled as the study group.VSD drain pipe was used during treatment of wound surfaces,and nursing care in the fixation,negative pressure,sufficient drainage and abnormal condition of the drain pipe were observed.And a total of 31 patients with avulsion injury of skin treated in our hospital from Feb.2013 to Jan.2014 were enrolled as the control group.The nursing care during treatment by VSD drain pipe of wound surfaces was observed routinely.The infection rates of the wound surfaces and frequencies of changing negative pressure drainage system in the treatment period were compared between the two groups.And the hospital days from the end of one-stage operation to the start of two-stage operation were compared between the two groups.RESULTS The infection rate of the wound surfaces,frequency of changing negative pressure drainage system,and average length of stay of the study group were 7.41%,3.9±1.3,and（9.1±3.3）d,respectively;while those of the control group were 32.26%,6.5±3.4,and（12.9±3.6）d,respectively.The difference between the two groups was significant（P0.05）.CONCLUSION VSD drain pipe can promote the wound surface conditions,reduce the infection rate,control the frequency of changing negative pressure drainage system,ease the pain,elevate nursing standard,and significantly decrease length of stay in patients with avulsion injury of skin,and consequently is worthy of clinical application.