持续冲洗联合VSD在旋耕机所致贯通伤中的应用

The Application of Continuous Douche Combined with VSD in the Treatment of Perforating Wounds by Rotary Cultivators

目的:探讨持续冲洗联合负压封闭引流技术(VSD)与传统创口开放、留置引流方法在旋耕机刀片所致四肢贯通伤中对于感染率、患者痛苦、住院时间、住院费用方面的区别。方法:选取旋耕机刀片所致四肢贯通伤病例共52例,25例患者使用传统创口开放、留置引流方法处理,作为A组,27例患者使用持续冲洗联合VSD技术处理,作为B组。结果:B组患者感染率低于A组(P<0.05),B组术后住院期间VAS评分低于A组(P<0.05),B组住院时间低于A组(P<0.05),A、B组住院费用无明显区别(P>0.05)。结论:A、B两组治疗方法均获得满意结果,患者均治愈出院,住院费用无明显区别,但在降低感染率、减轻患者痛苦、缩短住院时间方面B组优于A组。

Objective： To discuss the differences between the applications of continuous douche combined with vacuum sealing drainage（VSD）and traditional open wound and indwelling drainage to treat the patients whose limbs are penetratingly wounded by the blades of rotary cultivators, covering the aspects of inflection rates, patients＇ pains, the length of stay in hospital and the hospitalization expanses. Methods：52 cases in which the patients＇ arm or leg was perforated by the blades of rotary cultivators were chosen. Among them, 25 cases were conducted by the way of traditional open wound and indwelling drainage as A group. Rest 27 cases were treated by the way of continuous douche combined with VSD as B group. Results：The patients in B group had lower inflection rates than A group （P〈0.05）. The VAS score of B group staying in hospital after the operation was lower than that of A group（P〈0.05）. The length of stay in hospital of B group was shorter than that of A group（P〈0.05）. There was no obvious difference at hospitalization costs between A group and B group（P〉0.05）. Conclusion：The therapeutic methods of A group and B group had gained a good result, the patients all had recovered. There was no obvious difference in the hospitalization costs, but B group was better than A group at the aspects of lower inflection rates, less patients＇ pains and shorter length of staying in hospital.