封闭式负压引流技术治疗开放性胸部伤口的疗效分析

Efficacy of vacuum sealing drainage in treatment of open chest wounds

目的:探讨封闭式负压引流技术治疗开放性胸部伤口的临床疗效。方法:选取我院2013-03-2017-01收集的胸部开放性外伤的患者84例,随机分为试验组和对照组,2组均为42例,其中试验组采用复合封闭式负压引流技术治疗,对照组采用常规治疗和普通换药,观察2组患者的治疗有效率、住院时间和患者伤口愈合时间。结果:2组患者治疗效果比较发现,试验组患者治疗有效率为97.6%,对照组为89.3%,试验组患者治疗有效率明显高于对照组,差异具有统计学意义(P<0.05)。2组患者住院时间、伤口愈合时间的比较发现:试验组患者住院时间为(8.4±2.1)d,对照组为(14.2±1.9)d,试验组患者住院时间明显短于对照组,差异具有统计学意义(P<0.05)。试验组患者伤口愈合时间为(6.9±2.5)d,对照组为(12.2±3.1)d,试验组伤口愈合时间明显短于对照组,差异具有统计学意义(P<0.05)。结论:复合封闭式负压引流技术能够提高开放性胸部伤口的治疗有效率,缩短伤口愈合时间和住院时间,具有更好的临床疗效。

Objective：To explore the effect of vacuum sealing drainage in treatment of open chest wounds.Method：Selected 84 cases of patients receiving cardio-thoracic surgical operation during March 2013 to January2017.Selected patients were randomly divided into experimental group and control group,and two groups both included 42 cases.Patients in experimental group adopted vacuum sealing drainage,while patients in control group adopted conventional treatment and regular nurse.Observing and comparing the effects,hospital stays and wound healing time of the two groups of patients.Result：Comparing the treatment effects in both groups：the treatment effective rate of experimental group patients was 97.6%,and the control group was 89.3%.The treatment efficiency of experimental group patients is significantly higher than the control group patients,and the difference was statistically significant（P〈0.05）.Comparing the hospital stays and wound healing time of two groups of patients found：hospital stays of experimental group patients was（8.4±2.1）days,and the control group was（14.2±1.9）days.The hospital stays of experimental group patients was significantly shorter than that of the control group.The wound healing time of experimental group patients was（6.9±2.5）days,and the control group was（12.2±3.1）days.The wound healing time of experimental group patients was significantly shorter than that of the control group,and the difference was statistically significant（P〈0.05）.Conclusion：Vacuum sealing drainage can increase the treatment effectiveness of open chest wounds,and shorten the wound healing time and hospital stays,having better clinical effects.