改良负压封闭引流装置治疗严重软组织损伤的效果观察

Observation on the Effect of Modified Negative Pressure Closed Drainage Device in the Treatment of Patients with Severe Soft Tissue Injury

目的观察改良负压封闭引流装置在严重软组织损伤患者中的治疗效果。方法选取2016年8月至2017年6月我院收治的严重软组织损伤患者64例,随机分为改良组(改良负压封闭引流装置,32例)和传统组(传统负压封闭引流,32例),比较两组患者的创面清洁时间、肉芽组织生长时间、创面愈合时间,以及堵管、人工皮干结变硬、感染的发生率。结果改良组患者的创面清洁时间、肉芽组织生长时间、创面愈合时间均显著短于传统组,差异有统计学意义(P<0.05)。改良组患者的堵管、人工皮干结变硬、感染发生率均显著低于传统组,差异有统计学意义(P<0.05)。结论改良负压封闭引流装置治疗严重软组织损伤患者可提高冲洗和引流质量,缩短患者治疗时间,提高临床疗效。

Objective To observe the therapeutic effect of modified negative pressure closed drainage device in patients with severe soft tissue injury. Methods 64 cases of patients with severe soft tissue injury admitted to our hospital from August 2016 to June 2017 were selected and randomly divided into the modified group （modified negative pressure closed drainage device, 32 cases） and the traditional group （traditional negative pressure closed drainage, 32 cases）. The wound cleaning time, granulation tissue growth time, wound healing time, and incidences of obstruction, dry-to-hardened artificial skin and infection were compared between two groups. Results The wound cleaning time, granulation tissue growth time and wound healing time of modified group were significantly shorter than those of traditional group （P 〈0.05）. The incidences of obstruction, dry-to-hardened artificial skin and infection of modified group were significantly lower than those of traditional group （P 〈0.05）. Conclusions Modified negative pressure closed drainage device in the treatment of patients with severe soft tissue injury can improve the quality of washing and drainage, shorten the treatment time and improve the clinical efficacy.