封闭式负压引流技术在手外伤感染创面修复治疗中的应用

Application of closed negative pressure drainage technique in repair of wound of hand trauma infection

目的探讨手外伤感染创面修复治疗中封闭式负压引流技术的应用价值。方法选取2013年8月至2017年10月慈溪市中医医院收治的手外伤患者80例为研究对象,采用随机数字表法分为两组各40例。对照组采取常规创面修复治疗,观察组采取封闭式负压引流技术。观察两组修复效果、愈合时间、二次手术、抗菌药物使用、住院情况、组织病理学评分及患者满意度。结果观察组总有效率(97.50%)显著高于对照组(80.00%),差异有统计学意义(χ^2=6.13,P<0.05);观察组愈合时间、住院时间及抗菌药物使用时间分别为(15.11±2.43)d、(16.27±1.79)d、(6.06±0.65)d,均短于对照组,差异均有统计学意义(t=14.43、13.31、23.29,均P<0.05);观察组二次手术率(5.00%)低于对照组,观察组病理学评分为(7.11±0.53)分,高于对照组,差异均有统计学意义(均P<0.05);观察组患者满意度(100.00%)显著高于对照组,差异有统计学意义(χ^2=6.49,P<0.05)。结论手外伤感染创面修复治疗中,封闭式负压引流技术应用效果较佳,可有效控制病情,值得推广使用。

Objective To explore the application value of closed negative pressure drainage technique in wound healing of hand trauma. Methods From August 2013 to October 2017, 80 patients with hand trauma in the Traditional Chinese Medicine Hospital of Cixi were divided into two groups according to the random principle, with 40 cases in each group.The control group was treated with conventional wound repair, and the observation group was treated with closed negative pressure drainage.The repair effect, healing, secondary operation, antibiotic use, hospitalization, histopathological score and patients' satisfaction were observed. Results The total effective rate of the observation group (97.50%) was obviously higher than that of the control group(80.00%)(χ^2=6.13, P<0.05). The time of healing, length of hospital stay and the use time of antimicrobial agents in the observation group were (15.11±2.43)d,(16.27±1.79)d and (6.06±0.65)d, respectively, which were all lower than those in the control group(t=14.43, 13.31, 23.29, all P<0.05). The second operation rate of the observation group (5.00%) was lower than that of the control group(P<0.05), and the histopathological score in the observation group (7.11±0.53) was higher than that in the control group(P<0.05). The satisfaction rate of the observation group (100.00%) was obviously higher than that of the control group(χ^2=6.49, P<0.05). Conclusion In the treatment of wound healing of hand trauma, the application of closed negative pressure drainage technology is better, which can effectively control the disease and is worthy of further promotion and use.