负压封闭引流技术在急诊外科的应用价值

Application Value of Vacuum Closed Drainage in Emergency Surgery

目的探究负压封闭引流技术在急诊外科的应用效果。方法方便选取2018年3—11月该院急诊外科收治的68例患者按照数字随机表法分为对照组和实验组,各有34例患者,对照组常规方法治疗,实验组实施负压封闭引流技术;对比分析两组患者术后CS指标、并发症以及预后效果。结果①实验组患者在SI指标上与对照组差异无统计学意义(P>0.05),实验组患者在T(37.4±0.51)℃、UV(1673±465.3)mL/d、WBC(1.60±0.43)×10^9/L、BUN(5.81±1.66)mmol/L、SCR(118.8±40.5)μmol/L以及UP(1.92±0.71)指标上表现均显著的优于对照组(t=2.475,8.885,2.814,5.644,4.698,3.375,P<0.05);②实验组患者脓毒症(8.82%)、创面感染(8.82%)、SIRS(26.47%)以及血管神经继发损伤(5.88%)发生率均显著的低于对照组(χ^2=5.654,6.354,5.473,4.017,P<0.05);③实验组患者创面封闭时间(12.22±4.12)d与住院时间(15.11±7.32)d均显著的短于对照组(t=2.843,3.547,P<0.05)。结论对早期急诊患者实施负压封闭引流技术能够有效的清除创面渗出物和坏死组织,改善患者术后临床症状,降低感染发生率等并发症,缩短患者住院时间,促进患者术后恢复等效果,在临床中具有推广应用价值。

Objective To explore the application effect of vacuum closed drainage in emergency surgery.Methods Convenient select from March to November 2018,68 patients admitted to the emergency department of our hospital were divided into the control group and the experimental group according to the numerical random table method.There were 34 patients in each group.The control group was treated with conventional methods,and the experimental group was treated with negative pressure closure drainage technique;comparative analysis of postoperative CS index,complications and prognosis in the two groups.Results 1.There was no statistically significant difference between the experimental group and the control group(P>0.05).The experimental group had T(37.4±0.51)°C,UV(1673±465.3)mL/d,WBC(1.60±0.43)×10^9/L,BUN(5.81±1.66)mmol/L,SCR(118.8±40.5)μmol/L and UP(1.92±0.71)were significantly better than the control group(t=2.475,8.885,2.814,5.644,4.698,3.375,P<0.05);2.Sepsis(8.82%),wound infection(8.82%),SIRS(26.47%)and secondary vascular nerve injury in the experimental group(5.88%)the incidence was significantly lower than the control group(χ^2=5.654,6.354,5.473,4.017,P<0.05);3.The wound closure time(12.22±4.12)d and hospitalization time(15.11±7.32)d were significantly shorter in the experimental group than in the control group(t=2.843,3.547,P<0.05).Conclusion The application of negative pressure closed drainage in early emergency patients can effectively remove wound exudate and necrotic tissue,improve postoperative clinical symptoms,reduce the incidence of infection and other complications,shorten the length of hospital stay,and promote postoperative recovery.It has the value of promotion and application in clinical practice.