改良后清创引流用于整形外科慢性溃疡的效果

Effect of modified debridement and drainage for the treatment of chronic ulcers in plastic surgery

目的探究改良后清创引流用于整形外科慢性溃疡的效果。方法116例整形外科慢性溃疡患者,随机分为对照组与观察组,每组58例。对照组采用常规引流方式,观察组采用负压封闭引流术。观察比较两组患者的治疗效果以及相关治疗指标。结果观察组患者的治疗总有效率为98.28%(57/58),对照组患者的治疗总有效率为72.41%(42/58),观察组患者的治疗总有效率高于对照组,差异有统计学意义(P<0.05)。观察组患者的日引流量(59.67±10.34)ml明显高于对照组的(13.25±5.83)ml,住院时间(20.54±4.25)d、创面愈合时间(15.11±1.32)d短于对照组的(30.92±7.48)、(29.26±3.04)d,换药次数(11.21±2.27)次少于对照组的(25.87±3.59)次,差异有统计学意义(P<0.05)。结论负压封闭引流术能够有效提高整形外科慢性溃疡的治疗效果,缩短创面的愈合时间和患者的住院时间,促进患者的恢复。

Objective To investigate the effect of modified debridement and drainage for the treatment of chronic ulcers in plastic surgery.Methods A total of 116 patients with chronic ulcers in plastic surgery were randomly divided into control group and observation group,with 58 cases in each group.The control group received conventional drainage,and the observation group received vacuum sealing drainage.The therapeutic effect and related treatment indicators were observed and compared between the two groups.Results The total effective rate of treatment was 98.28%(57/58)in the observation group,which was 72.41%(42/58)in the control group.The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).The daily drainage volume(59.67±10.34)ml in the observation group was obviously higher than(13.25±5.83)ml in the control group,hospitalization time(20.54±4.25)d and wound healing time(15.11±1.32)d were shorter than(30.92±7.48)and(29.26±3.04)d in the control group,and frequency of dressing(11.21±2.27)times was less than(25.87±3.59)times in the control group.Their difference was statistically significant(P<0.05).Conclusion Vacuum sealing drainage can effectively improve the therapeutic effect of chronic ulcers in plastic surgery,shorten wound healing time and hospitalization time,thus promoting recovery of patients.