烧伤整形患者运用负压封闭引流术治疗创面时的疼痛程度与创面感染发生率分析

Effect of closed vacuum drainage on pain degree and incidence of wound infection in the burn patients

目的探讨烧伤整形治疗中应用负压封闭引流术的疼痛和创面感染情况。方法收集2017年7月至2019年6月在天津市静海区中医医院烧伤科诊治的烧伤整形患者50例,年龄≥18岁,性别不限,按照随机数字表法随机分为负压引流组和非负压引流组,每组25例。非负压引流组采用常规换药方法治疗,负压引流组采用负压封闭引流术治疗。观察两组创面感染发生率、数字模拟评分(VAS)及优良率。结果非负压引流组创面感染发生率高于负压引流组[8%(2/25例)比32%(8/25例),P<0.05]。治疗后1、3 d,负压引流组患者VAS评分均低于非负压引流组(P均<0.05)。负压引流组优良率高于非负压引流组[88%(22/25例)比60%(15/25例),P<0.05]。结论在烧伤整形患者治疗中应用负压封闭引流术可降低患者疼痛程度和创面感染风险。

Objective To investigate the effect of closed vacuum drainage on pain degree and incidence of wound infection in burn patients.Methods Fifty patients with burn and plastic surgery,aged≥18 years old,both sexes,were collected in Department of Burns,Jinghai District Chinese Medicine Hospital from July 2017 to June 2019.The patients were randomly divided into negative pressure drainage group and non-negative pressure drainage group,25 cases in each group.Patients were treated with conventional dressing method in the non-negative pressure drainage group,while patients were received vacuum sealing drainage in the negative pressure drainage group.The incidence of wound infection,VAS and excellent rate of treatment were observed.Results The incidence of wound infection was higher in the non-negative pressure drainage group than that in the negative pressure drainage group[8%(2/25 cases)vs.32%(8/25 cases),P<0.05].VAS was lower in the negative pressure drainage group than that in the non-negative pressure drainage group(P<0.05).The excellent and good rate of the negative pressure drainage group was higher than that of the non-negative pressure drainage group[88%(22/25 cases)vs.60%(15/25 cases),P<0.05].Conclusion The vacuum sealing drainage can reduce the pain degree and the risk of wound infection in the burn patients.