VSD技术与普通换药对手外伤开放性创面感染控制的比较研究

Comparative study on infection control of open wound of hand trauma between VSD technique and common dressing change

目的:对比负压封闭引流(VSD)技术与普通换药对手外伤开放性创面感染的效果。方法:2018年6月-2019年6月收治手外伤开放性创面感染患者68例,随机分为两组,各34例。对照组给予每日普通换药,观察组应用VSD技术,比较两组感染控制效果、抗菌药使用时间、创面愈合时间、住院时间、组织病理学评分及生活质量(ADL)评分。结果:观察组治疗优良率高于对照组,差异有统计学意义(P<0.05);观察组抗菌药使用时间、创面愈合时间及住院时间均低于对照组,差异有统计学意义(P<0.05);观察组治疗后组织病理学评分及ADL评分均高于对照组,差异有统计学意义(P<0.05)。结论:VSD治疗手外伤开放性创面感染,有利于控制创面感染,可提高疗效,加快创面恢复,改善预后。

Objective:To compare the effect of negative pressure sealing drainage(VSD)technique and common dressing change on open wound infection of hand trauma.Methods:From June 2018 to June 2019,68 patients with open wound infection of hand trauma were treated and randomly divided into two groups with 34 cases in each group.The control group was given daily general dressing change.The observation group was treated with VSD.The efficacy of infection control,duration of antibiotic use,wound healing time,length of hospital stay,histopathological score and quality of life(ADL)score were compared between the two groups.Results:The rate of excellent and good treatment in observation group was higher than the control group,with the difference was statistically significant(P<0.05).The duration of antibiotic use,wound healing time and hospitalization time in the observation group were all lower than the control group,with the differences were statistically significant(P<0.05).The histopathological score and ADL score of the observation group were higher than the control group,with the differences were statistically significant(P<0.05).Conclusion:VSD in the treatment of open wound infection of hand trauma is beneficial to control wound infection,improve the curative effect,speed up wound recovery and improve the prognosis.