一次性高负压引流瓶运用于急性蜂窝组织炎患儿脓肿切开引流术对伤口愈合、炎性因子的影响

The effect of disposable high negative pressure drainage bottle on wound healing and inflammatory factors after abscess incision and drainage in children with acute cellulitis

目的:探究一次性高负压引流瓶运用于急性蜂窝组织炎患儿脓肿切开引流术中对其伤口愈合、炎性因子的影响。方法:选择2018年4月~2019年10月在我院行脓肿切开引流术的94例急性蜂窝组织炎患儿作为研究对象,按照随机数表法将其均分为观察组和对照组。对照组患儿在脓肿切开引流术后换药期间采用生理盐水反复冲洗脓腔,之后塞填生理盐水纱布。观察组患儿在脓肿切开引流术运用一次性高负压引流瓶进行负压引流。观察、比较两组患儿的临床疗效、各炎性因子水平变化、引流术后临床指标以及并发症发生情况。结果:观察组的总有效率(93.62%)明显高于对照组(78.72%),差异有统计学意义。引流术前,两组患儿的WBC、hs-CRP、PCT水平相比,差异无统计学意义;两组在引流术后的WBC、hs-CRP以及PCT水平均明显低于引流术前,观察组在引流术后的WBC、hs-CRP以及PCT水平均明显低于同期对照组,差异有统计学意义。观察组的换药次数明显少于对照组,疼痛评分明显低于对照组,伤口愈合时间以及住院时间均显著短于对照组,差异有统计学意义。观察组的并发症发生率为4.26%,明显低于对照组(19.15%),差异有统计学意义。结论:在急性蜂窝组织炎患儿行脓肿切开引流术后引入一次性高负压引流瓶,能够明显减轻患儿的换药疼痛和不适,减轻炎性反应,使伤口愈合速度明显加快,值得在临床上积极推广。

Objective To research the effect of disposable high negative pressure drainage bottle on wound healing and inflammatory factors in the operation of abscess incision and drainage in children with acute cellulitis.Method 94 children with acute cellulitis who underwent abscess incision and drainage in our hospital from April 2018 to October 2019 were selected as the study objects,and they were divided into observation group and control group according to the random number table method.In the control group,normal saline was used to wash the abscess cavity repeatedly during dressing change after abscess incision and drainage,and then normal saline gauze was filled.Disposable high negative pressure drainage bottle was used in the operation of abscess incision and drainage in the observation group.Observed and compared the clinical efficacy,changes of inflammatory factors,clinical indicators and complications of the two groups.Result The total effective rate of the observation group (93.62%) was significantly higher than that of the control group (78.72%),the difference was statistically significant.Before drainage,the levels of WBC,hs-CRP and PCT of the two groups were not statistically significant.After drainage,the levels of WBC,hs-CRP and PCT of the two groups were significantly lower than before drainage,the levels of WBC,hs-CRP and PCT of the observation group after drainage were significantly lower than those of the control group at the same time.Compared with the control group,the number of dressing changes in the observation group was less,the pain score was lower,and the wound healing time and hospitalization time were significantly shorter,the differences were statistically significant.The incidence of complications in the observation group (4.26%) was significantly lower than that in the control group.Conclusion After the operation of abscess incision and drainage in children with acute cellulitis,the introduction of disposable high negative pressure drainage bottle can significantly reduce the pain and discomfort of dressing change,reduce the inflammatory reaction,and accelerate the wound healing speed,which is worthy of active promotion in clinical practice.