改良式负压封闭引流术对腹壁切口愈合不良患者的临床疗效分析

Clinical Efficacy of Modified Vacuum Sealing Drainage in the Treatment of Patients with Poor Healing of Abdominal Wall Incisions

目的探讨改良式负压封闭引流术(VSD)对腹壁切口愈合不良患者的治疗价值。方法选取2019年7月至2024年7月于南京市中心医院就诊的56例腹壁切口愈合不良患者为研究对象,随机分为对照组(采用传统VSD装置治疗)和试验组(采用改良式VSD装置治疗),每组28例。比较两组住院天数、血清C反应蛋白浓度等指标,分析治疗过程中并发症发生情况。结果与对照组相比,试验组住院时间缩短(P<0.05);治疗后第3天,试验组血清C反应蛋白浓度比对照组降低(P<0.05)。两组在治疗过程中均未发生并发症。结论改良式VSD对腹壁切口愈合不良患者的治疗效果更好。

Objective To investigate the therapeutic value of modified vacuum sealing drainage(VSD)in patients with poor healing of Patients with abdominal wall incisions.Methods A total of 56 patients with poor healing of abdominal wall incisions treated in Nanjing Central Hospital from July 2019 to July 2024 were selected as the study subjects.They were randomly divided into a control group(treated with traditional VSD device,n=28)and an experimental group(treated with modified VSD device,n=28).The length of stay and serum level of C-reactive protein(CRP)were compared between the two groups.The incidence of complications during treatment was analyzed.Results The length of stay in the experimental group was shorter than that in the control group(P<0.05).On the third day after treatment,the serum CRP level in the experimental group was lower than that in the control group(P<0.05).No complications occurred in both groups during treatment.Conclusion The modified VSD device has good therapeutic effect on patients with poor healing of abdominal wall incisions.