应用负压封闭引流技术治疗严重腹部切口感染的临床疗效分析

摘要

目的 比较负压封闭引流(VSD)与传统换药方法治疗腹部切口化脓性感染的效果.方法 回顾性分析我科2015年2月至2016年10月收治的32例腹部切口化脓性感染患者的临床数据.根据治疗方法不同分为实验组和对照组.比较2组患者在年龄、性别、急诊手术例数、术前合并症发生情况、切口长度的差异,并对2组患者切口缝合时间、换药次数及抗生素使用时间进行对比分析.结果 2组患者在年龄、性别、急诊手术例数、术前合并症发生、切口长度方面比较,差异无统计学差异(P>0.05).2组在切口缝合时间、换药次数及抗生素使用时间方面比较,差异均具有统计学意义(P<0.05).结论 VSD技术治疗腹部切口化脓性感染,能明显缩短患者切口愈合时间、减少换药次数及抗生素应用,值得推广.%Objective To compare the efficacy of vacuum sealing drainage(VSD)and traditional dressing on sup-purative infection at abdominal incisions.Methods A retrospective analysis was performed using data from 32 patients who were admitted into our hospital from February 2015 to October 2016 due to suppurative infection at abdominal inci-sions.The patients were divided into an experimental group and a control group, according to their different treatment methods.The two groups were compared for age, gender, the number of emergency operations, preoperative complica-tions and incision length.The incision suture time,the time of antibiotics use and the number of dressing changes were also compared.Results There were no significant differences between the two groups in terms of age,gender,the num-ber of emergent operations,preoperative complications and incision length(P>0.05).The experimental group showed remarkable differences in the incision suture time,the time of antibiotics use and the number of dressing changes,com-pared with the control group(P<0.05).Conclusions VSD is useful to treat suppurative infection on abdominal inci-sions,which can significantly shorten the time of incision healing,reduce the number of dressing changes and the time of antibiotics use.