持续负压引流应用于髋关节置换术效果观察.docVIP

持续负压引流应用于髋关节置换术效果观察摘要目的：探讨持续负压引流应用于髋关节置换术的效果。方法：将170例髋关节置换患者随机分为自然引流组和常规负压引流组，自然引流组110例，常规手术后切口施行传统橡皮管自然引流，连接一次性无菌引流袋，不予负压引流。常规负压组60例术后切口给予负压引流，对术后伤口引流量、有无伤口感染或异常渗出、平均住院日及住院费用、术后输血率等进行观察，并作统计学分析进行比较。结果：两组术后均Ⅰ期愈合，无感染发生(P＞0.05)，差异无统计学意义。负压引流组术后引流量明显多于自然引流组(t=4.405)，差异有统计学意义(P＜0.05)。自然引流组平均住院日及住院费用明显低于负压引流组(P＜0.01)。结论：人工全髋关节置换术后伤口自然引流法较负压引流法可减少失血量和缩短平均住院日，减少住院费用，且不增加感染率，是一种较为理想、值得推广的伤口引流方法。 关键词 持续负压引流 髋关节置换术 切口感染 伤口引流量 doi:10.3969/j.issn.1007-614x.2012.09.109 Abstract Objective:To investigate the application of continuous negative pressure drainage in hip joint replacement effect.Methods:170 cases of patients with hip replacement were randomly divided into natural drainage group and conventional negative pressure drainage group,natural drainage group 110 cases,conventional operation incision after implementation of traditional rubber tube natural drainage,connection of sterile disposable drainage bag,no negative pressure drainage.Conventional pressure group in 60 cases of postoperative incision for negative pressure drainage,on postoperative wound drainage,there is no wound infection or abnormal exudation,average length of stay and hospital costs,postoperative blood transfusion rates were observed,and make statistical analysis comparison.Results:two groups of patients with I healing period， no infection occurred(P＞0.05),the difference was not statistically significant.Negative pressure drainage group of postoperative drainage volume significantly more than the natural drainage group(t=4.405),the difference was statistically significant(P＜0.05).Natural drainage group of average length of stay and hospital costs were significantly lower negative pressure drainage group(P＜0.01).Conclusion:artificial total hip arthroplasty after wound natural drainage with negative pressure drainage method can reduce the amount of blood loss and shortening the average hospitalization days,reduce hospital costs,and increased rate of infections,and is an ideal,is worth promoting wou