VSD治疗骨科创伤及感染创面的临床治疗分析.docVIP

精品论文 参考文献 VSD治疗骨科创伤及感染创面的临床治疗分析 李东风 王书沛 李先启（江苏省徐州市矿山医院骨科 江苏徐州 221006） 【中图分类号】R683【文献标识码】A【文章编号】1672-5085（2012）20-0007-02 【摘要】目的 分析封闭式负压吸引技术与常规引流技术在治疗骨科创伤感染的临床疗效。方法 60例患者随机分为两组,治疗组与对照组,两组患者治疗前全部实施传统的清创术，治疗组采用VSD技术，将创面用敷料覆，1周左右时间后将VSD敷料取出，直到患者伤口处肉芽丰满，可以进行创面植皮为止，对原有创面进行病原学检查。对照组,根据创面情况每隔1-2天进行一次更换敷料，对于创面较大患者实施引流条，并配合敏感抗生素的使用，每周进行1次病原学检查，直到伤口处肉芽丰满后进行创面植皮消灭创面或直接缝合。对两组患者总疗效和愈合时间进行比较分析。结果 治疗组20例治愈(66.7%),8例显效(26.7%),总有效率93.3%,与对照组治愈13例(43.3%)、显效11例(36.7%),总有效率80%相比,治愈率差异有统计学意义。治疗组平均伤口愈合时间明显缩短,与对照组相比差异有统计学意义(Plt;0.05)。结论 VSD是治疗骨科创伤及感染性创面很好治疗技术,其效果较传统的换药及引流技术有着明显的优势，值得推广。 【Abstract】　objective:to analyse the enclosed negative pressure drainage technology with conventional attraCTtechnology in the treatment of orthopaedic trauma the clinical curative effeCTof the infection.Methods:60 cases were randomly divided into two groups:treatment group and control group,two groups of patients before implementation of traditional treatment all debridement,the treatment group the VSD technology,will wound dressings covering with,1 weeks or so after time will take VSD dressing,until patients wound granulation plump,can be salvaged wound so far for the original wound for pathogeny.The control group,according to the wound every 1-2 situation for a day replacement dressing,for patients with large wounds implementation article drainage,and cooperate with sensitive antibiotic use,weekly 1 times of pathogeny,until the granulation plump after skin wounds or direCTsuture destroy the wound.Two groups of patients to the total curative effeCTand thehealing time for comparison analysis.Results:treatment group 20 cases were cured (66.7%),8 cases were markedly improved (26.7%),and the total effective rate was 93.3%,and the control group cure 13 cases (43.3%),powerfully 11 patients (36.7%),the total effective rate of 80% compared with,cure rate are statistically significant differences.The treatment group average woundhealing time significantly shortened,compared with the control difference wa