摘要
目的探讨早期切口置管负压吸引对腹部手术后切口感染的治疗作用。方法选取33例腹部手术后并发切口感染的患者,随机分成早期负压引流组(n=17)和传统处理组(n=16),分别实施切口早期清创置管引流和传统敞开换药,观察两组患者的体温、外周血白细胞总数、切口感染程度评分、切口愈合时间及术后住院天数等变化。结果处理前1d两组患者的体温、外周血白细胞总数及切口感染评分比较均无明显差异(P>0.05),处理后第1d、第5d、第7d早期负压引流组患者的体温、外周血白细胞总数较传统处理组有明显降低(P<0.05),处理后第1d、第3d、第7d及第9d早期引流组患者的切口感染程度评分均明显低于传统治疗组(P<0.05);早期负压引流组患者切口愈合时间、术后住院天数均少于传统处理组(P<0.05)。结论感染切口早期清创置管负压引流可有效地促进腹部感染切口的愈合,可能为临床治疗切口感染的有效方法之一。
Objective To investigate the curative effect of early placing tube on vacuum-assisted closure in patients with ab-dominal complications after operations. Methods 33 cases of patients with postoperative incision infection were randomly divided into two groups-one adopted early vacuum-assisted closure （n=17） and another received conventional treatment （n=16）. The two groups of patients were observed and compared in terms of the differences in the body temperature ,the leukocyte in peripheral blood,the rate of incision infection,the time of incision healing and the postoperative hospitalization stay. Results There were no significant differences in the body temperature,the leukocyte of the peripheral blood and the degree of the incision infection be-tween the two groups on the 1st day of pre-operation（P〉0.05）. However,those who received early vacuum-assisted closure showed a much lower rate in high body temperature and abnormal increase in the number of leukocyte of the peripheral blood （P〈0.05） on the 1st,5th and 7th day of post-operation, and the degree of the incision infection was obviously lower （P〈0.05） on the 1st,3rd, 7th and 9th day of post-operation. Less time was needed for incision healing and postoperative hospitalization stay（P〈0.05）. Con-clusion The application of placing tube to early vacuum-assisted closure can effectively promote the healing of abdominal incision after operations,which might be one of the effective curative means for incision infection.
出处
《江西医药》
CAS
2015年第7期616-619,共4页
Jiangxi Medical Journal
关键词
腹部
负压引流
切口感染
外科手术
Abdomen
Vacuum-assisted closure
Wound complications
Surgery
