摘要
目的观察应用负压封闭引流技术(VSD)处理人类免疫缺陷病毒(HIV)感染患者手术切口的临床疗效,为HIV感染患者外科手术后切口管理提供临床参考。方法选取该院2016年4月至2018年4月收治的30例HIV感染行手术治疗的患者,按随机数字表法分为常规缝合VSD组(A组)、常规缝合包扎组(B组),各15例。A组术后切口给予负压封闭引流技术处理,B组常规缝合包扎,观察两组患者的术后切口换药次数,切口感染情况、切口愈合情况,医务人员暴露情况及陪护人员满意度等指标。结果A组无切口感染情况发生,B组1例切口出现浅表感染,予以清创VSD处理后,切口愈合,感染率为6.67%;其余患者手术切口愈合良好。B组1例患者因感染导致切口愈合时间延长。A组患者陪护人员满意度较高。两组均无一例职业暴露情况发生。结论VSD应用于HIV感染患者手术切口中可以降低切口感染率,提高陪护人员的满意度,且能够防范医务人员职业暴露,值得在临床上应用。
Objective To observe the clinical efficacy of vacuum sealing drainage(VSD)in disposing the surgical incision of the patients with HIV infection,and to provide clinical reference for the postoperative incision management of them.Methods A total of 30 patients with concurrent surgical treatment of human immunodeficiency virus(HIV)infection selected from our group by the hospital from April 2016 to April 2018.According to the random number talbe method,postoperative incision treatment was divided into conventional suture VSD group(group A)and conventional suture bandaging group(group B),15 cases in each group.The incision of group A was treated with vacuum sealing drainage,and group B was sutured and bandaged routinely.The number of dressing changes,wound infection,wound healing,exposure of medical staff and satisfaction of accompanying staff were observed.Results No case infection occurred in group A,1 case had superficial wound infection in group B.After debridement with VSD,the wound healed.The infection rate was 6.67%.The rest case healed very well.1 case of the wound healing was extended in group B,and 1 case caused by infection of incision healing time extended.The accompanying personnel satisfaction was higher in group A.The two groups had no occupational exposure happened.Conclusion The application of VSD technology using in the surgical incision of HIV infected patients can reduce the rate of incision infection,improve the satisfaction of the accompanying staff,and prevent the occupational exposure medical staff,which can be applied in clinical.
作者
陆细红
胡波涌
叶俊杰
王岳桂
苏华斌
宋清宇
LU Xihong;HU Boyong;YE Junjie;WANG Yuegui;SU Huabin;SONG Qingyu(Department of Orthopedics,Guangzhou Eighth People's Hospital,Guangzhou,Guangdong 510070,China;Department of surgery,Guangzhou Eighth People's Hospital,Guangzhou,Guangdong 510070,China)
出处
《现代医药卫生》
2019年第14期2098-2101,共4页
Journal of Modern Medicine & Health
基金
广东省医学科学技术研究基金项目(A2017472)
关键词
HIV感染
引流术/方法
切口感染
职业暴露
HIV infections
Drainage/methods
Incision infection
Occupational exposure
