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中华损伤与修复杂志(电子版) ›› 2019, Vol. 14 ›› Issue (03) : 208 -212. doi: 10.3877/cma.j.issn.1673-9450.2019.03.008

所属专题: 文献

论著

自制便携式简易封闭负压引流装置在术后切口愈合不良中的应用
展红波1, 孙青青1, 严磊1, 蔡佳1, 吕国忠2,()   
  1. 1. 214500 靖江市人民医院烧伤整形科
    2. 214000 无锡市第三人民医院烧伤整形科
  • 收稿日期:2019-04-06 出版日期:2019-06-01
  • 通信作者: 吕国忠

Application of a self-made portable simplified vacuum sealing drainage device in patients with poor surgical wound healing

Hongbo Zhan1, Qingqing Sun1, Lei Yan1, Jia Cai1, Guozhong Lyu2,()   

  1. 1. Department of Burns and Plastic Surgery, Jingjiang People′s Hospital, Jingjiang 214500, China
    2. Department of Burns and Plastic Surgery, Wuxi Third People′s Hospital, Wuxi 214000, China
  • Received:2019-04-06 Published:2019-06-01
  • Corresponding author: Guozhong Lyu
  • About author:
    Corresponding author: Lyu Guozhong, Email:
引用本文:

展红波, 孙青青, 严磊, 蔡佳, 吕国忠. 自制便携式简易封闭负压引流装置在术后切口愈合不良中的应用[J]. 中华损伤与修复杂志(电子版), 2019, 14(03): 208-212.

Hongbo Zhan, Qingqing Sun, Lei Yan, Jia Cai, Guozhong Lyu. Application of a self-made portable simplified vacuum sealing drainage device in patients with poor surgical wound healing[J]. Chinese Journal of Injury Repair and Wound Healing(Electronic Edition), 2019, 14(03): 208-212.

目的

探讨一种自制便携式简易封闭负压引流装置在手术后切口愈合不良中的应用效果。

方法

回顾性分析2015年1月至2018年10月在江苏省靖江市人民医院烧伤整形科进行术后切口愈合不良治疗的50例患者资料。其中,25例采用自制便携式简易封闭负压引流装置进行持续低负压吸引设为治疗组,25例采用碘伏纱条填塞引流换药,设为对照组。观察2组创面形态学变化;比较2组患者的切口愈合时间、换药次数、疼痛程度、换药材料费用指标。对数据行t检验。

结果

治疗组患者创面清洁,肉芽组织新鲜红润;对照组患者创面肉芽组织生长不佳,渗液较多。治疗组患者的切口愈合时间、换药次数、疼痛程度、换药材料费用分别为(14.7±4.3) d、(5.1±1.4)次、(5.9±1.4)分、(639.5±127.4)元,对照组患者对应的指标分别为(38.6±5.9) d、(49.2±9.7)次、(8.2±1.8)分、(1 357.5±135.9)元,2组对应指标比较,差异均有统计学意义(t=-16.3、-32.8、-4.9、-38.5,P值均小于0.05)。

结论

自制便携式简易封闭负压引流装置在术后切口愈合不良患者中,能显著缩短切口愈合时间,减少换药次数,减轻疼痛程度,换药材料费用明显减少,大大提高了手术切口治愈率,优于传统方法换药,具有一定的推广价值。

Objective

To discuss the application effect of a self-made portable simplified vacuum sealing drainage device in patients with poor surgical wound healing.

Methods

Retrospective analysis was made on 50 patients with poor surgical wound healing, which were hospitalized from January 2015 to October 2018 in Department of Burns and Plastic Surgery, Jingjiang People′s Hospital. Among them, 25 patients who used self-prepared portable simple-type were set as the treatment group, and 25 patients of continuous low negative pressure suction with iodine volv gauze packing and drainage were set as the control group. Morphological changes of wounds were observed in the two groups. The wound healing time, number of dressing changes, pain intensity, and cost of dressing changes were compared between the two groups. Data were processed with t test.

Results

In the treatment group, the wound surface was clean and the granulation tissue was fresh and rosy. In the control group, the growth of wound granulation tissue was not good and there was more effusion. The wound healing time, number of dressing changes, pain intensity, and cost of dressing changes of the treatment group were (14.7±4.3) d, (5.1±1.4) times, (5.9±1.4) points, (639.5±127.4) yuan, the corresponding indexes of the control group respectively were (38.6±5.9) d, (49.2±9.7) times, (8.2±1.8) points, (1 357.5±135.9) yuan, there were statistically significant differences in these corresponding indexes of patients between the two groups (t=-16.3, -32.8, -4.9, -38.5, with P values below 0.05).

Conclusions

This self-made portable simplified vacuum sealing drainage device can significantly reduce the wound healing time, number of dressing changes, pain intensity, and cost of dressing changes; greatly increase the healing rate of surgical wounds, better than the traditional method of dressing changes. Therefor, it is superior to the conventional dressing change and suitable for broader clinical use.

表1 2组切口愈合不良患者一般资料比较
表2 2组切口愈合不良患者切口愈合时间、换药次数、疼痛程度、换药材料费用比较(±s)
图1 剖宫产术后行简易负压引流治疗。A示治疗前,切口内多炎性渗液及间生态组织;B示放置简易负压吸引装置,切口在负压下的密闭状态;C示简易负压吸引治疗7 d后,切口基本愈合;D示简易负压吸引治疗15 d后,切口完全愈合
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