重庆医学
重慶醫學
중경의학
CHONGQING MEDICAL JOURNAL
2013年
35期
4277-4278
,共2页
脊柱损伤%皮下积液%负压伤口疗法%对比研究
脊柱損傷%皮下積液%負壓傷口療法%對比研究
척주손상%피하적액%부압상구요법%대비연구
spinal injuries%subcutaneous effusion%negative-pressure wound therapy%comp study
目的：比较负压封闭引流技术（VSD ）和传统换药方法治疗脊柱术后皮下积液的临床疗效。方法2009年6月至2011年6月，该科共治疗脊柱手术后皮下积液52例，分为A组26例（VSD治疗）和B组26例（传统换药）。比较两组患者的治愈率、切口愈合时间、并发感染率及满意度。结果所有治愈病例随访3个月无1例复发。A组治愈率为92．31％（24/26），与B组（69．23％，18/26）比较差异有统计学意义（ P＜0．05）；A组切口愈合时间为（12．13±1．39）d ，与B组（17．72±1．78）d比较差异有统计学意义（ P＜0．05）；A组并发感染率为11．54％（3/26），与B组（34．62％，9/26）比较差异有统计学意义（ P＜0．05）；A组满意率为84．62％（22/26），与B组（61．54％，15/26）比较差异有统计学意义（P＜0．05）。结论 VSD治疗脊柱术后皮下积液临床疗效明显优于传统方法，具有患者痛苦少、满意度高、医务人员工作量少等优点。
目的：比較負壓封閉引流技術（VSD ）和傳統換藥方法治療脊柱術後皮下積液的臨床療效。方法2009年6月至2011年6月，該科共治療脊柱手術後皮下積液52例，分為A組26例（VSD治療）和B組26例（傳統換藥）。比較兩組患者的治愈率、切口愈閤時間、併髮感染率及滿意度。結果所有治愈病例隨訪3箇月無1例複髮。A組治愈率為92．31％（24/26），與B組（69．23％，18/26）比較差異有統計學意義（ P＜0．05）；A組切口愈閤時間為（12．13±1．39）d ，與B組（17．72±1．78）d比較差異有統計學意義（ P＜0．05）；A組併髮感染率為11．54％（3/26），與B組（34．62％，9/26）比較差異有統計學意義（ P＜0．05）；A組滿意率為84．62％（22/26），與B組（61．54％，15/26）比較差異有統計學意義（P＜0．05）。結論 VSD治療脊柱術後皮下積液臨床療效明顯優于傳統方法，具有患者痛苦少、滿意度高、醫務人員工作量少等優點。
목적：비교부압봉폐인류기술（VSD ）화전통환약방법치료척주술후피하적액적림상료효。방법2009년6월지2011년6월，해과공치료척주수술후피하적액52례，분위A조26례（VSD치료）화B조26례（전통환약）。비교량조환자적치유솔、절구유합시간、병발감염솔급만의도。결과소유치유병례수방3개월무1례복발。A조치유솔위92．31％（24/26），여B조（69．23％，18/26）비교차이유통계학의의（ P＜0．05）；A조절구유합시간위（12．13±1．39）d ，여B조（17．72±1．78）d비교차이유통계학의의（ P＜0．05）；A조병발감염솔위11．54％（3/26），여B조（34．62％，9/26）비교차이유통계학의의（ P＜0．05）；A조만의솔위84．62％（22/26），여B조（61．54％，15/26）비교차이유통계학의의（P＜0．05）。결론 VSD치료척주술후피하적액림상료효명현우우전통방법，구유환자통고소、만의도고、의무인원공작량소등우점。
Objective To compare the clinical effects of vacuum sealing drainage and traditional method on subcutaneous effusion after spinal operation .Methods From June 2009 to June 2011 ,52 cases were randomly divided into 2 groups:group A(treat with vacuum sealing drainage) and group B(treat with traditional method ) .Comparing the cure rate ,wound healing time ,infection rete and satisfaction rate between two groups .Results All cured cases were followed up for 3 months ,all wounds achieved primary healing postoperatively ,and without recurrence .The cure rate was 92 .31% (24/26)in group A ,there was statistically significant difference compared with group B[69 .23% (18/26)](χ2 =4 .457 ,P<0 .05) .The wound healing time was(12 .13 ± 1 .39) d in group A ,and(17 .72 ± 1 .78) d in group B ,which showed statistically significant difference between two groups (t=11 .455 ,P<0 .05) . The satisfaction rate was 84 .62% (22/26)in group A ,and 61 .54% (15/26)in group B ,which showed statistically significant differ-ence between two groups(χ2 =4 .457 ,P<0 .05) .Conclusion The clinical effects of vacuum sealing drainage on subcutaneous effu-sion after spinal operation was obviously superior to traditional method ,and vacuum sealing drainage has advantages such as less pain ,more satisfaction in patients and less workload in medical staff .
