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中国初级卫生保健:2019,33(6):98-100
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负压封闭引流技术在治疗骨折术后感染中的疗效及其对血清炎性指标的影响
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中文摘要: 目的 探讨负压封闭引流技术(VSD)在治疗骨折术后感染中的临床疗效。方法 60例骨折术后感染患者根据治疗方法不同进行分组。传统治疗组(30例),采用传统持续灌注冲洗治疗感染。VSD治疗组(30例),采用VSD技术治疗感染。比较两组临床疗效、感染控制时间、McGill疼痛评分和住院时间。Elisa法检测治疗前后患者血清中IL-6、IL-8和超敏C-反应蛋白(hs-CRP)水平,电化学发光法定量检测血清中降钙素原(PCT)水平。结果两组临床有效率比较差异无统计学意义。VSD治疗组感染控制时间、住院时间均明显短于传统治疗组,经比较差异有统计学意义(P<0.01)。VSD治疗组McGill疼痛评分明显低于传统治疗组,经比较差异有统计学意义(P<0.01)。各组治疗后血清IL-6、IL-8、hs-CRP和PCT水平均较治疗前明显降低,差异有统计学意义(P<0.01)。VSD治疗组治疗后血清IL-6、IL-8、hs-CRP和PCT水平均明显低于传统组,经比较差异有统计学意义(P<0.01)。结论 VSD与传统持续灌注冲洗方法相比,操作简便,明显缩短了感染控制时间、住院时间和减轻患者疼痛,能有效控制骨折后感染的发生发展。
中文关键词: 负压封闭引流  骨折  感染  炎症  细胞因子
Abstract:Objective To explore the effect of VSD technique on infection after fracture surgery. Methods 60 cases of patients with infection after fracture surgery were grouped according to different treatment methods. Traditional treatment group (30 cases) was treated with traditional continuous perfusion therapy. VSD treatment group (30 cases) was treated with VSD technique. The clinical efficacy, infection control time, McGill pain score and hospital stay were compared. Elisa method was used to detect the levels of IL-6, IL-8 and hs-CRP in the serum of patients before and after treatment, and the PCT level in serum was detected by electrochemiluminescence. Results There was no statistically significant difference between these two groups about clinical effect. The time of infection control of VSD treatment group was significantly shorter than traditional treatment group, and the difference was statistically significant (P < 0.01). The pain score of McGill in the VSD treatment group was significantly lower than the traditional treatment group, and the difference was statistically significant (P <0.01). The levels of IL-6, IL-8, hs-CRP and PCT were significantly lower in each group than in the previous treatment, and the difference was statistically significant(P<0.01). The levels of IL-6, IL-8, hs-CRP and PCT were significantly lower than the traditional group after treatment of VSD treatment group, and the difference was statistically significant (P< 0.01). Conclusion Compared with the traditional continuous flooding method, the VSD was easy to operate, which significantly reduced the time of infection control, hospital stay time and alleviates. the pain of the patient, and can effectively control the development of infection after fracture.
文章编号:3201906036     中图分类号:R691.4    文献标志码:
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虎 镯① , 尤银刚①#  
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