负压伤口疗法治疗腹部手术切口愈合不良的临床效果
Clinical Efficacy of Negative Pressure Wound Therapy in Treating the Poor Incision Healing After Abdominal Surgery
吴万庆 1陈天然 1傅聿铭 1罗昭锋 1杨战锋 1闫少鹏1
作者信息
- 1. 郑州大学第五附属医院普外科,河南郑州 450052
- 折叠
摘要
目的 探讨负压伤口疗法治疗腹部手术切口愈合不良的临床效果.方法 回顾性分析了 2017年1月至2022年6月郑州大学第五附属医院70例腹部外科手术切口愈合不良患者的临床资料,按治疗方式分为常规治疗组和负压治疗组.通过t检验、x2检验、Fisher精确概率法或秩和检验分析两组患者一般资料、疼痛评分及切口愈合情况的差异.结果 常规治疗组患者疼痛评分高于负压治疗组G=2.189,P=0.032),负压治疗组肉芽生长情况优于常规治疗组(t=2.338,P=0.019),负压治疗组切口水肿消退时间(t=3.077,P=0.003)及二期处理时间(t=6.006,P＜0.001)均短于常规治疗组.结论 负压伤口疗法能够有效缓解患者切口愈合不良引起的疼痛,缩短切口水肿的消退时间,促进切口肉芽组织生长,加快腹部切口愈合.
Abstract
Objective To investigate the clinical efficacy of negative pressure wound therapy in treating the poor incision healing after abdominal surgery.Methods The clinical data of 70 patients with poor incision healing after abdominal surgery from January 2017 to June 2022 in the Fifth Affiliated Hospital of Zhengzhou University were retrospectively analyzed,and the patients were divided into conventional treatment group and negative pressure treatment group.The differences of general data,pain score,incision healing between the two groups were analyzed by t test,x2 test,Fisher's exact probability method or Mann-Whitney test.Results The pain score of conventional treatment group was higher than negative pressure treatment group(t=2.189,P=0.032).The growth of granulation tissue in negative pressure treatment group was better than conventional treatment group(t=2.338,P=0.019).The time of incision edema subsided(t=3.077,P=0.003)and phase Ⅱ treatment(t=6.006,P＜0.001)in negative pressure treatment group was shorter than conventional treatment group.Conclusion Negative pressure wound therapy can alleviate pain caused by poor incision healing,shorten time of incision edema subsided,promote the growth of granulation tissue,and accelerate abdominal incision healing.
关键词
负压伤口疗法/切口愈合不良/肉芽组织Key words
negative pressure wound therapy/poor incision healing/granulation tissue引用本文复制引用
基金项目
河南省医学科技攻关联合共建项目(LHGJ20220562)
出版年
2024
NETL
NSTL
万方数据