首页|单纯小切口减压与负压封闭引流对毒蛇咬伤疗效比较

单纯小切口减压与负压封闭引流对毒蛇咬伤疗效比较

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目的:探讨单纯小切口切开减压与负压封闭引流(vacuum sealing drainage,VSD)对毒蛇咬伤部位及肢体肿胀治疗效果比较,为临床并发症的治疗提供有效且可行的治疗方案.方法:选取334例毒蛇咬伤肢体肿胀的患者,按入院顺序分为治疗组196例和对照组138例.两组患者均早期给予标准化综合治疗,对照组应用传统单纯小切口切开减压治疗,治疗组采用VSD治疗,对两组患者的治疗效果进行比较分析.结果:患者住院时间由对照组(4.72±2.00)d缩短至治疗组(2.25±1.17)d,患者的医疗费用由对照组(4 962.18±918.92)元减少致至治疗组(2 845.77±580.48)元,差异均有统计学意义(均P<0.01),患者的治愈率由对照组的83.33%提高到治疗组的94.90%.结论:VSD对毒蛇咬伤肢体肿胀、坏死的疗效优于单纯小切口切开减压引流治疗.
Comparison of the effect of simple small incision decompression and VSD negative pressure closure and drainage on venomous snake bite
Objective:To investigate the effect of simple small incision incision decompression and vacuum sealing drainage(VSD)negative pressure closure and drainage on the treatment of venomous snake bite site and limb swelling,so as to provide an effective and feasible treatment plan for the treatment of clinical complications.Methods:A total of 334 patients with venomous snake bite limb swelling were randomly divided into treatment group and control group,with 196 cases in the treatment group and 138 cases in the control group.The patients in both groups were treated with standardized comprehensive treatment at an early stage,the control group was trea-ted with traditional simple small incision and decompression,and the treatment group was treated with VSD nega-tive pressure closure and drainage,and the treatment effects of the two groups were compared and analyzed.Results:The length of hospital stay was shortened from the control group(4.72±2.00)days to the treatment group(2.25±1.17)days,and the medical expenses of the patients decreased from the control group(4 962.18± 918.92)yuan to the treatment group(2 845.77±580.48)yuan,the difference was statistically significant(all P<0.01),and the cure rate of patients increased from 83.33%in the control group to 94.90%in the treatment group.Conclusion:The efficacy of VSD negative pressure closure drainage on the swelling and necrosis of venom-ous snake bite limb is better than that of simple small incision incision and decompression drainage.

snake bitesviperdrainageeffect evaluation

余晓刚、田飞、张蓉

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三峡大学第一临床医学院宜昌市中心人民医院急诊科(湖北宜昌,443003)

蛇咬伤 毒蛇 引流术 效果评价

2024

临床急诊杂志
华中科技大学同济医学院

临床急诊杂志

CSTPCD
影响因子:0.652
ISSN:1009-5918
年,卷(期):2024.25(3)
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