首页|负压封闭引流技术在Ⅲ级暴露犬咬伤创面处理中的应用

负压封闭引流技术在Ⅲ级暴露犬咬伤创面处理中的应用

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目的 探讨负压封闭引流技术(VSD)在Ⅲ级暴露犬咬伤创面的治疗效果.方法 选取 2020 年 1 月至 2023 年12 月在郑州大学第五附属医院接受治疗的 90 例Ⅲ级暴露犬咬伤创面患者,以随机数字表法分为研究组(n=45)与对照组(n=45),研究组采用常规清创结合VSD治疗,对照组采用常规清创、换药治疗,对两组临床相关指标、疼痛程度、各时间段C反应蛋白(CRP)、并发症发生率进行比较.结果 研究组换药次数较对照组少,二期缝合、肿胀消退、创面愈合及住院时间短,差异有统计学意义(P<0.05);研究组换药时疼痛评分较对照组低,差异有统计学意义(P<0.05);两组治疗前、治疗后 1 d CRP水平比较差异无统计学意义(P>0.05),治疗后 2 d两组CRP水平均达到最高值,治疗后 2~5 d研究组CRP水平低于对照组,差异有统计学意义(P<0.05);随访 6 个月,研究组并发症发生率(8.89%)低于对照组(24.44%),差异有统计学意义(P<0.05).结论 Ⅲ级暴露犬咬伤创面应用常规清创结合VSD进行治疗,能够缩短创面愈合时间,减轻患者疼痛,降低创面感染等并发症发生率.
Application of Vacuum Sealing Drainage Technology in the Treatment of Grade Ⅲ Exposed Dog Bite Wounds
Objective To explore the therapeutic effect of vacuum sealing drainage(VSD)technology in the treatment of Grade Ⅲ exposed dog bite wounds.Methods A total of 90 patients with Grade Ⅲ exposed dog bite wounds who were treated at The Fifth Affiliated Hospital of Zhengzhou University from January 2020 to December 2023 were selected.They were randomly divided into a study group(n=45)and a control group(n=45)using a random number table method.The study group received routine debridement combined with VSD treatment,while the control group received routine debridement and dressing change treatment.Clinical indicators,pain levels,C-reactive protein(CRP)levels at different time points,and the incidence of complications were compared between the two groups.Results The study group had fewer dressing changes,shorter secondary suturing,swelling subsidence,wound healing,and hospital stay times compared to the control group,with statistically significant differences(P<0.05).The pain scores during dressing changes in the study group were lower than those in the control group,with statistically significant differences(P<0.05).There were no statistically significant differences in CRP levels between the two groups before treatment and 1 day after treatment(P>0.05).CRP levels in both groups reached their highest values 2 days after treatment,and the CRP levels in the study group were lower than those in the control group from 2 to 5 days after treatment,with statistically significant differences(P<0.05).During the 6-month follow-up,the incidence of complications in the study group(8.89%)was lower than that in the control group(24.44%),with statistically significant differences(P<0.05).Conclusion The application of routine debridement combined with VSD in the treatment of Grade Ⅲ exposed dog bite wounds can shorten wound healing time,reduce patient pain,and lower the incidence of wound infection and other complications.

vacuum sealing drainage technologygrade Ⅲ exposed dog bitewound treatment

罗坤、伍静

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郑州大学第五附属医院 急诊科,河南 郑州 450000

郑州大学第五附属医院 急诊外科,河南 郑州 450000

负压封闭引流技术 Ⅲ级暴露犬咬伤 创面处理

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(10)