Clinical Effect of Hedged Drainage in the Treatment of Deep Infection after Orthopedic Surgery and Its Influence on Serum Inflammatory Indexes
Objective:To investigate the clinical effect of hedged drainage in the treatment of deep infection after orthopedic surgery and its influence on serum inflammatory indexes.Method:A total of 60 patients with deep infection after orthopedic surgery admitted to Guixi People's Hospital from July 2020 to April 2023 were randomly divided into control group and observation group,with 30 cases in each group.The control group was treated with conventional debridement,and the observation group was treated with hedged drainage on the basis of control group.The wound healing rate,pain score,serum inflammatory indexes[white blood cell count(WBC),C reactive protein(CRP),erythrocyte sedimentation rate(ESR)]and coagulation function indexes[activated partial thromboplastin time(APTT),prothrombin time(PT),thrombin time(TT),fibrinogen(FIB)]were compared between the two groups.Result:The wound healing rate of observation group(93.33%)was higher than that of control group(73.33%)(P<0.05).At 3,7 and 14 days after surgery,visual analogue scale(VAS)scores in the observation group were lower than those in the control group(P<0.05).14 d after surgery,the levels of WBC,CRP,ESR and FIB in the observation group were lower than those in the control group,and APTT,PT,TT in the observation group were shorter than those in the control group(P<0.05).Conclusion:Hedged drainage in the treatment of deep infection after orthopedic surgery can improve the wound healing rate,reduce the degree of pain,inhibit the level of serum inflammatory factors and improve coagulation function.
Deep infectionHedged drainageWound healing inflammatory factors