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负压封闭引流技术治疗四肢创伤皮肤修复患者的效果及其对创面细菌耐药性的影响
尼玛欧珠,平措罗布,李三旦,牛昆宝
0
(那曲地区人民医院)
摘要:
目的 探讨负压封闭引流技术在四肢创伤皮肤修复患者治疗中的疗效及其对创面细菌耐药性的影响。方法 选取2014年1月~2016年1月进行治疗的四肢创伤修复患者90例,根据随机数字表法分为研究组和对照组,每组各45例。研究组使用负压封闭引流技术进行治疗,对照组进行传统的换药治疗。比较两组治疗前后的创伤面积、并发症发生率及临床疗效。结果 治疗前,两组创伤面积比较差异无统计学意义(P>0.05);治疗后,研究组创伤面积小于对照组(P<0.05),研究组治疗的总有效率高于对照组(P<0.05),研究组并发症发生率低于对照组(P<0.05);治疗后,研究组的主要病原菌对于抗生素的耐药性低于对照组(P<0.05)。结论 负压封闭引流技术对于四肢创伤修复患者的治疗具有较好的临床疗效,且对创面细菌耐药性的影响较小,是治疗四肢创伤修复较理想的方式,可在临床推广应用。
关键词:  四肢创伤  皮肤修复  负压封闭引流技术  治疗效果  耐药性
DOI:
基金项目:
Effect of vacuum sealing drainage on patients with limb trauma skin repair and its influence on drug resistance of patients
Nyimaudrup,Phuntsoknorbu,LI Sandan,NIU Kunbao
(Naqu People's Hospital)
Abstract:
Objective To explore the curative effect of using specific negative pressure in the treatment of limb trauma skin repair in patients with closed drainage technique and its effect on patients with drug resistance. Methods 90 limb trauma repair patients were randomly divided into study group and control group,45 in each group. The study group was treated with VSD. The control group was treated with traditional dressing. Results Before treatment, the trauma area of the two groups had no significant difference (P>0.05). After treatment, the trauma area of study group was significantly less than that of control group (P<0.05). The total effective rate in study group was significantly higher than that of the control group (P<0.05). The complication rate of study group was significantly lower than that of control group (P<0.05). The drug resistance of the main pathogens to antibiotics of study group was significantly lower than that of the control group (P<0.05). Conclusion VSD technique has good clinical curative effect for the treatment of patients with limb trauma repair, and the influence of drug resistance in patients with small, which is an ideal way to treat limb trauma repair and can be popularized and applied widely in clinic.
Key words:  Limb trauma  Skin repair  Vacuum sealing drainage  Treatment effect  Drug resistance

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