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VSD联合臭氧水冲洗治疗感染性创面的临床观察 被引量:5

Clinical observation of VSD combined with ozone water washing in the treatment of infectious wounds
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摘要 目的探究在对感染性创面的治疗中,采用VSD(负压封闭引流技术)联合臭氧水冲洗治疗效果。方法研究时限为2017年4月至2019年4月,选取此期间我院骨科住院患者40例,均伴有感染性创面,将其分为常规组(20例,生理盐水+VSD)、治疗组(20例,臭氧+生理盐水+VSD),对两组患者创面愈合时间、创面植皮时间、VAS(视觉模拟法)评分、血浆白细胞计数、CRP(C反应蛋白)水平以及两组堵管率。结果治疗组患者创面愈合时间、创面植皮时间较常规组短,VAS评分较常规组低,血浆白细胞计数、CRP水平较常规组低,且堵管发生率35.00%低于常规组85.00%(P<0.05)。结论对骨科感染性创面患者开展VSD+臭氧水冲洗治疗,能够降低感染性创面炎性程度、提升康复效果。 Objective:To investigate the efficacy of VSD(negative pressure closed drainage)combined with ozone water in the treatment of infectious wounds.Methods:The study time was from April 2017 to April 2019.During this period,40 patients with orthopedic inpatients in our hospital were selected,all of which were associated with infectious wounds.They were divided into routine group(20 cases,saline+VSD)and treatment.Group(20 cases,ozone+saline+VSD),wound healing time,wound skin grafting time,VAS(visual simulation)score,plasma white blood cell count,CRP(C-reactive protein)level and two groups of catheterization rate.RESULTS:In the treatment group,the wound healing time and wound skin grafting time were shorter than those in the conventional group.The VAS score was lower than that in the conventional group.The plasma white blood cell count and CRP level were lower than those in the conventional group,and the rate of tube blockage was 35.00%lower than that of the conventional group(85.00%).P<0.05).Conclusion:VSD+Ozone water flushing treatment for patients with orthopedic infectious wounds can reduce the degree of infective wound inflammation and improve rehabilitation.
作者 胡林峰 杨勇 HU Lin-feng;YANG Yong(Xinyu City People's Hospital,Xinyu 338000,China)
出处 《泰山医学院学报》 CAS 2019年第10期738-740,共3页 Journal of Taishan Medical College
基金 江西省新余市科技计划项目,项目编号:20173090813,项目名称:VSD联合臭氧水冲洗治疗感染性创面的临床观察
关键词 感染性创面 VAD(负压封闭引流技术) 臭氧水 infectious wound VAD(negative pressure closed drainage technology) ozone leeches
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