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临床输血与检验

临床输血与检验 ›› 2019, Vol. 21 ›› Issue (2): 211-214.DOI: 10.3969/j.issn.1671-2587.2019.02.029

• 临床检验 • 上一篇    下一篇

封闭负压引流术联合银离子冲洗治疗感染创面的实验室指标及临床分析

胡思科   

  1. 535000 广西钦州市第一人民医院骨科
  • 收稿日期:2018-12-12 出版日期:2019-04-20 发布日期:2019-04-10
  • 作者简介:胡思科（1978-）,男,广西钦州人,主治医师,学士,主要从事骨科材料与临床研究,（Tel）15697770666（E-mail）1809799174@qq.com。

The Laboratory Indexes and Clinical Analysis of Vacuum Sealing Drainage （VSD） Combined with Silver Ion Urrigation in the Treatment of Infected Wounds

HU Si-ke   

  1. Department of Orthopedics,Qinzhou First People's Hospital;Gugangxi; 535000
  • Received:2018-12-12 Online:2019-04-20 Published:2019-04-10

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摘要： 目的 观察骨科感染创面治疗中封闭负压引流术（VSD）联合银离子冲洗的临床效果。方法 选择本院2015年9月~2017年3月接收的骨科感染创面患者106例,随机分为观察组和对照组,每组53例,观察组给予VSD联合银离子冲洗治疗,对照组仅给予常规VSD治疗,观察治疗效果及并发症发生情况,记录两组的换药次数、感染控制时间及住院时间,分别于治疗前、治疗3周后检测两组患者的白细胞计数、红细胞沉降率及C反应蛋白。结果 观察组治疗效果高于对照组,换药次数、感染控制时间、住院时间、并发症发生率、白细胞计数、红细胞沉降率及C反应蛋白均低于对照组,差异有统计学意义（P<0.05）。结论 骨科感染创面治疗中应用VSD联合银离子冲洗后,可提升治疗效果,缩短患者治愈时间,促使患者尽早出院。

关键词: 封闭负压引流术, 银离子冲洗, 骨科感染创面, 临床效果, 实验室指标

Abstract: Objective To observe the clinical effect of closed negative pressure drainage （VSD） combined with silver ion irrigation in the treatment of infection wounds in Department of orthopedics. Method s106 cases of wound infection in Department of orthopedics in our hospital from September 2015 to March 2017 were randomLy divided into observation group and control group,53 cases in each group,the observation group was given VSD combined with silver ion washing treatment,the control group only received routine VSD treatment,observe the therapeutic effect and complications,record control time and hospitalization time two the frequency of dressing,infection,respectively before treatment,after 3 weeks of treatment in two groups were detected with white blood cell count,erythrocyte sedimentation rate and C-reactive protein C. Results The treatment effect of observation group was higher than the control group,the number of dressing changes,infection control time,hospitalization time,complication rate,leukocyte count,erythrocyte sedimentation rate and C-reactive protein C were lower than the control group,the difference was statistically significant （P<0.05）. Conclusion The application of VSD combined with silver ion irrigation in the treatment of wound infection in Department of orthopedics can improve the treatment effect,shorten the cure time of patients,and promote the patients to leave hospital as soon as possible.

Key words: Closed negative pressure drainage, Silver ion irrigation, Wound infection in Department of Orthopedics, Clinical effect, Laboratory index

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