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负压伤口疗法在心脏手术部位感染中的应用。

Negative pressure wound therapy in the treatment of surgical site infection in cardiac surgery.

机构信息

Universidade de São Paulo. São Paulo, São Paulo, Brazil.

出版信息

Rev Bras Enferm. 2020 Jul 1;73(5):e20190331. doi: 10.1590/0034-7167-2019-0331. eCollection 2020.

DOI:10.1590/0034-7167-2019-0331
PMID:32609220
Abstract

OBJECTIVES

to describe the relationship between epidemiological and clinical characteristics of postoperative cardiac surgery patients undergoing negative pressure wound therapy for the treatment of surgical site infection.

METHODS

an observational, cross-sectional analytical study including a convenience sample consisting of medical records of patients undergoing sternal cardiac surgery with surgical site infection diagnosed in medical records treated by negative pressure wound therapy.

RESULTS

medical records of 117 patients, mainly submitted to myocardial revascularization surgery and with deep incisional surgical site infection (88; 75.2%). Negative pressure wound therapy was used on mean for 16 (±9.5) days/patient; 1.7% had complications associated with therapy and 53.8% had discomfort, especially pain (93.6%). The duration of therapy was related to the severity of SSI (p=0.010) and the number of exchanges performed (p=0.045).

CONCLUSIONS

negative pressure wound therapy has few complications, but with discomfort to patients.

摘要

目的

描述行负压伤口治疗术治疗外科部位感染的心脏手术后患者的流行病学和临床特征之间的关系。

方法

这是一项观察性、横断面分析研究,纳入了便利样本,包括病历记录中诊断为外科部位感染并接受负压伤口治疗术治疗的行胸骨心脏手术的患者的病历记录。

结果

共纳入 117 例患者,主要接受了心肌血管重建手术,且均为深部切口外科部位感染(88 例;75.2%)。患者平均接受负压伤口治疗术 16(±9.5)天/例;1.7%的患者与治疗相关的并发症,53.8%的患者有不适,尤其是疼痛(93.6%)。治疗时间与 SSI 的严重程度相关(p=0.010),与更换次数相关(p=0.045)。

结论

负压伤口治疗术并发症少,但会给患者带来不适。

相似文献

1
Negative pressure wound therapy in the treatment of surgical site infection in cardiac surgery.负压伤口疗法在心脏手术部位感染中的应用。
Rev Bras Enferm. 2020 Jul 1;73(5):e20190331. doi: 10.1590/0034-7167-2019-0331. eCollection 2020.
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Bilateral-pectoral major muscle advancement flap combined with vacuum-assisted closure therapy for the treatment of deep sternal wound infections after cardiac surgery.双侧胸大肌推进皮瓣联合负压封闭引流技术治疗心脏术后深部胸骨伤口感染
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Impact of vacuum-assisted closure therapy on outcomes of sternal wound dehiscence†.负压封闭引流疗法对胸骨伤口裂开治疗效果的影响†
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Experience with Vacuum-assisted closure of sternal wound infections following cardiac surgery and evaluation of chronic complications associated with its use.心脏手术后胸骨伤口感染的负压封闭引流经验及其使用相关慢性并发症的评估。
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引用本文的文献

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Negative pressure therapy in pediatric patient with surgical site infection: experience report.负压治疗在小儿外科手术部位感染患者中的应用:经验报告。
Rev Esc Enferm USP. 2024 Nov 11;58:e20240077. doi: 10.1590/1980-220X-REEUSP-2024-0077en. eCollection 2024.