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真空密封引流对软组织伤口患者愈合时间及炎症相关指标的影响。

Effect of vacuum sealing drainage on healing time and inflammation-related indicators in patients with soft tissue wounds.

机构信息

Department of Burn and Plastic Surgery, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.

出版信息

Int Wound J. 2021 Oct;18(5):639-646. doi: 10.1111/iwj.13565. Epub 2021 Mar 30.

Abstract

The aim of this study was to investigate the therapeutic effects of vacuum sealing drainage (VSD) on wound repair time and inflammation-related indicators in patients with soft-tissue wounds in comparison with traditional treatment. From January 2018 to January 2020, 130 enrolled patients with soft-tissue wounds were randomly divided into two groups: VSD group (65 cases) and routine dressing change (RDC) group (65 cases). The inflammation-related indicators including erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), white blood cell (WBC), and procalcitonin (PCT) of preoperative stage and postoperative day 3 (POD 3) and POD 7 were recorded. Wound healing was observed 3 and 7 days after treatment, and the clinical efficacy, changes in the wound (coverage rate and thickness of granulation tissue and bacterial clearance rate), wound-cleaning time, wound-healing time, and hospital stay time were recorded after treatment as well. No significant difference was observed in terms of the baseline between the two groups. On POD 3 and POD 7, CRP, WBC, and PCT levels in the VSD group were lower than those in the RDC group, while ESR levels were higher, with significant differences (P < .05). After treatment, the wound-cleaning time, wound-healing time, and hospital length of stay of the VSD group were all lower than those of the RDC group, with significant differences (P < .05). VSD has a significant effect on the treatment of patients with soft-tissue wounds, which can effectively shorten the time of wound healing and reduce inflammation-related indicators. Compared with traditional RDC, VSD is more worthy of clinical application.

摘要

本研究旨在探讨真空密封引流(VSD)在软组织伤口患者的伤口修复时间和炎症相关指标方面的治疗效果,并与传统治疗进行比较。2018 年 1 月至 2020 年 1 月,纳入的 130 例软组织伤口患者被随机分为两组:VSD 组(65 例)和常规换药(RDC)组(65 例)。记录术前阶段和术后第 3 天(POD3)和第 7 天(POD7)的炎症相关指标,包括红细胞沉降率(ESR)、C 反应蛋白(CRP)、白细胞(WBC)和降钙素原(PCT)。治疗后 3 天和 7 天观察伤口愈合情况,并记录临床疗效、伤口变化(覆盖率和肉芽组织厚度以及细菌清除率)、伤口清洁时间、伤口愈合时间和住院时间。两组患者的基线资料差异无统计学意义。在 POD3 和 POD7,VSD 组的 CRP、WBC 和 PCT 水平低于 RDC 组,而 ESR 水平较高,差异有统计学意义(P<0.05)。治疗后,VSD 组的伤口清洁时间、伤口愈合时间和住院时间均低于 RDC 组,差异有统计学意义(P<0.05)。VSD 对软组织伤口患者的治疗效果显著,能有效缩短伤口愈合时间,降低炎症相关指标。与传统的 RDC 相比,VSD 更值得临床应用。

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