切口负压治疗在预防切口切口术后伤口并发症方面的有效性
L B Traylor1, G Bhatia2, D Blackhurst2
1University of South Carolina School of Medicine Greenville, Greenville, SC, 29605, USA.
American journal of surgery
|July 15, 2023
概括
负压伤疗法 (NPWT) 显著减少了心脏手术后的胸部感染. 包括NPWT在内的普遍伤口护理协议降低了感染率,改善了患者的治疗结果.
科学领域:
- 心血管外科心血管外科
- 伤口管理 伤口管理
- 预防传染病 预防传染病
背景情况:
- 骨伤口感染是中枢骨切除术后的一个主要并发症,增加了患者的发病率和死亡率.
- 切口负压伤口治疗 (NPWT) 在预防这些感染中的作用需要进一步研究.
研究的目的:
- 评估标准化伤口护理方案与预防性负压伤口治疗 (NPWT) 在心脏手术后减少胸部感染方面的有效性.
- 为了确定NPWT的通用应用是否会影响中枢胸切除术后的胸部感染率.
主要方法:
- 一项回顾性研究,比较在实施通用伤口护理协议之前和之后的胸部感染率.
- 该协议包括预防性使用负压伤口治疗 (NPWT) 对所有通过中枢切除术进行心脏手术的患者.
- 主要终点是手术后90天内胸部感染的发生率.
主要成果:
- 胸部感染率从对照期的3.0%下降到干预期的0.8% (p < 0.001).
- 接受NPWT协议的患者与对照组相比,胸部感染的几率比率为0.25 (95% CI 0.11-0.57;p < 0.001).
结论:
- 一个标准化的伤口护理协议与普遍的负压伤口治疗 (NPWT) 应用是降低胸部感染率的独立预测因素.
- 预防性NPWT在接受心脏手术的患者中有效预防胸伤口感染.
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