预防性负压伤口治疗在减少手术部位感染的封闭腹部切口:一个随机对照试验
Maharjan Manik1, Amaranathan Anandhi1, Sathasivam Sureshkumar1
1Department of Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
与标准带相比,预防性负压伤口治疗 (PNPWT) 显著减少了手术部位感染 (SSI) 和封闭腹部切口中的血清瘤. 这种创新方法为改善外科创伤护理结果提供了一个有希望的策略.
科学领域:
- 手术创新 在外科创新.
- 伤口管理 伤口管理
- 感染控制 感染控制
背景情况:
- 尽管有进展,手术部位感染 (SSI) 仍然是手术护理的一个重大挑战.
- 关闭的腹部切口容易受到SSI和其他伤口并发症的影响.
- 需要新的预防策略来减少术后并发症的发生率.
研究的目的:
- 评估预防性负压伤口治疗 (PNPWT) 在预防SSI方面的疗效.
- 评估PNPWT对关闭腹部切口的其他伤口并发症的影响.
- 在一项随机对照试验中,将PNPWT与标准手术包裹 (SSD) 进行比较.
主要方法:
- 一个前性的,单中心的,开放的标签,平行臂优势随机对照试验.
- 140名关闭腹部切口的参与者被随机分配到PNPWT或SSD组.
- 评估的结果包括SSI发生率,伤口并发症,住院时间长度和30天内再入院.
主要成果:
- 与SSD组 (28.5%) (p=0.001) 相比,PNPWT组的SSI发病率明显较低 (5.8%).
- 在PNPWT组中观察到血清瘤和表面SSI的发病率较低.
- 两组之间没有发现住院时间或伤口衰变的显著差异.
结论:
- 在封闭的腹部切口中,PNPWT有效地减少了手术部位感染的发生率.
- PNPWT在减少表面SSI和血清瘤形成方面显示出好处.
- PNPWT是一个有价值的预防策略,可以改善外科创伤的结果.
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