负压伤口治疗系统对于静脉关闭的有用性
Chisato Shirakawa1, Yuzuru Sakamoto1,2, Shinya Ueki1
1Department of Gastroenterological Surgery, Japan Community Health Care Organization Hokkaido Hospital 8-3-18, Nakanoshima 1-jo, Toyohira-ku, Sapporo, 062-8618, Japan.
负压伤口疗法 (NPWT) 使用PICO带带囊串静脉关闭减少了手术部位感染和止痛药的需求. 这种方法还缩短了接受静脉关闭的患者的住院时间.
科学领域:
- 手术瘤学手术瘤学
- 伤口愈合 治愈 伤口愈合
- 医疗器械 医疗器械
背景情况:
- 在口腔关闭后的伤口感染率仍然是一个重大的临床问题.
- 负压伤口治疗 (NPWT) 已证明在加速各种伤口类型的愈合方面具有有效性.
- 皮科伤口是一个便携式,一次性使用的NPWT系统,适合门诊使用.
研究的目的:
- 评估PICO伤口在治疗口腔关闭伤口方面的有效性.
- 为了比较标准的腰包链关闭和与PICO结合的腰包链关闭之间的术后结果.
主要方法:
- 在2012年3月至2021年7月期间,对35名患者进行了口腔关闭的回顾性分析.
- 患者被分为两组:单独封闭 (PC) 和使用PICO (PCP) 封闭.
- 评估的结果包括手术部位感染 (SSI) 率,疼痛药物需求和术后住院时间.
主要成果:
- 与PCP组相比,PCP组的住院时间明显较短 (p=0.04).
- 在PCP组中观察到较低的手术部位感染 (SSI) 率 (p=0.04) 和减少的止痛药使用 (p<0.01).
- 患上SSI的患者的结肠切除率高于结肠切除的患者,需要更多的止痛药和更长的住院时间.
结论:
- 结合PICO带和带关闭似乎是一个有效的策略,以防止SSIs后口腔关闭.
- 这种综合方法也可能有助于更好的术后疼痛管理.
- 研究结果表明,PICO NPWT可以改善短时间内静脉关闭的结果.
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