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封闭灌和排水与重复的伤口带变化的比较,用于脊椎外科手术中的阴茎骨骨捐赠者部位感染

Xiaodan Li¹, Qiang Xiao², Ji-Huan Zeng²

¹School of Health Management, Nanchang Medical College, Nanchang, People's Republic of China.

Journal of pain research

|April 14, 2025

概括

封闭灌和排水 (CIAD) 在脊椎手术后治疗骨捐体部位感染方面比重复的伤口带更换 (RWDC) 更有效. CIAD可以减少住院时间,抗生素治疗时间,医疗费用和患者的疼痛.

科学领域:

整形外科手术整形外科手术
传染病管理传染病管理
手术并发症治疗方法手术并发症治疗方法

背景情况:

骨捐赠部位感染 (BDSI) 是脊髓手术中骨收获后的一个重要并发症.
传统治疗包括重复改变伤口带 (RWDC),往往导致长时间住院和患者不适.

研究的目的:

为了回顾地比较封闭灌和排水 (CIAD) 与RWDC在管理BDSI中的有效性.
评估两种治疗方法之间的住院时间,抗生素持续时间,医疗费用和疼痛水平的差异.

主要方法:

在15年的脊椎手术后,对21名BDSI患者进行了回顾性分析.
12名患者接受了RWDC治疗,9名患者接受了CIAD治疗.
收集的数据包括基线特征,实验室结果,病原体识别,治疗持续时间,疼痛评分 (VAS),住院,成本和结果.

主要成果:

在RWDC和CIAD组之间没有观察到基线特征的显著差异.
与RWDC相比,CIAD显著减少了住院时间 (16.5 vs. 23.7天),较短的抗生素持续时间 (5.3 vs. 6.7周) 和较低的医疗费用.
虽然最初的疼痛得分相似,但CIAD导致视觉模拟尺度 (VAS) 疼痛得分在第3天,第7天和出院时显著降低.

结论:

封闭灌和排水 (CIAD) 是脊椎外科手术患者的骨捐赠部位感染 (BDSI) 的优质治疗方式.
与重复的伤口带更换 (RWDC) 相比,CIAD提供了显著的优势,通过减少住院时间,抗生素使用,治疗成本和患者报告的疼痛.
这些发现支持采用CIAD作为管理BDSI的首选方法,以改善患者的治疗结果和资源利用.

关键词:

骨捐体部位感染感染骨捐体部位感染并发症可能导致并发症.疼痛疼痛疼痛疼痛脊柱外科手术脊柱外科手术伤口愈合伤口愈合

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