关闭切口负压治疗 (ciNPT) 在重血管化手术后患者的有效性和成本效益评估
Róbert Bobák1,2, Martin Ferkodič1,2, Dominik Maduda1,2
12nd Department of Surgery, Center for Vascular Disease, St. Anne's University Hospital Brno, Brno, Czech Republic.
Vascular and endovascular surgery
|August 29, 2025
概括
与传统带相比,封闭切口负压治疗 (ciNPT) 在高风险的血管手术患者中显著降低了伤口愈合并发症. 这种疗法也可以在预防并发症和减少住院时间方面具有成本效益.
科学领域:
- 血管外科
- 伤口的愈合
- 医疗器械
背景情况:
- 部切割伤口愈合并发症 (WHC) 在血管手术中很常见.
- 预防WHC的有效性和成本各不相同.
- 接受重血管化的高危患者需要有效的WHC预防策略.
研究的目的:
- 评估封闭切口负压治疗 (ciNPT) 在高风险血管手术患者中降低WHC的有效性.
- 为了比较ciNPT与常规的结带.
- 评估常规使用ciNPT的成本效益.
主要方法:
- 这是一项前性研究,涉及30名接受大动脉-双关节外科手术的患者 (60名部受伤).
- 每个病人的一个沟伤口接受了ciNPT,而对方则接受了常规带.
- 在术后7日和30日使用Szilagyi分类来评估WHC的伤口. 分析了住院费用和住院时间.
主要成果:
- 与传统包装相比,ciNPT显著降低了WHCs (P = 0. 025).
- 没有ciNPT治疗的伤口延长住院时间.
- WHCs显著增加了住院费用和长期住院时间 (P < 0. 001).
结论:
- 高风险的血管外科手术患者可能会从ciNPT中获益,以减少WHC.
- 常规使用ciNPT可能在经济上有利.
- 需要进一步的研究来完善ciNPT的适用性.
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