| 杨智杰,邱 韵,刘顺强,陈学豪,麦 超.小切口清除血肿联合简易负压封闭引流装置治疗皮下巨大血肿的临床研究[J].,2024,(17):3337-3341 |
| 小切口清除血肿联合简易负压封闭引流装置治疗皮下巨大血肿的临床研究 |
| Evaluation of the Effect of Small Incisionremoval Combined with Simple Closed Negative Pressuredrainage Device in Treatment of Subcutaneous Giant Hematoma |
| 投稿时间：2024-03-31 修订日期：2024-04-15 |
| DOI：10.13241/j.cnki.pmb.2024.17.027 |
| 中文关键词: 皮下巨大血肿 简易封闭负压引流 VSD 血肿穿刺抽吸 |
| 英文关键词: Giant subcutaneous hematoma Simple closed negative pressure drainage VSD Hematoma aspiration by puncture |
| 基金项目:四川省南充市市校合作科研专项基金项目（19SXHZ0056） |
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| 中文摘要: |
| 摘要 目的：评价小切口清除皮下血肿联合简易负压封闭引流装置治疗皮下巨大血肿的临床疗效。方法：本研究选取2021年09月至2023年03月期间川北医学院附属医院急诊医学科收治的94例皮下巨大血肿患者作为研究对象，按照随机数字表法，将94例患者分为接受小切口清除血肿联合简负压封闭引流装置治疗的实验组（47例），接受血肿穿刺抽吸联合加压包扎治疗的对照组（47例）。收集两组患者年龄、性别、血肿部位、致伤原因、入院时疼痛程度[视觉模拟评分法(VAS评分)]等一般资料，出院后对两组患者进行为期3月的随访，收集两组患者血肿愈合时间、治疗第14天VAS评分、治疗费用和皮肤坏死、感染、血肿复发、血管损伤的发生率等临床资料。通过SPSS22.0统计学软件对收集的数据进行统计学分析，对于符合正态分布的数据采用t检验，不符合正态分布的采用非参数检验，定性资料采用卡方检验（χ2检验），当P＜0.05时差异具有统计学意义。结果：1.实验组血肿愈合时间，治疗第14天的VAS评分，治疗费用均低于对照组（P＜0.05）；2.实验组皮肤坏死、感染、血肿复发、血管损伤的发生率均小于对照组（P＜0.05）。结论：小切口清除血肿联合简易负压封闭引流装置在治疗皮下巨大血肿方面可以促进血肿愈合，减轻治疗时的疼痛，减少并发症的发生，而且治疗费用低廉。 |
| 英文摘要: |
| ABSTRACT Objective: To evaluate the clinical effect of small incision removal of subcutaneous hematoma combined with simple negative pressure closed drainage device in the treatment of subcutaneous giant hematoma. Methods: In this study, 94 patients with subcutaneous giant hematoma admitted to the emergency medicine department of Affiliated Hospital of North Sichuan Medical College from September 2021 to March 2023 were selected as the study objects. According to the random number table method, 94 patients were divided into the experimental group (47 cases) that received small incision removal of hematoma combined with simple negative pressure closed drainage device treatment. The control group (47 cases) received hematoma puncture and aspiration combined with pressure dressing. General data such as age, gender, site of hematoma, cause of injury, pain degree at admission [visual analogue scale (VAS scale)] were collected from the two groups of patients. A 3-month follow-up was conducted after discharge. Clinical data such as healing time of hematoma, VAS score on the 14th day of treatment, treatment cost, skin necrosis, infection, recurrence of hematoma and vascular injury were collected in both groups. SPSS22.0 statistical software was used for statistical analysis of the collected data. t test was used for data consistent with normal distribution, non-parametric test was used for data inconsistent with normal distribution, and Chi-square test (χ2 test) was used for qualitative data. When P<0.05, the difference was statistically significant. Results: 1. The healing time of hematoma, VAS score on the 14th day of treatment and treatment cost of the experimental group were lower than those of the control group (P<0.05); 2. The incidence of skin necrosis, infection, hematoma recurrence and vascular injury in the experimental group was lower than that in the control group (P<0.05). Conclusion: Small incision removal of hematoma combined with simple negative pressure closed drainage device in the treatment of subcutaneous giant hematoma can promote the healing of hematoma, reduce the pain during treatment, reduce the occurrence of complications, and the treatment cost is low. |
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