Drainobag法引流手术在儿童软组织感染中的应用效果分析

目的评估Drainobag法引流手术在儿童软组织感染治疗中的临床应用效果。方法收集2011年4月至2018年4月因软组织感染并接受手术治疗的共2136例患儿的相关资料。将行切开引流手术(open incision and drainage,I&D)的患儿作为I&D组(972例),行Drainobag法引流手术的患儿作为Drainobag组(1164例)。I&D组中,男480例,女492例;年龄为(6.5±6.3)岁。Drainobag组中,男544例,女620例;年龄为(6.2±5.9)岁。两组患儿的手术均由同一组医生完成,术后均按照专家共识或者药敏结果选择有效的抗生素行抗感染治疗,均在门诊随访。比较两组患儿手术后的治疗时间、换药次数以及术后换药时的改良面部表情评分(FLACC评分)。结果Drainobag组患儿手术后的治疗时间明显缩短、换药次数明显减少,差异具有统计学意义(P<0.001)。Drainobag组患儿术后换药时的FLACC评分比I&D组患儿的明显降低,差异具有统计学意义(P<0.001)。Drainobag组患儿术后无脓肿复发,I&D组有15例患儿术后于术前相同部位复发脓肿,再次行手术治疗。结论Drainobag法引流手术安全、有效而且明显减轻了患儿换药时的痛苦,可在儿童软组织感染治疗中推广使用。

Clinical application of Drainobag drainage in the treatment of soft tissue infection in children

Objective To evaluate the clinical application of Drainobag drainage for soft tissue infection in children.Methods From April 2011 to April 2018,a total of 2136 surgical children with soft tissue infection were recruited.Based upon open incision and drainage(I&D),they were divided into I&D group(n=972)and drainobag group(n=1164).There were 480 boys and 492 girls with an age range of(6.5±6.3)years in I&D group and 544 boys and 620 girls with an age range of(6.2±5.9)years in Drainobag group.All operations were performed by the same group of surgeons in the operating room.Antibiotics were prescribed for two groups according to expert consensus or drug sensitivity results.Outpatient follow-ups were conducted.Treatment duration,frequency of dressing changing and Faces Legs Activity Cry Consolability(FLACC)score during changing dressing were compared between two groups.Results Treatment duration was significantly shorter in Drainobag group and the frequency of dressing changing decreased markedly(P<0.001).The mean FLACC score was significantly lower in Drainobag group than that in I&D group(P<0.001).There was no recurrence of abscess in Drainobag group and 15 children recurred in I&D group at the same site.Conclusions Both safe and effective for soft tissue infection,Drainobag drainage may significantly relieve the pain of dressing changing in children.