低张力缝合结合负压封闭冲洗引流术治疗3～4期压力性损伤
摘要
目的:研究低张力缝合结合负压封闭冲洗引流术(VSD)治疗3～4期压力性损伤的临床效果。方法:选取2013年1月至2018年12月乐昌市中医院收治的3～4期压力性损伤患者38例,随机分为对照组(传统换药)和观察组(低张力缝合结合VSD),每组各19例。治疗3周后,比较两组患者治疗期间的换药时疼痛强度及3周褥疮创面疗效评价。结果:3～4期压力性损伤患者采取低张力缝合结合负压封闭引流术治疗,其换药时疼痛强度及3周褥疮创面疗效评价明显优于传统换药,组间比较,差异均具有统计学意义(P <0.05)。结论:临床实践证明低张力缝合结合VAS治疗3～4期压力性损伤具有良好的效果。
引文
[1]褚万立,郝岱峰.美国国家压疮咨询委员会2016年压力性损伤的定义和分期解读[J].中华损伤与修复杂志:电子版,2018,13(1):64-68.
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[6]熊舒原,黄祖根,熊春林,等.VSD技术治疗难治性创面的临床疗效观察[J].福建医科大学学报,2013,47(3):176-179.
[7]李善友,郝岱峰,李涛,等.负压封闭引流技术治疗对压疮创面组织细菌量的影响[J].中华损伤与修复杂志:电子版,2014,9(1):57-58.
[8]Nakazawa T,Yasuhara H,Shigematsu K,et a1.Smooth muscle cell migration induead by shear-loaded platelets and endothelial cells.Enhanced platelet-derived growth factor production by shear-loaded platelets[J].Int Angiol,2000,19(2):142-146.
[9]牛占国,高雁,万里,等.清创缝合术结合双负压封闭引流技术修复压疮[J].局解手术学杂志,2016,25(8):589-591.
[10]苑博,梁海东,王寿宇,等.新型拉杆式即时皮肤扩张器治疗肢体皮肤缺损[J].中国矫形外科杂志,2017,28(4):371-373.
[11]Marchi M,Battaglia S,Marchese S,et al.Surgical reconstructive procedures for treatment of ischial,sacral and trochanteric pressure ulcers[J].G Chir,2015,36(3):112-116.
[12]Erne H,Schmauss D,Schmauss V,et al.Postoperative negative pressure therapy significantly reduces flap complications in distally based peroneus brevis flaps:experiences from 74 cases[J].Injury,2016,47(6):1288-1292.
[2]National Pressure Ulcer Advisory Panel,European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance.Prevention and treatment of pressure ulcers:clinical practice guideline[M].Emily Haesler(Ed.)Perth:Cambridge Media,2014.
[3]万里,牛占国,张红安,等.创缘丝线持续牵引法治疗Ⅳ期压疮48例[J].中华烧伤杂志,2013,29(6):568-569.
[4]Bliss M.Selection criteria for systematic literature reviews[J].J Tissue Viability,2001,11(4):173-174.
[5]刘三风,刘志豪,戴志波.负压封闭引流技术(VSD)对各种复杂创面修复的临床研究[J].当代医学,2009,15(6):66-68.
[6]熊舒原,黄祖根,熊春林,等.VSD技术治疗难治性创面的临床疗效观察[J].福建医科大学学报,2013,47(3):176-179.
[7]李善友,郝岱峰,李涛,等.负压封闭引流技术治疗对压疮创面组织细菌量的影响[J].中华损伤与修复杂志:电子版,2014,9(1):57-58.
[8]Nakazawa T,Yasuhara H,Shigematsu K,et a1.Smooth muscle cell migration induead by shear-loaded platelets and endothelial cells.Enhanced platelet-derived growth factor production by shear-loaded platelets[J].Int Angiol,2000,19(2):142-146.
[9]牛占国,高雁,万里,等.清创缝合术结合双负压封闭引流技术修复压疮[J].局解手术学杂志,2016,25(8):589-591.
[10]苑博,梁海东,王寿宇,等.新型拉杆式即时皮肤扩张器治疗肢体皮肤缺损[J].中国矫形外科杂志,2017,28(4):371-373.
[11]Marchi M,Battaglia S,Marchese S,et al.Surgical reconstructive procedures for treatment of ischial,sacral and trochanteric pressure ulcers[J].G Chir,2015,36(3):112-116.
[12]Erne H,Schmauss D,Schmauss V,et al.Postoperative negative pressure therapy significantly reduces flap complications in distally based peroneus brevis flaps:experiences from 74 cases[J].Injury,2016,47(6):1288-1292.