负压封闭引流技术(VSD)与传统治疗方法对复杂创面修复的临床对照研究
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摘要
目的 观察负压封闭引流技术(vacuum sealing drainage,VSD)治疗复杂创面的临床效果及应用价值。方法 收集2016年3月—2018年12月于该院外科住院的复杂创面患者60例,根据治疗方法分为VSD治疗(治疗组, n=30)和传统治疗(对照组, n=30),对比2组治疗效果、疼痛评分。结果 治疗组治愈、显效、有无效患者数分别为17、 8、 5例,总有效率为83.3%,对照组为23.3%,两组差异有统计学意义(χ~2=24.60, P<0.05)。与治疗前相比,两组患者疼痛评分都显著下降。术后治疗组功能障碍和疼痛评分显著低于对照组,差异有统计学意义(P<0.01)。结论 VSD是能够彻底去除腔隙或创面分泌物和坏死组织,促进创面愈合,对复杂创面治疗疗效显著,缓解治疗期间患者疼痛及心理压力,值得临床推广应用。
Objective To observe the clinical effect and application value of vacuum sealing drainage(VSD) in the treatment of complex wounds. Methods A total of 60 patients with complex wounds hospitalized in our hospital from March 2016 to December 2018 were divided into VSD treatment group(n=30) and traditional treatment group(n=30), and the therapeutic effect and pain score were compared between the two groups. Results The total effective rate of the treatment group was 83.3%, and that of the control group was23.3%. There was a significant difference between the two groups(χ~2=24.60, P < 0.05). Compared with before treatment, the pain scores of both groups decreased significantly. Postoperative results showed that the scores of dysfunction and pain in the treatment group were significantly lower than those in the control group(P<0.01). Conclusion VSD can completely remove lacunae or wound secretion and necrotic tissue, promote wound healing, and treat complex wounds with definite effect. VSD can relieve patients' pain and psychological pressure during treatment. It is worthy of clinical application.
Objective To observe the clinical effect and application value of vacuum sealing drainage(VSD) in the treatment of complex wounds. Methods A total of 60 patients with complex wounds hospitalized in our hospital from March 2016 to December 2018 were divided into VSD treatment group(n=30) and traditional treatment group(n=30), and the therapeutic effect and pain score were compared between the two groups. Results The total effective rate of the treatment group was 83.3%, and that of the control group was23.3%. There was a significant difference between the two groups(χ~2=24.60, P < 0.05). Compared with before treatment, the pain scores of both groups decreased significantly. Postoperative results showed that the scores of dysfunction and pain in the treatment group were significantly lower than those in the control group(P<0.01). Conclusion VSD can completely remove lacunae or wound secretion and necrotic tissue, promote wound healing, and treat complex wounds with definite effect. VSD can relieve patients' pain and psychological pressure during treatment. It is worthy of clinical application.
引文
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[3]韩凌.VSD在难愈性压疮患者愈合中的效果评价[J].青海医药杂志,2017,47(3):37-38.
[4]张红燕.负压封闭引流技术(VSD)在深部难治性创面修复中的应用观察[J].医学前沿,2016,6(12):213-214.
[5]霍春华,陈周刚,周洋,等.负压引流术在四肢复杂创面中的应用[J].中国骨与关节损伤杂志,2013,28(5):99.
[6]朱贤燕,戴莲,卞丽艳,等.两种预防负压封闭引流术引流管堵塞方法的研究分析[J].护理实践与研究,2017,14(4):123-125.
[7]周晓彬,张华,王江泳,等.封闭式负压引流结合关节腔冲洗治疗化脓性膝关节炎[J].生物骨科材料与临床研究,2015,12(4):65-67.
[8]虞萍,周雪珍,陈亚,等.糜蛋白酶联合负压引流治疗腹部感染切口的效果观察[J].护理实践与研究,2015,16(3):50-51.
[9]李振,李海峰,石磊,等.负压封闭引流技术(VSD)在脊柱手术部位感染的应用与研究进展[J].中国医学装备,2017,14(5):144-148.
[10]王英,李红晨.负压封闭引流技术在骨科感染创面的应用[J].中华医院感染学杂志,2012,22(8):1602-1603.
[2]华少霞.负压封闭引流技术(VSD)对各种复杂创面修复的临床研究[J].临床研究,2003(6):80-81.
[3]韩凌.VSD在难愈性压疮患者愈合中的效果评价[J].青海医药杂志,2017,47(3):37-38.
[4]张红燕.负压封闭引流技术(VSD)在深部难治性创面修复中的应用观察[J].医学前沿,2016,6(12):213-214.
[5]霍春华,陈周刚,周洋,等.负压引流术在四肢复杂创面中的应用[J].中国骨与关节损伤杂志,2013,28(5):99.
[6]朱贤燕,戴莲,卞丽艳,等.两种预防负压封闭引流术引流管堵塞方法的研究分析[J].护理实践与研究,2017,14(4):123-125.
[7]周晓彬,张华,王江泳,等.封闭式负压引流结合关节腔冲洗治疗化脓性膝关节炎[J].生物骨科材料与临床研究,2015,12(4):65-67.
[8]虞萍,周雪珍,陈亚,等.糜蛋白酶联合负压引流治疗腹部感染切口的效果观察[J].护理实践与研究,2015,16(3):50-51.
[9]李振,李海峰,石磊,等.负压封闭引流技术(VSD)在脊柱手术部位感染的应用与研究进展[J].中国医学装备,2017,14(5):144-148.
[10]王英,李红晨.负压封闭引流技术在骨科感染创面的应用[J].中华医院感染学杂志,2012,22(8):1602-1603.