改良VSD技术治疗难愈性创面的效果观察  

Effect of improved VSD on refractory wounds

作　　者：曾婷苑[1] 廖金梅[1] 郭惠娟[1] 彭君强[1] 

机构地区：[1]梅州市人民医院烧伤整形外科,广东广州514021

出　　处：《现代临床护理》2012年第6期35-36,共2页Modern Clinical Nursing

摘　　要：目的探讨改良创面负压封闭引流技术(vacuumsealingdrainage,VSD)治疗难愈性创面的效果。方法将61例患有难愈性创面患者,采用随机数字表法分为改良组31例和对照组30例,对照组采用传统的治疗方法,改良组在对照组基础上采用改良VSD技术。比较治疗后两组患者引流管发生堵管、创面细菌培养转阴、创面肉芽生长情况的差异。结果改良组发生堵管3例(9.68%),对照组13例(43.33%);改良组有19例(19/25,76.00%),对照组有10例(10/23,43.47%)细菌培养转阴;改良组有25例(83.33%),对照组有13例(41.94%)肉芽组织生长良好,两组比较,均P<0.05,差异具有统计学意义。结论 VSD技术治疗难愈性创面的效果较好,值得临床推广应用。Objective To explore the effect of improve vacuum sealing drainage （VSD） on refractory wounds. Methods 61 patients with refractory wounds were assigned into the improvement group （n = 31 ） and the control group （n = 30） by random digits table： the former was treated with routine therapy as weil as improved VSD and the latter only with routine therapy. The two groups were compared in terms of obstruction in drainage tube, bacterial culture from wounds and granulation in the wounds. Results Obstruction in drainage tubes occurred in 3 cases of the improved group （9.68%） and 13 cases of the control group （43.33%）, with statistical difference between them （P 〈 0.05）. Negative bacterial cultures were detected in 19 cases of the improved group （76.00%） and in 10 cases of the control group （43.47%）, with statistical difference between them （P 〈 0.05）. Skingrafting after VSD once was performed in 25 cases of the improved group （83.33%） and in 13 eases of the control group （41.94%）, with statistical difference between them （P 〈 0.05）. Conclusion Improved VSD is effective in the treatment of refractory wounds.

关 键 词：难愈性创面 负压封闭引流技术 护理 

分 类 号：R641[医药卫生—外科学]