负压封闭引流术在大面积烧伤患者中的应用  

Application of vacuum sealing drainage in patients with extensive burn

作　　者：张博[1] 胥学冰[1] 唐亦复 张桂全[1] 林麟[1] 

机构地区：[1]武警辽宁总队医院烧伤科,沈阳110034

出　　处：《武警医学》2012年第12期1036-1038,共3页Medical Journal of the Chinese People's Armed Police Force

摘　　要：目的探讨负压封闭引流(vacuum sealing drainage,VSD)在大面积烧伤患者创面修复中的疗效。方法我院2009-03至2012-03收治60例大面积烧伤患者,随机分为VSD治疗组30例和常规治疗组30例,前者清创后给予VSD负压吸引,后者行非手术换药治疗,两组均在创面新鲜,形成肉芽后分期分批行头部取皮游离植皮修复创面,比较两组疗效。结果VSD治疗组无创面脓毒症患者肉芽生长时间(9.05±2.95)d、植皮成活率(90.12±4.88)%、创面愈合时间(60.25±11.75)d;创面脓毒症患者肉芽生长时间(10.23±1.77)d、植皮成活率(86.48±2.52)%、创面愈合时间(64.52±7.48)d,2例死亡。常规治疗组无创面脓毒症患者肉芽生长时间(14.78±5.22)d、植皮成活率(70.05±9.95)%、创面愈合时间(80.16±10.84)d;创面脓毒症患者肉芽生长时间(16.15±3.85)d、植皮成活率(65.14±4.86)%、创面愈合时间(85.03±5.97)d,死亡8例。结论 VSD可控制大面积烧伤患者创面感染,促进肉芽组织生长,提高植皮成活率,缩短创面愈合时间,降低病死率。Objective To evaluate the clinical curative effect of applying vacuum sealing drainage（VSD） therapy in treating extensive burns.Methods The medical records of 60 extensive burn patients admitted to this hospital from March 2009 to March 2012 were retrospectively analyzed.Grouped according to the treatment,30 cases of VSD group received vacuum aspiration after debridement,and 30 cases of conventional therapy group received conservative dressing.In both groups with fresh wound and after formation of granulation,the skin was taken from the head free skin,was grafted to repair the burn wound.Results In VSD group,in patients without wound sepsis,the granulation time was（9.05±2.95）d,the skin graft survival rate was（90.12±4.88）%,and time of wound healing was（60.25±11.75）d;in patients with wound sepsis,the granulation time was（10.23±1.77）d,skin graft survival rate was（86.48±2.52）%,and wound healing time was（64.52±7.48） d,and two cases died.In the conventional treatment group,in patients without wound sepsis,the granulation time was（14.78±5.22） d,skin graft survival rate was（70.05±9.95）%,wound healing time was（80.16±10.84） d;in patients with wound sepsis,the granulation time was（16.15±3.85）d,skin graft survival rate was（65.14±4.86）%,wound healing time was（85.03±5.97）d,and five cases died.The differences were tatistically significant（P0.05）.Conclusions Compared with conventional dressing,VSD controls the wound infections,promotes the growth of granular tissues,increases graft survival rate,shortens the healing time of wound,enhances the patients＇ general conditions,and reduces the rate of complications and mortality.

关 键 词：负压封闭引流 大面积烧伤 创面愈合 

分 类 号：R473.6[医药卫生—护理学]