可调节负压创伤治疗技术在烧伤肉芽创面植皮术后的应用  

The application of regulated negative pressure wound therapy after skin grafting surgery on granulation tissue after burns

作　　者：钟武[1] 李绍兰[1] 杨帆[1] 陈睦虎[1] 余平贵[1] 郭力[1] 

机构地区：[1]泸州医学院附属医院急诊科,四川泸州64600

出　　处：《中国当代医药》2014年第1期54-56,共3页China Modern Medicine

摘　　要：目的观察可调节负压创伤治疗技术(RNPT)应用在烧伤后肉芽组织创面植皮术后的临床效果。方法将60例烧伤患者肉芽创面植皮术后随机分为对照组、治疗组和观察组,每组20例。观察组采用RNPT,治疗组采用简易负压吸引创面治疗,对照组采用加压包扎换药治疗;分别于术后7 d观察创面情况,比较各组皮片存活率、创面细菌感染率以及患者的创面愈合时间。结果观察组术后7 d皮片存活率高于治疗组和对照组,观察组和治疗组创面细菌感染率低于对照组,差异有统计学意义(P<0.05)。结论 RNPT较简易负压吸引、普通换药治疗烧伤肉芽创面植皮术后更能促进皮片存活与生长,降低创面感染率,缩短创面愈合时间,减轻患者痛苦,取得了满意的临床效果。Objective To observe the clinical effect of regulated negative pressure wound therapy after skin grafting surgery on granulation tissue after burns.Methods Total 60 patients after skin grafting surgery on granulation tissue af- ter burn wounds were randomly divided into observation group,treatment group and control group with 20 cases in each group.Observation group were given adjustable suction wound,treatment group were used a simple suction wound treat- ment,the control group was bandaged dressing treatment.The skin graft survival rate, wound infection rate and the wound healing time in each group was compared after surgery for 7 days.Results After surgery for 7 days,skin graft survival rate of observation group was superior to the other two groups,wound infection rate of observation group and treatment group was lower than that of control group （P〈0.05）.Conclusion Regulated negative pressure wound therapy technique can promote the skin graft survival and growth,reduce the chance of wound infection,shorten the wound healing time,al- leviate the suffering and achieve the satisfactory clinical effect.

关 键 词：可调节负压创伤治疗技术 烧伤 肉芽组织 皮片植皮术 

分 类 号：R644[医药卫生—外科学]