封闭负压引流技术治疗皮肤撕脱伤的应用与疗效观察  

The Therapeutic and Nursing Care Comparison of Vacuum Sealing Drainage to Treat Skin Avulsion Injury

作　　者：方瑛[1] 李建有[1] 刘玲[1] 

机构地区：[1]湖州市中心医院,浙江湖州313000

出　　处：《浙江中医药大学学报》2014年第3期287-288,293,共3页Journal of Zhejiang Chinese Medical University

基　　金：浙江省卫生厅平台骨干人才项目(2012RCB039)~~

摘　　要：[目的]总结封闭负压引流技术(vacuum sealing drainage,VSD)治疗皮肤撕脱伤的应用与疗效。[方法]将2009年2月至2011年2月间我院骨科收治的皮肤撕脱伤患者共42例,随机分为观察组和对照组各21例。观察组采用中厚皮片或真皮下血管网皮瓣结合VSD治疗;对照组皮瓣修整后常规加压包扎治疗,比较两组疗效。[结果]观察组植皮成活率明显高于对照组,换药次数、创面愈合时间、住院时间明显少于对照组,差异有统计学意义(P﹤0.05)。[结论]VSD治疗皮肤撕脱伤,能有效提高皮肤回植成活率并缩短创面愈合时间。[Objective] To summarize the therapeutic and nursing care of vacuum sealing drainage to treat skin avulsion injury. [Methods]We used the method of vacuum sealing drainage combined with split thickness skin graft and pre-and post-operation nursing care to treatment of 21 patients suffering with skin avulsion injury, and compared therapeutic effect with routine therapy group. [Result]Skin graft survival rate in VSD group was higher than in routine therapy group. The dressing change, wound healing time, hospitalization time in VSD group were lower in routine therapy group. [Conclusion] The method of vacuum sealing drainage is good in treatment of intervention skin avulsion injury.

关 键 词：皮肤撕脱伤 VSD 应用干预 

分 类 号：R591[医药卫生—内科学]