负压封闭引流技术联合湿性疗法治疗肿瘤病人难愈性伤口的效果观察  

Effect observation on vacuum sealing drainage combined with moist therapy for cancer patients with refractory wounds

作　　者：刘粉玲[1] 郭燕[2] 张玉姬[2] 

机构地区：[1]郑州大学护理学院,450001 [2]河南省肿瘤医院,450003

出　　处：《全科护理》2016年第9期890-892,共3页Chinese General Practice Nursing

摘　　要：[目的]探讨负压封闭引流技术(VSD)联合湿性疗法治疗肿瘤病人难愈性伤口的效果,以期为寻找治疗肿瘤难愈性伤口的最佳方法提供依据。[方法]入选的32例具有难愈性伤口的肿瘤病人随机分为对照组A(湿性疗法),对照组B(负压引流技术)和干预组(联合治疗组)。在基础处理阶段后,A组病人给予系统的湿性疗法,采用的湿性敷料为藻酸盐和水胶体敷料;B组采用负压封闭引流疗法;干预组采用负压联合湿性序贯疗法,根据伤口创面分期动态选择适当的疗法。干预结束后,观察伤口面积缩小率及肉芽组织覆盖伤口床≥75%的时间,随访2个月,观察比较对照组与干预组的伤口愈合率。[结果]联合治疗组在伤口面积缩小率及肉芽组织覆盖伤口床≥75%的时间均优于单一治疗组(P<0.05)。A组伤口愈合率为60%,B组愈合率81.8%,干预组愈合率90.9%,干预组在愈合率上优于湿性疗法组,与负压引流组相比无明显差异。[结论]负压引流联合湿性疗法进行交替序贯治疗,可显著改善肿瘤病人难愈性伤口治疗效果,加速创面愈合。Objective： To probe into the effectiveness of vacuum sealing drainage combined with moist therapy for cancer patients with refractory wounds,and to provide evidence for looking for better preventions for cancer refractory wounds.Methods： By convenience sampling,a total of 32 cancer patients with refractory wounds were randomly divided into control group A（ moist therapy）,group B（ vacuum assisted closure） and intervention group A ＋ B（ combination therapy group）. After the basic nursing stage,the patients in group A were treated with systemic moist therapy with alginate and hydrocolloid dressing; the patients in group B received VSD method; the patients in（ A ＋ B） group were treated with VSD combined with systemic moist therapy by staging wound bed to select the appropriate method. After the end of intervention,the wound area reduction rate and the time of granulation tissue to cover the wound bed ≥75% were observed; after two months of follow-up,the wound healing rate was observed between control groups and intervention group. Results：Wound area reduction rate and the time of granulation tissue to cover the wound bed ≥75% in combination therapy group were better than that in control groups（ P〈0. 05）. The healing rate of group A was 60%,healing rate in group B81. 8%,healing rate in（ A ＋ B） group was 90. 9%,the healing rate in moist therapy group was better than that in intervention group,but there was no statistically significant difference compared with VSD group. Conclusion： Vacuum sealing drainage combined with moist therapy could effectively improve the treatment effect of cancer patients with refractory wound and accelerate the wound healing.

关 键 词：负压封闭引流 湿性疗法 伤口 

分 类 号：R473.73[医药卫生—护理学]