负压封闭引流(VSD)技术在NPUAP 3、4期压力性损伤患者中的应用及护理  

Application and nursing of vacuum sealing drainage(VSD)in patients with stage 3 and 4 pressure injury of NPUAP

作　　者：王丹[1] 路晓光[1] 纪代红[1] 李建华[1] 张丽丽 崔萍萍 宋馨 王传林[2] 陈庆军[3] 李永武 庄鸿志 康新[1] WANG Dan;LU Xiaoguang;JI Daihong;LI Jianhua;ZHANG Lili;CUI Pingping;SONG Xin;WANG Chuanlin;CHEN Qingjun;LI Yongwu;ZHUANG Hongzhi;KANG Xin(Department of Emergency Medicine,Affiliated Zhongshan Hospital of Dalian University,Dalian 116001,China)

机构地区：[1]大连大学附属中山医院急诊医学科,辽宁大连116001 [2]北京大学人民医院急诊科,北京100044 [3]北京市和平里医院急诊科,北京100013 [4]厦门市第五医院急诊科,福建厦门361101 [5]福建中医药大学附属晋江中医院急诊科,福建晋江362200

出　　处：《中国急救复苏与灾害医学杂志》2020年第3期331-334,共4页China Journal of Emergency Resuscitation and Disaster Medicine

基　　金：大连大学附属中山医院院长基金;大连大学研究生教育教学改革项目(编号:2018-1014);辽宁省自然科学基金指导项目(编号:2019-ZD-0308)。

摘　　要：目的探讨负压封闭引流(vacuum sealing drainage,VSD)技术对国际压疮防治顾问学会(national pressure ul-cer advisory painel,NPUAP)3、4期压力性损伤患者的持效及护理体会。方法选取2017年1月一2018年12月大连大学附属中山医院收治的14例NPUAP 3、4期压力性损伤患者,住院后创面行坏死组织清创术,术后采用VSD对创面进行封闭引流,同时给予抗感染、营养、对症、支持等治疗及护理。结果3、4期压力性损伤患者在VSD治疗后的创面面积为(39.11±9.57)cm^2,较治疗前的(137.9±32.24)cm^2明显缩小,差异有统计学意义(P=0.0036)。VSD还能够显著促进创面肉芽组织的生长,刺激毛细血管增生,加快创面愈合速度。结论采用VSD治疗3、4期压力性损伤可显著缩小创面,促使创面血管再生,加快肉芽姐织生长,促进创面愈合,临床疗效明显,值得临床大力推广应用。Objective To explore the efficacy and nursing experience of vacuum sealing drainage(VSD)in.pressure in jury patients with stage 3,4 four of National Pressure Ulcer Advisory Panel(NPUAP).Methods A total of 14 patients with stage 3,4 pressure injuiy of NPUAP in Affiliated Zhongshan Hospital of Dalian University from January 2017 to December 2018 were selected.After hospitalization,debridement of wound necrotic tissue was performed,then VSD was used to seal and drain the wound after operation,and anti-infection,nutrition,symptomatic treatment and support were also done.Results After VSD treatment,the wound area of patients with stage 3,4 pressure injury was(39.11±9.57)m^2,which was significantly smaller than that before treatment of(137.9±32.24)m^2,the difference was statistically significant(P=0.0036).VSD could also significantly promote the growth of wound granulation tissue,stimulated capil lary proliferation,and accelerated the speed of wound healing.Conclusion VSD could significantly reduce the wound surface,promote wound angiogenesis,accelerate the growth of granulation tissue,and promote wound healing in the treatment of patient with stage 3,4 pressure injury.Its clinical effect is obvious,which is worthy of extensive clinical ap plication.

关 键 词：压力性损伤 负压封闭引流技术 应用 护理 

分 类 号：R459.7[医药卫生—急诊医学]