VSD联合自体富血小板血浆凝胶在糖尿病慢性难愈合创面植皮治疗中的应用  

Application of VSD Combined with Autologous Platelet-Rich Plasma Gel in Skin Grafting Treatment of Chronic Refractory Diabetic Wounds

作　　者：王鸿彬 程杰 WANG Hongbin;CHENG Jie(Inner Mongolia mental health center,The third hospital of Inner Mongolia autonomous region,Psychosomatic health examination and health center,Hohhot,Inner Mongolia 010030;The sccond affiliated hospital of Inner Mongolia medical university)

机构地区：[1]内蒙古自治区精神卫生中心,内蒙古自治区第三医院,心身健康体检保健中心,内蒙古呼和浩特010030 [2]内蒙古医科大学第二附属医院

出　　处：《中国伤残医学》2024年第1期53-57,共5页Chinese Journal of Trauma and Disability Medicine

基　　金：内蒙古医科大学校百万课题(项目编号:YKD2018KJBW(LH)012);内蒙古自治区高等学校科学技术研究项目(项目编号:NJZY22673)。

摘　　要：目的:分析持续封闭负压引流技术(VSD)联合自体富血小板血浆凝胶(APG)在糖尿病慢性难愈合创面植皮治疗中的应用。方法:选取内蒙古自治区第三医院2021年2月—2022年6月收治的80例糖尿病慢性难愈合创面患者为研究对象。随机分为观察组(n=37)和对照组(n=43)。对照组清创术后采用VSD覆盖创面,观察组清创后将APG均匀的敷在创面上,再用VSD覆盖创面,待2组创面达到移植皮片的条件时进行植皮术。比较2组创面植皮前细菌清除度、植皮前肉芽组织增长率、植皮前肉芽组织生长厚度、创面愈合率、创面愈合速率和疗效指标。结果:观察组创面细菌清除度、植皮前肉芽组织增长率、植皮前肉芽组织生长厚度、创面愈合率、创面愈合速率均优于对照组,组间差异有统计学意义(P<0.05)。观察组创面愈合时间短于对照组,治疗总有效率高于对照组,组间差异有统计学意义(P<0.05)。结论:VSD联合APG能有效促进糖尿病慢性难愈合创面患者肉芽组织生长、缩短创面愈合时间和提高创面植皮愈合质量,提高治疗效果。Objective:To analyze the application of continuous closed negative pressure drainage(VSD)combined with autologous platelet-rich plasma gel(APG)in skin grafting treatment of chronic refractory diabetic wounds.Methods:80 patients with chronic refractory diabetic wounds admitted to The third hospital of Inner Mongolia autonomous region from February 2021 to June 2022 were selected as the study objects.They were randomly divided into an observation group(n=37)and a control group(n=43).After debridement,the wound was covered by VSD in the control group.After debridement,APG was evenly applied on the wound in the observation group,and then VSD was applied to cover the wound.Skin grafting was performed when the wound of the two groups reached the condition of skin graft.Bacterial clearance before skin grafting,growth rate of granulation tissue before skin grafting,growth thickness of granulation tissue before skin grafting,wound healing rate,wound healing rate and curative effect indexes were compared between the two groups.Results:The bacterial clearance,growth rate of granulation tissue before skin grafting,growth thickness of granulation tissue before skin grafting,wound healing rate and wound healing rate of observation group were better than those of control group,and the difference was between the two groups statistically significant(P<0.05).The wound healing time of the observation group was shorter than that of the control group,and the total effective rate was higher,the diference was statistically significant(P<0.05).Conclusion:VSD combined with APG can effectively promote the growth of granulation tissue,shorten the time of wound healing,improve the healing quality of wound skin grafting and improve the therapeutic effect.

关 键 词：糖尿病 慢性难愈合创面 VSD APG 

分 类 号：R641[医药卫生—外科学]