持续封闭负压引流技术在难愈性创面修复中的应用效果  

Application effect of vacuum-sealing drainage technology in the repair of refractory wounds

作　　者：张倩 ZHANG Qian(Department of Burns and Plastic Surgery,Linyi Central Hospital,Shandong Province,Linyi276499,China)

机构地区：[1]山东省临沂市中心医院烧伤整形外科,山东临沂276499

出　　处：《中国医药导报》2024年第17期116-119,共4页China Medical Herald

摘　　要：目的 探讨持续封闭负压引流技术在难愈性创面修复中的应用效果。方法 收集2017年6月至2023年6月山东省临沂市中心医院收治的104例难愈性创面患者,采用随机数字表法将其分为研究组和对照组,各52例。对照组接受常规换药治疗,观察组实施持续封闭负压引流治疗。评价两组病例创面愈合情况。比较两组治疗前后瘢痕评分(厚度、色泽、柔软度、血管分布)、血清炎症因子指标、疼痛评分、舒适度评分、生活质量评分。结果 研究组创面愈合情况优于对照组,差异有统计学意义(P<0.05)。治疗前,两组瘢痕厚度、色泽、柔软度、血管分布评分比较,差异无统计学意义(P>0.05);治疗后,两组瘢痕厚度、色泽、柔软度、血管分布评分均较治疗前降低,且研究组低于对照组,差异有统计学意义(P<0.05)。治疗前,两组C反应蛋白、白细胞介素-6、降钙素原比较,差异无统计学意义(P>0.05);治疗后,两组C反应蛋白、白细胞介素-6、降钙素原均较治疗前降低,且研究组低于对照组,差异有统计学意义(P<0.05)。治疗前,两组疼痛和舒适度评分比较,差异无统计学意义(P>0.05);治疗后,两组疼痛评分均较治疗前降低,舒适度评分均较治疗前升高,且研究组疼痛评分低于对照组,舒适度评分高于对照组,差异有统计学意义(P<0.05)。治疗前,两组生理、心理、社交、环境评分比较,差异无统计学意义(P>0.05);治疗后,两组生理、心理、社交、环境评分均较治疗前升高,且观察组高于对照组,差异有统计学意义(P<0.05)。结论 应用持续封闭负压引流技术修复难愈性创面效果较明显,可以减轻创面炎症反应和疼痛感,减轻瘢痕情况,提升患者的舒适度和生活质量水平。Objective To investigate the effect of vacuum-sealing drainage technology in the repair of refractory wounds.Methods A total of 104 cases of refractory wounds admitted to Linyi Central Hospital,Shandong Province from June 2017 to June 2023 were collected and they were divided into the study group and the control group by random number table method,with 52 cases in each group.The control group received routine dressing change treatment,and the study group received vacuum-sealing drainage treatment.The wound healing of the two groups was evaluated.Scar score(thickness,color,softness,blood vessel distribution),serum inflammatory factor index,pain score,comfort score,and quality of life score were compared between the two groups before and after treatment.Results The wound healing of the study group was better than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in scar thickness,color,softness,and vascular distribution scores between the two groups(P>0.05),after treatment,scar thickness,color,softness,and vascular distribution scores in two groups were lower than before treatment,and those in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).Before treatment,there were no significant differences in C-reactive protein,interleukin-6,and procalcitonin between the two groups(P>0.05);after treatment,C-reactive protein,interleukin-6,and procalcitonin in two groups were lower than before treatment,and those in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in pain and comfort scores between the two groups(P>0.05),after treatment,the pain score of both groups was lower than before treatment,and the comfort score was higher than before treatment,and the pain score of the study group was lower than that of the control group,and the comfort score was higher

关 键 词：难愈性创面 创面修复治疗 持续封闭负压引流 

分 类 号：R622[医药卫生—整形外科]