封闭式负压引流治疗四肢皮肤软组织损伤的护理

目的：观察四肢皮肤软组织损伤治疗中使用封闭式负压引流技术（vacuum sealing drainage,VSD）的临床疗效,探讨护理方法。方法：回顾性总结本院2008年3月-2012年4月采用VSD治疗的30例四肢皮肤软组织损伤患者的临床资料及护理疗效。结果：30例患者创面经VSD引流术后植皮完全成活。护理过程中负压引流密闭有效,引流通畅,无感染及并发症发生,护理结果满意。术后随访0.5~3.0年,肢体外观和功能恢复良好。结论：四肢皮肤软组织损伤的治疗中VSD可以一期封闭创口、减少毒素吸收,促进创面愈合,减轻肿胀,减少换药次数,缩短住院时间;护理重点是密切观察负压密闭情况、保持引流通畅。封闭式负压引流是四肢皮肤软组织损伤早期治疗的理想选择。

Vacuum Sealing Drainage in the Treatment of Skin and Soft Tissue Injury Limb Care

Objective： To investigate the clinical efficacy of the vacuum sealing drainage （ VSD ） used to treat injury of limb＇s skin and soft tissue, and to explore nurse methods of it. Method： 30 cases of skin and soft tissue injury treated by VSD in our hospital from March 2008 to April 2012, the clinical data and nursing efficacy about them were retrospectived. Result： 30 patients with postoperative wound drainage after VSD skin graft survived completely. Postoperative follow-up 0.5-3.0 years, physical appearance and functionality of a good recovery. Closed negative pressure drainage and effective nursing care process, drainage unblocked, no infection and complications, nursing the result satisfied. Conclusion： VSD used to treat limb＇s skin and soft tissue injury can reduce the absorption of toxins, promote wound healing, reduce swelling, reduce the number of dressing changes, shorter hospital stays; Care focuses on close observation of the vacuum, maintaining unobstructed drainage. Vacuum sealing drainage is the ideal choice for early treatment of limb＇s skin and soft tissue injury.