负压封闭引流技术(VSD)治疗难愈性创面的效果观察

目的观察负压封闭引流技术治疗难愈性创面的临床疗效,探讨护理方法。方法选择2010年10月至2012年2月在我院住院治疗的有难愈性创面患者48例,随机分配为观察组和对照组各24例,对照组给予常规的清创、换药处理。观察组则在清创后采取负压封闭引流进行治疗,观察并记录两组患者创面清洁情况,创面愈合率以及创面愈合时间。结果观察组患者创面进入红期的所需时间及创面愈合时间均较对照组缩短,创面愈合率高于对照组观察组的创面总愈合率高于对照组,差异有统计学意义(P<0.05)。结论负压封闭引流技术治疗难愈性创面疗效优于传统的常规换药方法,值得临床推广。

The Observation of Therapeutic Effect for Refractory Wound Healing by Vacuum Sealing Drainage (VSD)

Objective To observe the clinical effects for refractory wound healing by vacuum sealing drainage（VSD）,and research nursing ways.Method Chose 48 patients with refractory wounds hospitalized in our hospital from October 2010 to February 2012,and randomly assigned to observation group and control group with 24 cases in each group.The control group was treated with typical debridement and change dressings,and the observation group was treated with vacuum sealing drainage（VSD） after debridement.Observed and recorded the wound cleanness,healing rate and healing time.Results Wound changing ruddy time and wound healing time of observation group treated with vacuum sealing drainage（VSD） were shorter than that in control group,and both healing rate and total healing rate were higher than that of control group.There was obvious difference between two groups（P〈0.05）.Conclusion The therapeutic effect for refractory wound healing by vacuum sealing drainage（VSD） is superior to that of traditional dressing change,and it is worth utilizing widely in the clinic.