负压封闭引流治疗皮肤软组织缺损感染创面的护理

Nursing of patients with vacuum sealing drainage(VSD) for infectious wounds with skin and soft tissue defects

目的探讨负压封闭引流(VSD)治疗皮肤软组织缺损感染创面的护理体会。方法本组收治患皮肤软组织缺损感染创面者16例,术前心理护理,术后病情观察,制定好相应的护理措施。结果 5例创面植皮后愈合,3例创面直接缝合愈合,8例转移皮瓣全部成活。结论准确、有效、及时的护理是取得良好疗效的关键。此方法操作简单,可避免患者每日换药的痛苦,减少伤口感染,愈合快。

Objective To explore the nursing of vacuum sealing drainage（VSD） for infected wounds with skin and soft tissue defects. Methods The study included 16 patients with infected wounds of skin and soft tissue defects. Preoperative psychological care was given, postoperative observation was conducted and appropriate nursing measures were made. Results Five cases of wound healed after skin grafting, 3 cases of wound healed after direct suture and 8 cases of flap survived completely. Conclusion Accurate, effective and timely nursing is key to good effect. This method is simple and it has advantages such as fewer pains in changing dressings, less wound infection and faster recovery.