负压封闭引流术在电烧伤创面治疗中的应用研究

The application of vacuum sealing drainage in electric burn wound treatment

目的探讨负压封闭引流术(VSD)在电烧伤创面治疗中的临床效果。方法将60例电烧伤患者随机分为观察组和对照组各30例,两组患者均积极完善术前检查,给予常规治疗和创面处理,对照组创面采用碘伏油纱包扎和传统方法换药,观察组采用VSD治疗。结果观察组患者创面清洁时间和愈合时间均早于对照组,差异有统计学意义(P<0.05);观察组患者术后皮片成活优率为96.67%,明显高于对照组的70.00%,差异有统计学意义(P<0.05);两组患者治疗1周后血管内皮生长因子和表皮生长因子水平较治疗前均增加(P<0.05),但是观察组患者增加幅度更大(P<0.05)。结论 VSD应用于电烧伤创面治疗中,可有效促进创面组织生长,缩短创面愈合时间,提高创面愈合质量,值得临床推广应用。

Objective To investigate the negative pressure to the clinical effect of the closed drainage （VSD） in the treatment of electrical burn wounds, to improve the quality of electrical burn wound healing. Methods 60 patients were randomly divided into observation group and control group, the patients were actively improved the preoperative examination, received conventional therapy and wound treatment, control group wound with povidone iodine gauze and traditional methods of dressing, observationgroup with VSD. Results The patients wound cleaning time and healing time are earlier than the control group, the difference was statistically significant （P〈0. 05） The patients postoperative skin graft survival superior rate of 96.67%, significantly higher than 70.00%, the differenceThere was a significant （P〈0. 05） vascular endothelial growth factor and epidermal growth factor levels in the two groups of patients one week after treatment than before treatment were increased （P〈0. 05）, but the observation group were increased more （P〈0.05）. Conclusion VSD used in the treatment of electrical burn wounds can effectively promote the growth of wound tissue, shorten wound healing time, improve wound healing quality, it is worthy of clinical application.