封闭式负压引流治疗难愈性创面临床应用研究

Application of VSD in the Treatment of Refractory Wounds

目的:分析对比封闭式负压引流(VSD)与传统换药方法在治疗难愈性创面中的应用效果。方法:选择2012年1月至2014年6月期间烧伤整形科收治的难愈性创面患者60例,随机分为研究组与对照组,每组各30例。对照组患者应用常规清创、换药方法治疗;研究组在常规清创的基础上应用VSD治疗,比较两组创面愈合时间、创面愈合率、换药次数及住院时间。结果:研究组创面愈合时间、换药次数及住院时间显著低于对照组(P<0.05);创面愈合率显著高于对照组(P<0.05)。结论:VSD治疗难愈性创面疗效显著,可以有效减少患者的换药次数,加快创面的愈合时间,操作简便,值得临床推广。

Objective：To analyze the effect of closed negative pressure drainage （ VSD） application and the traditional method of dressing change in the treatment of refractory wounds .Method：Selected 60 patients of refractory wounds from Jan.2012 to Jun.2014 in Burn and Plastic Surgery Dept.of our hospital, they were randomly divided into study group and control group , each with 30 cases.The control treatment group were treated with routine debridement , dressing change method;basic research group in the conventional debride-ment on the application of VSD treatment , compared two groups of wound healing time , wound healing rate and hospitalization time , dressing change times .Result：The wound healing time , dressing change times and duration of hospitalization was significantly lower than the control group （ P〈0.05）; the wound healing rate was significantly higher than that of control group （ P〈0.05） .Conclusion：VSD is very efficacious in treating refractory wound dressing , can effectively reduce the number of patients , accelerate wound healing time , simple operation , is worth the clinical promotion .