评价VSD技术治疗在四肢创伤复杂创面中的应用价值

The evaluation of clinical application of the VSD treatment technology in limb trauma complicated wound

目的分析负压封闭引流(VSD)技术治疗在四肢创伤复杂创面中的临床效果及应用价值。方法收集2014年10月~2016年10月于本院住院的80例创伤性四肢骨折患者,根据治疗方式分为VSD治疗(治疗组,n=40)和常规换药治疗(对照组,n=40),并根据整体疗效评价标准和功能障碍评价对比两者的临床效果。结果治疗组痊愈、显效、有效、无效患者数分别为19、15、10、6例,总有效率为90%,而对照组总有效率为72.5%,两组有效率相比,差异具有统计学意义(χ~2=4.267,P﹤0.05)。与治疗前相比,两组患者功能障碍及疼痛评分都显著下降,差异具有统计学意义(P﹤0.01)。手术后结果显示,治疗组功能障碍和疼痛评分显著低于对照组,差异显著(P﹤0.01)。结论 VSD技术和传统换药治疗均能改善四肢创伤复杂创面恢复,但后者可以减少患者痛苦,疗效更加显著,有效率更高。

Objective To explore the clinical application value of vacuum sealing drainage （VSD） in the treatment of complex wounds of limbs. Methods From October 2014 October 2016, 80 patients with traumatic limb fractures, According to the treatment were randomly divided into treatment group and control group, 40 cases, the treatment group using VSD treatment, the control group olden dressing treatment, and according to the overall efficacy evaluation criteria and functional evaluation of the clinical efficacy of the two. Results In the treatment group, the total effective rate was 90%, and the total effective rate was 72.5% in the treatment group which was cured, markedly effective, effective and ineffective （x^2= 4.267, P 〈 0.05）. Compared with before treatment, the treatment group and control group dysfunction and pain scores dropped significantly, the difference is statistically significant （t=4.366, P 〈 0.01 ; t=12.07, P 〈 0.01）, （t=3.508, P 〈 0.01; t=5.252, P 〈 0.01）. The postoperative results showed that the mean scores of dysfunction and pain in the treatment group were significantly lower than those in the control group （t=-2.744, P 〈 0.01; t=4.693, P 〈 0.01）. Conclusion Both VSD and traditional dressing therapy can improve complex wounds recovery of limbs, but the latter can reduce the pain of patients, the curative effect is more remarkable and the efficiency is higher. K