负压创面治疗技术在烧伤科创面治疗中的并发症分析

Analysis the Complications in the Treatment of Wounds with Negative-Pressure Wound Therapy at the Department of Burn

目的探讨研究负压创面治疗技术(NPWT)在烧伤科创面治疗过程中常见的并发症,并分析出现并发症的可能原因、表现及相应的防治措施。方法回顾分析2015年2月-2017年11月于成都市第二人民医院烧伤整形科住院,并使用NPWT治疗创面的病例资料110例。结果 NPWT治疗期间,110病例中出现并发症35例,约占总病例数31.8%,其中装置漏气、漏液约占14例,引流通道堵塞11例,泡沫敷料植入5例,创面感染3例,创面出血2例,5病例出现两种或两种以上的并发症,约占总病例数4.5%。结论通过采取有效的预防和治疗措施,可以降低NPWT治疗期间并发症发生率,充分发挥其在辅助创面治疗中的优势,为创面修复创造良好的条件,提高创面的愈合速度和质量。

Objective To explore the common complications of negative-pressure wound therapy(NPWT) in the treatment of wounds at the Department of Burn, and to analyze the possible reasons, performance and the corresponding control measures. Methods Clinical data of 110, who were treated wounds with NPWT in the Burns and Plastic Surgery Department of the Second People’s Hospital of Chengdu from February 2015 to November 2017, were retrospectively analyzed. Results During NPWT treatment, there were 35 complications in 110 cases, accounting for about 31.8% of the total cases, including devices with air leakage or liquid leakage in 14 cases, drainage channel blockage in 11 cases, implantation of foam dressings in 5 cases, wound infection in 3 cases, wound bleeding 2 cases and 5 cases had two or more complications, accounting for about 4.5% of the total cases. Conclusion By adopting effective prevention and treatment measures, the incidence of complications during NPWT treatment can be reduced, and its advantages in auxiliary treatment of wounds can be fully utilized to create favorable conditions for the wound repair and improve the healing speed and quality of wounds.