创伤负压治疗技术治疗糖尿病足溃疡的研究进展

Advances in treatment of diabetic foot ulcers by negative pressure wound therapy

糖尿病足是导致我国糖尿病患者致残、致死的严重慢性并发症之一,不仅给患者带来沉重的心理负担,还造成沉重的家庭及社会负担。创伤负压治疗(negative pressure wound therapy,NPWT)技术是近年来用于治疗各类急、慢性创面的疗法,在糖尿病足溃疡的治疗方面取得了良好的效果。NPWT包括负压辅助闭合(vacuum assisted closure,VAC)和负压封闭引流(vacuum sealing drainage,VSD)两种模式。该文概述NPWT发展沿革、促进伤口愈合的作用机制,比较了VAC和VSD两种负压封闭技术的原理和作用差异。

Diabetic foot is one of the serious chronic complications leading to disability and death of diabetic patients in China, which not only brings heavy psychological burden to the patients, but also causes heavy family and social burdens. Negative pressure wound therapy(NPWT) is used in recent years for the treatment of various acute and chronic wounds, and has achieved good results in the treatment of diabetic foot ulcers. NPWT includes two modes: vacuum assisted closure(VAC) and vacuum sealing drainage(VSD). This paper summarizes the development of NPWT and the mechanism of promoting wound healing, and compares the principles and functions of VAC and VSD.