聚氨酯泡沫敷料联合VSD技术修复四肢深Ⅱ度烧伤创面

Clinical efficacy of polyurethane foam dressing combined with vacuum sealing drainage technology in the treatment of deep Ⅱ degree burn wounds

目的 探讨聚氨酯泡沫敷料联合负压封闭引流(VSD)技术修复四肢深Ⅱ度烧伤创面患者的临床疗效。方法 选择2019年1月至2020年10月安康市中心医院接诊的80例四肢深Ⅱ度烧伤患者为研究对象,按随机数表法将患者分为观察组和对照组各40例。对照组患者使用VSD技术治疗,观察组患者使用聚氨酯泡沫敷料联合VSD技术治疗。比较两组患者的一般治疗情况,以及治疗后3 d、5 d、7 d时的视觉模拟评分法(VAS)评分和治疗后7 d、14 d、21 d时的创面愈合率,并比较两组患者治疗期间的并发症发生情况。结果 观察组患者的创面愈合时间、住院时间分别为(18.16±3.72) d、(21.76±2.40) d,明显短于对照组的(24.23±2.91) d、(27.54±3.81) d,一次性植皮存活率为95.00%,明显高于对照组的80.00%,差异均有统计学意义(P<0.05);观察组患者治疗后3 d、5 d、7 d时VAS评分分别为(4.78±0.49)分、(3.50±0.62)分、(2.98±0.30)分,明显低于对照组的(5.61±0.71)分、(4.73±0.68)分、(3.61±0.40)分,差异均有统计学意义(P<0.05);观察组患者治疗后7 d、14 d、21 d时的创面愈合率分别为(54.32±4.91)%、(79.43±4.91)%、(97.02±2.41)%,明显高于对照组的(47.19±3.02)%、(66.81±5.02)%、(83.53±6.02)%,差异均有统计学意义(P<0.05);观察组患者的并发症总发生率为15.00%,明显低于对照组的35.00%,差异有统计学意义(P<0.05)。结论 聚氨酯泡沫敷料联合VSD技术对四肢深Ⅱ度烧伤患者的创面修复效果明显,值得推广应用。

Objective To study the curative efficacy of polyurethane foam dressing combined with vacuum sealing drainage(VSD) on deep Ⅱ degree burn wounds. Methods Eighty patients with deep Ⅱ degree burn of limbs treated in Ankang Central Hospital from January 2019 to October 2020 were selected for study. The patients were randomly divided into an observation group and a control group, with 40 patients in each group. The control group was treated with VSD technology, while the observation group was treated with polyurethane foam dressing combined with VSD technology. The treatment lasted until wound healing. The general treatment conditions were compared between the two group, as well as the changes of visual analogue scale(VAS) scores at 3 d, 5 d and 7 d after treatment and the wound healing rates at 7 d, 14 d and 21 d after treatment. The incidence of complications during treatment were also compared.Results The wound healing time and length of hospital stay in the observation group were(18.16±3.72) d and(21.76±2.40) d, which were significantly shorter than(24.23±2.91) d and(27.54±3.81) d in the control group;the survival rate of one-time skin grafting was 95.00%, which was significantly higher than 80.00% of the control group;the differences were statistically significant(P<0.05). The VAS scores at 3 d, 5 d and 7 d after treatment in the observation group were(4.78±0.49) points,(3.50±0.62) points,(2.98±0.30) points, which were significantly lower than(5.61±0.71) points,(4.73±0.68) points,(3.61±0.40) points in the control group(P<0.05). The wound healing rates of the observation group were(54.32±4.91)%,(79.43±4.91)%,(97.02±2.41)%, which were significantly higher than(47.19±3.02)%,(66.81±5.02)%,(83.53±6.02)% in the control group(P<0.05). The total incidence of complications in the observation group was15.00%, which was significantly lower than 35.00% in the control group(P<0.05). Conclusion Polyurethane foam dressing combined with VSD technology have significant effect on the wound repair of patients with deep Ⅱ degree burn of extremities, which is worthy of application and promotion.