CAJ | 학술논문

目的探讨间歇性封闭负压引流技术(IVAC)治疗溃疡期压疮的临床疗效.方法选择2009年3月至2011年2月期间,在我院及协作单位住院治疗的50～98岁溃疡期压疮患者[1],共90例,随机平均分配到常规换药治疗组、间歇性封闭式负压引流组和持续性封闭式负压引流组进行临床治疗,每天用量尺度量三组患者伤口大小,观察并记录伤口肉芽组织生长情况、伤口渗液情况、疼痛程度及伤口愈合时间.结果在三组压疮患者临床治疗中,与常规换药治疗组相比,持续性封闭负压引流组和间歇性封闭负压引流组患者伤口愈合时间和肉芽组织生长时间较短,伤口渗液少,疼痛程度略轻,差异均有统计学意义(P＜0.05).结论间歇性封闭负压引流技术对溃疡期压疮的临床疗效与持续性封闭负压引流术临床疗效相当,优于常规换药.
목적 탐토간헐성봉폐부압인류기술(IVAC)치료궤양기압창적림상료효.방법 선택2009년3월지2011년2월기간,재아원급협작단위주원치료적50～98세궤양기압창환자[1],공90례,수궤평균분배도상규환약치료조、간헐성봉폐식부압인류조화지속성봉폐식부압인류조진행림상치료,매천용량척도량삼조환자상구대소,관찰병기록상구육아조직생장정황、상구삼액정황、동통정도급상구유합시간.결과 재삼조압창환자림상치료중,여상규환약치료조상비,지속성봉폐부압인류조화간헐성봉폐부압인류조환자상구유합시간화육아조직생장시간교단,상구삼액소,동통정도략경,차이균유통계학의의(P＜0.05).결론 간헐성봉폐부압인류기술대궤양기압창적림상료효여지속성봉폐부압인류술림상료효상당,우우상규환약.
Objective To investigate the effect of intermittent vacuum -assisted closure (IVAC) in patients with ulcerative pressure sores.Methods Totaled of 90 patients were selected and divided three groups:control group with routine treatment,intermittent vacutun - assisted closure group and persistent vacuum - assisted closure groups.Wound size were measured and growing conditions of granulation tissue,exudate situation,pain and the healing time of wound were record in three groups.Results Compared with control group,the healing time and growth time of granulation tissue in the persistent vacuum - assisted closure group and intermittent vacuum - assisted closure group were shorter with less wound exudate and a lesser degree of pain,the differences were statistically significant ( P ＜ 0.05 )Conclusions Clinical curative effect of intermittent vacuum - assisted closure in the period of pressure ulcers is close to the persistent one,superior to routine treatment..