CAJ | 학술논문

　　目的探讨自行研发封闭式负压引流（vacuum assisted closure，VAC）联合海绵敷料治疗Ⅲ～Ⅳ期难愈性压疮效果。方法将60例Ⅲ～Ⅳ期压疮患者随机分为实验组和对照组，每组各30例。实验组采用自行研制的 VAC 装置联合海绵敷料治疗难愈性压疮，对照组采用传统敷料换药治疗。比较两组患者创面新鲜肉芽组织增生时间、填充创面时间、治愈时间及治疗费用情况。结果实验组患者创面新鲜肉芽组织增生与填充创面缺损时间、治愈时间明显短于对照组，治疗费用明显低于对照组，两组比较，差异具有统计学意义（均 P＜0.05）。结论使用自行研发封闭式负压引流联合海绵敷料换药治疗Ⅲ～Ⅳ期难愈性压疮，压疮创面新鲜肉芽组织增生、填充创面的时间快，有效缩短治愈时间，减轻患者的痛苦及经济负担，值得在基层医院推广应用。
　　목적탐토자행연발봉폐식부압인류（vacuum assisted closure，VAC）연합해면부료치료Ⅲ～Ⅳ기난유성압창효과。방법장60례Ⅲ～Ⅳ기압창환자수궤분위실험조화대조조，매조각30례。실험조채용자행연제적 VAC 장치연합해면부료치료난유성압창，대조조채용전통부료환약치료。비교량조환자창면신선육아조직증생시간、전충창면시간、치유시간급치료비용정황。결과실험조환자창면신선육아조직증생여전충창면결손시간、치유시간명현단우대조조，치료비용명현저우대조조，량조비교，차이구유통계학의의（균 P＜0.05）。결론사용자행연발봉폐식부압인류연합해면부료환약치료Ⅲ～Ⅳ기난유성압창，압창창면신선육아조직증생、전충창면적시간쾌，유효축단치유시간，감경환자적통고급경제부담，치득재기층의원추엄응용。
Objective To investigate the effect of self-designed closed negative pressure drainage combined with sponge dressings on refractory wounds.Methods Sixty patients with phase III-IV pressure ulcers were randomly divided into experiment group and control group in equal number.The self-designed closed negative pressure drainage combined with sponge dressing was applied in the experiment group and in the control group the conventional dressings were used.The two groups were compared in terms of hyperplasia of fresh granulation tissue,time for filling the defect and the healing time and the medical expense.Results Compared to the control group,the time for hyperplasia of fresh granulation tissue,the time for filling the defect and the healing time in the experiment group were all significantly shorter,and the medical expense of the experiment group was significantly less(all P<0.01). Conclusion The self-designed closed negative pressure drainage combined with sponge dressings in the treatment of phase III-IV refractory pressure ulcers may effectively shorten the healing time,improve the curative effects and reduce the economic burden of patients.