CAJ | 학술논문

目的：分析封闭负压吸引治疗对截瘫Ⅲ～Ⅳ度褥疮伤口内菌群的影响。方法：回顾性分析24例截瘫合并骶尾粗隆部和/或足踝部褥疮患者的临床资料，18例经封闭负压吸引治疗，6例常规治疗，对褥疮伤口进行细菌培养和药物敏感试验。结果：初次培养最常见感染菌群为大肠杆菌，其次为铜绿假单孢菌、致病性葡萄球菌、鲍曼不动杆菌，混合感染较多见；2组对菌群的影响无明显差异(P=0.157)。结论：封闭负压吸引治疗截瘫褥疮，并不能有效清除截瘫伤口中的致病菌增殖。
목적：분석봉폐부압흡인치료대절탄Ⅲ～Ⅳ도욕창상구내균군적영향。방법：회고성분석24례절탄합병저미조륭부화/혹족과부욕창환자적림상자료，18례경봉폐부압흡인치료，6례상규치료，대욕창상구진행세균배양화약물민감시험。결과：초차배양최상견감염균군위대장간균，기차위동록가단포균、치병성포도구균、포만불동간균，혼합감염교다견；2조대균군적영향무명현차이(P=0.157)。결론：봉폐부압흡인치료절탄욕창，병불능유효청제절탄상구중적치병균증식。
Objective To investigate how colony counts changed when (vacuum sealing drainage VSD) ther-apy was used in paraplegia patients. Methods Twenty four cases of pressure ulcer wounds in paraplegia pa-tients were retrospectively reviewed of them, 18 cases received VSD and 6 cases were treated with conventional therapy .During the treatment, samples for germ culture were taken from the center of the wound or from the drained exudate by using a scalpel. Results VSD had a similar effect on the bacterial load as conventional treatment(P=0.157).The bacteria identified in the pressure ulcers included Escherichia coli,coagulase-positive Staphylococcus, Pseudomonas, coagulase-negative Staphylococcus, Proteus, Staphylococcus epidermis, and Staph-ylococcus aureus,et al. Conclusion The VSD can promote wound healing,but VSD cannot reduce wound bac-teria in pressure ulcer wounds in paraplegia patients.