CAJ | 학술논문

背景：骨科创面植皮时采用封闭负压引流可以封闭创面，减少渗出，促进软组织肉芽增生及植皮修复缺损。目的：对比两种不同材料的创面敷料封闭负压引流在创面植皮中的临床效果。 　　方法：选择2010年9月至2012年3月收治的80例因创伤需植皮患者，在植皮后按自愿原则进入生物材料(基于丝瓜的植物纤维为敷料主体)及合成材料(聚乙烯乙醇化海藻盐泡沫)创面敷料封闭负压引流治疗。治疗1周后拆除封闭负压引流装置及创面敷料，记录两组的植皮覆盖率及创面愈合时间。 　　结果与结论：两组患者均有效达到创面植皮覆盖效果，无感染及不愈合情况出现。采用生物材料创面敷料治疗组植皮覆盖率及创面愈合时间均明显优于采用合成材料创面敷料治疗组(P <0.05)。提示采用生物材料创面敷料封闭负压引流可以有效促进引流，改善循环，抑制细菌增生及促进修复过程。
배경：골과창면식피시채용봉폐부압인류가이봉폐창면，감소삼출，촉진연조직육아증생급식피수복결손。목적：대비량충불동재료적창면부료봉폐부압인류재창면식피중적림상효과。 　　방법：선택2010년9월지2012년3월수치적80례인창상수식피환자，재식피후안자원원칙진입생물재료(기우사과적식물섬유위부료주체)급합성재료(취을희을순화해조염포말)창면부료봉폐부압인류치료。치료1주후탁제봉폐부압인류장치급창면부료，기록량조적식피복개솔급창면유합시간。 　　결과여결론：량조환자균유효체도창면식피복개효과，무감염급불유합정황출현。채용생물재료창면부료치료조식피복개솔급창면유합시간균명현우우채용합성재료창면부료치료조(P <0.05)。제시채용생물재료창면부료봉폐부압인류가이유효촉진인류，개선순배，억제세균증생급촉진수복과정。
BACKGROUND:Vacuum-sealing drainage in wound skin grafting can close wound, reduce the leakage, promote granulation hyperplasia and improve skin new speed. OBJECTIVE:To compare the clinical effects of two kinds of wound surface dressings used in wound skin grafting. METHODS: Eighty patients who needed skin grafting for trauma were retrospectively studied and chosen from September 2010 to March 2012. They were divided into two groups: biomaterial group (dressings mainly made of luffa fibers) and synthetics group (seaweed polyvinyl alcohol foam). The vacuum-sealing drainage device and wound dressing were removed after 1 week treatment. The skin grafting coverage and wound healing time were recorded. RESULTS AND CONCLUSION:Al patients of two groups got effective skin grafting coverage rate, and no patient appeared with infection and nonunion. The skin grafting coverage and wound healing time of the biomaterial group significantly differed from the synthetics group (P< 0.05). These findings indicate that compared to the synthetic material group, the biomaterial group can be better for effective drainage, good circulation, bacteria inhibition and fast repair.