CAJ | 학술논문

目的：观察负压吸引技术（VSD）和常规换药修复骨科创面的疗效。方法选取创伤性创面、不能进行一期缝合的患者161例，按照治疗方法不同分为VSD组和常规换药组，观察两组治疗1、2、3周及以上的愈合病例数，两组的换药次数，抗生素使用时间，伤口的愈合时间，住院时间和住院费用。结果 VSD组的1周愈合率为48.72%，明显高于常规换药组的20.48%，差异有统计学意义（P<0.01）；VSD组的愈合时间明显短于常规换药组，差异有统计学意义（P<0.01）；VSD组的换药次数、抗生素使用时间、伤口的愈合时间和住院时间明显少于或短于常规换药组，差异有统计学意义（P<0.01）。结论 VSD修复骨科创面疗效优于传统的换药治疗，具有恢复时间快、住院时间短、花费少等优点。
목적：관찰부압흡인기술（VSD）화상규환약수복골과창면적료효。방법선취창상성창면、불능진행일기봉합적환자161례，안조치료방법불동분위VSD조화상규환약조，관찰량조치료1、2、3주급이상적유합병례수，량조적환약차수，항생소사용시간，상구적유합시간，주원시간화주원비용。결과 VSD조적1주유합솔위48.72%，명현고우상규환약조적20.48%，차이유통계학의의（P<0.01）；VSD조적유합시간명현단우상규환약조，차이유통계학의의（P<0.01）；VSD조적환약차수、항생소사용시간、상구적유합시간화주원시간명현소우혹단우상규환약조，차이유통계학의의（P<0.01）。결론 VSD수복골과창면료효우우전통적환약치료，구유회복시간쾌、주원시간단、화비소등우점。
Objective To observe the efficacy of the vaccum sealing drainage (VSD) and conventional dressing to repair orthopedic wounds. Methods 161 patients with traumatic wounds who can not be a suture, from January 2010 to December 2012, were divided into VSD group(78 cases) and conventional dressing group (83 cases) according to the different treatment. the number of healing after 1 week, 2 weeks, 3 weeks and more than were observed in two groups, the number of dressing, the time of antibiotics, wound healing, hospital stay and hospital costs also were observed in each groups. Results The healing rate of one week was 48.72%in VSD group, while 20.48%in conventional dressing group, the healing rate of VSD group was significantly higher than those of conventional dressing group (P<0.01), the healing time of VSD group was significantly shorter than that of the conventional dressing group, the difference was statistically significant (P<0.01) . The number of dressing changes, the use of antibiotics, wound healing time and hospital stay in VSD group were significantly less than or shorter than those in conventional dressing group, the difference was statistically significant (P<0.01). Conclusion The VSD to repair orthopedic wounds is more effective compared with the traditional dressing treatment, with faster recovery time, shorter hospital stay and less cost.