中国组织工程研究
中國組織工程研究
중국조직공정연구
Journal of Clinical Rehabilitative Tissue Engineering Research
2014年
25期
4090-4094
,共5页
生物材料%材料相容性%维斯第材料%封闭负压吸引技术%软组织缺损%普通敷料%传统换药%临床效果
生物材料%材料相容性%維斯第材料%封閉負壓吸引技術%軟組織缺損%普通敷料%傳統換藥%臨床效果
생물재료%재료상용성%유사제재료%봉폐부압흡인기술%연조직결손%보통부료%전통환약%림상효과
polyethylene%ethanol%negative-pressure wound therapy
背景：在各种软组织缺损的临床治疗中，创面封闭负压吸引技术能有效控制创面感染，缩短治疗时间，加快创面愈合。目的：为进一步深入了聚乙烯乙醇水化泡沫封闭负压吸引材料的性能特点，比较其与使用传统敷料常规换药方式治疗软组织缺损的效果。方法：将140例大面积软组织缺损患者随机分为两组治疗：观察组采用聚乙烯乙醇水化泡沫材料封闭负压吸引治疗，对照组采用传统敷料的常规换药方式。比较两组治疗过程中疼痛减轻程度及家属满意度、首次植皮存活率及植皮手术前所需治疗时间、住院时间及手术次数、再次入院率及并发症发生率等临床效果指标。结果与结论：观察组目测类比评分下降分值为5.76±0.68，对照组目测类比评分下降分值为2.85±0.53，两组比较差异有显著性意义(P <0.05)，并且观察组家属满意度更高(P <0.05)。观察组首次植皮存活率高于对照组(P <0.05)，首次清创术后至植皮手术前所需的时间、住院时间、手术次数、再次入院率及并发症发生率均低于对照组(P <0.05)。结果显示，与采用常规敷料的传统换药治疗相比，聚乙烯乙醇水化泡沫封闭负压吸引治疗具有疼痛轻、治疗时间短、并发症低、疗效高等优势。
揹景：在各種軟組織缺損的臨床治療中，創麵封閉負壓吸引技術能有效控製創麵感染，縮短治療時間，加快創麵愈閤。目的：為進一步深入瞭聚乙烯乙醇水化泡沫封閉負壓吸引材料的性能特點，比較其與使用傳統敷料常規換藥方式治療軟組織缺損的效果。方法：將140例大麵積軟組織缺損患者隨機分為兩組治療：觀察組採用聚乙烯乙醇水化泡沫材料封閉負壓吸引治療，對照組採用傳統敷料的常規換藥方式。比較兩組治療過程中疼痛減輕程度及傢屬滿意度、首次植皮存活率及植皮手術前所需治療時間、住院時間及手術次數、再次入院率及併髮癥髮生率等臨床效果指標。結果與結論：觀察組目測類比評分下降分值為5.76±0.68，對照組目測類比評分下降分值為2.85±0.53，兩組比較差異有顯著性意義(P <0.05)，併且觀察組傢屬滿意度更高(P <0.05)。觀察組首次植皮存活率高于對照組(P <0.05)，首次清創術後至植皮手術前所需的時間、住院時間、手術次數、再次入院率及併髮癥髮生率均低于對照組(P <0.05)。結果顯示，與採用常規敷料的傳統換藥治療相比，聚乙烯乙醇水化泡沫封閉負壓吸引治療具有疼痛輕、治療時間短、併髮癥低、療效高等優勢。
배경：재각충연조직결손적림상치료중，창면봉폐부압흡인기술능유효공제창면감염，축단치료시간，가쾌창면유합。목적：위진일보심입료취을희을순수화포말봉폐부압흡인재료적성능특점，비교기여사용전통부료상규환약방식치료연조직결손적효과。방법：장140례대면적연조직결손환자수궤분위량조치료：관찰조채용취을희을순수화포말재료봉폐부압흡인치료，대조조채용전통부료적상규환약방식。비교량조치료과정중동통감경정도급가속만의도、수차식피존활솔급식피수술전소수치료시간、주원시간급수술차수、재차입원솔급병발증발생솔등림상효과지표。결과여결론：관찰조목측류비평분하강분치위5.76±0.68，대조조목측류비평분하강분치위2.85±0.53，량조비교차이유현저성의의(P <0.05)，병차관찰조가속만의도경고(P <0.05)。관찰조수차식피존활솔고우대조조(P <0.05)，수차청창술후지식피수술전소수적시간、주원시간、수술차수、재차입원솔급병발증발생솔균저우대조조(P <0.05)。결과현시，여채용상규부료적전통환약치료상비，취을희을순수화포말봉폐부압흡인치료구유동통경、치료시간단、병발증저、료효고등우세。
BACKGROUND:In various clinical treatments of soft tissue defects, vacuum sealing drainage technology can effectively control wound infection, shorten the treatment time, and accelerate wound healing. OBJECTIVE:To further understand the features and characteristics of hydrated ethanol polyethylene foam vacuum sealing drainage treatment, and compare the treatment effects against soft tissue defects with the conventional dressing change treatment. METHODS:A total of 140 cases of large soft tissue defects were divided randomly into two groups. Observation group received hydrated ethanol polyethylene foam vacuum sealing drainage treatment, while control group was treated by conventional dressing change. The degree of pain relief during treatment, the family satisfaction, the survival rate of first skin-grafting, the time needed before skin-grafting, the hospitalization time, the number of operations, the readmission rates, the complication rate and other clinical effectiveness indicators were compared between the two groups. RESULTS AND CONCLUSION: In the observation group, visual analog scale scores decreased 5.76±0.68, in the control group visual analog scale score decreased 2.85±0.53, with significant differences between the two groups (P < 0.05), and family satisfaction degree of the observation group was higher (P < 0.05). The survival rate of first skin-grafting of the observation group was higher than the control group (P < 0.05), the time needed before skin-grafting, the hospitalization time, the number of operations, the readmission rates, and the complication rate were lower than the control group (P < 0.05). The results showed that, compared with conventional dressing change treatment, hydrated ethanol polyethylene foam vacuum sealing drainage has advantages of light pain, short treatment time, low rate of complications, and high efficacy.
