中国烧伤创疡杂志
中國燒傷創瘍雜誌
중국소상창양잡지
2014年
4期
298-300
,共3页
程鹏%向红辉%潘伯骁%吴健学
程鵬%嚮紅輝%潘伯驍%吳健學
정붕%향홍휘%반백효%오건학
湿润烧伤膏%负压%固定%压疮%疗效%对比观察
濕潤燒傷膏%負壓%固定%壓瘡%療效%對比觀察
습윤소상고%부압%고정%압창%료효%대비관찰
MEBO%Vacuum%Fixing%Bedsore%Therapeutic effect%Comparative observation
目的：观察湿润烧伤膏（ MEBO）联合负压辅助植皮修复臀部压疮的效果。方法19例老年臀部压疮患者在应用MEBO治疗至基底肉芽组织生长良好后，局麻下进行皮片移植修复创面，根据皮片固定方式将19例患者随机分为实验组（10例）和对照组（9例），实验组用改良型密闭式负压[1]辅助固定移植皮片；对照组常规加压包扎固定移植皮片。对比观察两组患者压疮创面皮片存活率及创面愈合时间。结果术后第1次启视创面实验组皮片存活率为95?30％±3?38％，对照组皮片存活率为56?50％±8?45％，经t检验， P＜0?01，差异具有统计学意义；术后第2次启视创面，实验组皮片存活率为90?20％±7?05％，对照组皮片存活率为26?45％±5?62％，经t检验， P＜0?01，差异具有统计学意义；实验组创面平均愈合时间为41?36 d ±8?07 d，对照组创面平均愈合时间为75?72 d ±12?56 d，经t检验， P＜0?01，差异具有统计学差异。结论压疮创面经MEBO换药治疗至肉芽组织生长良好后，行皮片移植修复创面时，采用负压辅助固定移植皮片可提高皮片存活率，促进创面愈合，值得临床推广。
目的：觀察濕潤燒傷膏（ MEBO）聯閤負壓輔助植皮脩複臀部壓瘡的效果。方法19例老年臀部壓瘡患者在應用MEBO治療至基底肉芽組織生長良好後，跼痳下進行皮片移植脩複創麵，根據皮片固定方式將19例患者隨機分為實驗組（10例）和對照組（9例），實驗組用改良型密閉式負壓[1]輔助固定移植皮片；對照組常規加壓包扎固定移植皮片。對比觀察兩組患者壓瘡創麵皮片存活率及創麵愈閤時間。結果術後第1次啟視創麵實驗組皮片存活率為95?30％±3?38％，對照組皮片存活率為56?50％±8?45％，經t檢驗， P＜0?01，差異具有統計學意義；術後第2次啟視創麵，實驗組皮片存活率為90?20％±7?05％，對照組皮片存活率為26?45％±5?62％，經t檢驗， P＜0?01，差異具有統計學意義；實驗組創麵平均愈閤時間為41?36 d ±8?07 d，對照組創麵平均愈閤時間為75?72 d ±12?56 d，經t檢驗， P＜0?01，差異具有統計學差異。結論壓瘡創麵經MEBO換藥治療至肉芽組織生長良好後，行皮片移植脩複創麵時，採用負壓輔助固定移植皮片可提高皮片存活率，促進創麵愈閤，值得臨床推廣。
목적：관찰습윤소상고（ MEBO）연합부압보조식피수복둔부압창적효과。방법19례노년둔부압창환자재응용MEBO치료지기저육아조직생장량호후，국마하진행피편이식수복창면，근거피편고정방식장19례환자수궤분위실험조（10례）화대조조（9례），실험조용개량형밀폐식부압[1]보조고정이식피편；대조조상규가압포찰고정이식피편。대비관찰량조환자압창창면피편존활솔급창면유합시간。결과술후제1차계시창면실험조피편존활솔위95?30％±3?38％，대조조피편존활솔위56?50％±8?45％，경t검험， P＜0?01，차이구유통계학의의；술후제2차계시창면，실험조피편존활솔위90?20％±7?05％，대조조피편존활솔위26?45％±5?62％，경t검험， P＜0?01，차이구유통계학의의；실험조창면평균유합시간위41?36 d ±8?07 d，대조조창면평균유합시간위75?72 d ±12?56 d，경t검험， P＜0?01，차이구유통계학차이。결론압창창면경MEBO환약치료지육아조직생장량호후，행피편이식수복창면시，채용부압보조고정이식피편가제고피편존활솔，촉진창면유합，치득림상추엄。
Objective Toobserve the efficacy of MEBO combined with vacuumassistedskin grafting intreatingbut-tock bedsore. Methods Nineteen frail elderly patients with buttock bedsores were treated with MEBO until the granulation tissues grew well, then skin grafting was done under local anesthesia to repair the wound. Nineteen patientswere randomly divided into experimental group (10 cases) and control group (9 cases):In experimental group, improved closed vacuuma-ssistedfixing the grafted skin flaps;In control group, routine bandaging was used tofix the grafted skin flaps. The survival rate of skin flaps on the bedsore woundsand the wound healing time were comparatively observed. Results After operation, the first wound inspection showed skin flap survival rate of 95?30% ± 3?38% in experimental group and 56?50% ± 8?45%in control group, t test gave the result of P<0?01, indicating a difference of statistical significance; the second wound in-spection showed skin flap survival rate of 90?20% ± 7?05% in experimental group and 26?45% ± 5?62% in control group, t test gave the result of P<0?01, indicating a difference of statistical significance;The wound healing time was 41?36 d ± 8?07 d in experimental group and 75?72 d ± 12?56 d in control group, t test gave the result of P<0?01, indicating a differ-ence of statistical significance. Conclusions When bedsore woundsare treated with MEBO until the granulation tissues grow well and then skin grafting is done to repair the wounds, vacuumassisted fixing the grafted skin flapscan improve the survival rate of skin flaps, promote the wound healing, so this methods is worthy to be promoted in clinic.
