中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
32期
25-27
,共3页
熊俊林%周华%黄毅%陈星光%邹隆耘%李军
熊俊林%週華%黃毅%陳星光%鄒隆耘%李軍
웅준림%주화%황의%진성광%추륭운%리군
改良%封闭式负压吸引技术%慢性难愈性创面%修复
改良%封閉式負壓吸引技術%慢性難愈性創麵%脩複
개량%봉폐식부압흡인기술%만성난유성창면%수복
Improvement%Vacuum sealing drainage technology%Chronic refractory wound%Repair
目的：探讨改良封闭式负压吸引技术+皮瓣移植在深度慢性难愈性创面治疗中的应用效果。方法选取本院2010年1月~2014年5月收治的200例深度慢性难愈性创面患者为观察组,采用改良封闭式负压吸引技术+皮瓣移植修复,另选50例深度慢性难愈创面患者为对照组,采用清(扩)创+外科换药+皮瓣修复,观察和比较两组手术次数、创面感染率、皮瓣存活率、平均住院天数。数据采用SPSS 14.0统计软件进行分析。结果观察组手术次数、创面感染率、皮瓣存活率、平均住院天数分别为(2.09±0.28)次、0%、99.5%、(31±5) d,对照组分别为(3.34±1.04)次、38%、58.0%、(43±11)d,差异有统计学意义(P<0.01)。结论改良封闭式负压吸引技术+皮瓣移植治疗慢性难愈性创面可以减少患者手术次数、有效控制创面感染、缩短住院时间、减轻患者痛苦、降低治疗费用、操作简单,值得临床推广。
目的：探討改良封閉式負壓吸引技術+皮瓣移植在深度慢性難愈性創麵治療中的應用效果。方法選取本院2010年1月~2014年5月收治的200例深度慢性難愈性創麵患者為觀察組,採用改良封閉式負壓吸引技術+皮瓣移植脩複,另選50例深度慢性難愈創麵患者為對照組,採用清(擴)創+外科換藥+皮瓣脩複,觀察和比較兩組手術次數、創麵感染率、皮瓣存活率、平均住院天數。數據採用SPSS 14.0統計軟件進行分析。結果觀察組手術次數、創麵感染率、皮瓣存活率、平均住院天數分彆為(2.09±0.28)次、0%、99.5%、(31±5) d,對照組分彆為(3.34±1.04)次、38%、58.0%、(43±11)d,差異有統計學意義(P<0.01)。結論改良封閉式負壓吸引技術+皮瓣移植治療慢性難愈性創麵可以減少患者手術次數、有效控製創麵感染、縮短住院時間、減輕患者痛苦、降低治療費用、操作簡單,值得臨床推廣。
목적：탐토개량봉폐식부압흡인기술+피판이식재심도만성난유성창면치료중적응용효과。방법선취본원2010년1월~2014년5월수치적200례심도만성난유성창면환자위관찰조,채용개량봉폐식부압흡인기술+피판이식수복,령선50례심도만성난유창면환자위대조조,채용청(확)창+외과환약+피판수복,관찰화비교량조수술차수、창면감염솔、피판존활솔、평균주원천수。수거채용SPSS 14.0통계연건진행분석。결과관찰조수술차수、창면감염솔、피판존활솔、평균주원천수분별위(2.09±0.28)차、0%、99.5%、(31±5) d,대조조분별위(3.34±1.04)차、38%、58.0%、(43±11)d,차이유통계학의의(P<0.01)。결론개량봉폐식부압흡인기술+피판이식치료만성난유성창면가이감소환자수술차수、유효공제창면감염、축단주원시간、감경환자통고、강저치료비용、조작간단,치득림상추엄。
Objective To investigate application effect of improved vacuum sealing drainage technology and skin flap grafting in the treatment of deep chronic refractory wound. Methods 200 patients with deep chronic refractory wound from January 2010 to May 2014 in our hospital were selected as observation group.Improved vacuum sealing drainage technology and skin flap grafting were used in observation group.50 patients with deep chronic refractory wound were selected as control group.Debridement (debridement),surgical dressing and skin flap grafting were applied in control group.The number of operation,wound infection rate,skin flap survival rate and the average length of hospital stay be-tween two groups were observed and compared.Data were analysed by using SPSS 14.0 statistical software. Results The number of operation,wound infection rate,skin flap survival rate and the average length of hospital stay in observation group was (2.09±0.28)times,0%,99.5%,(31±5) d respectively,that of control group was (3.34±1.04)times,38%,58.0%,(43±11) d respectively,with statistical difference (P<0.01). Conclusion Improved vacuum sealing drainage technology and skin flap grafting in the treatment of deep chronic refractory wound can reduce the number of operation,effective control of wound infection,shorter hospital stay,reduce patient’s pain and reduce treatment cost,has simple operation,is worthy of clinical promotion.
