CAJ | 학술논문

目的：探讨封闭式负压吸引（VSD）技术在深度电烧伤创面中的临床运用效果。方法：选择2009年1月—2014年5月收治的30例深度（研究需要入选病例均无骨外露）电烧伤创面运用封闭式负压吸引技术﹢游离皮片移植修复为观察组，另选30例深度电烧伤创面运用清（扩）创﹢外科换药﹢游离皮片移植修复为对照组。观察比较两组患者的手术次数、创面感染率、皮片存活率、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、皮片存活率、平均住院天数分别为（2.40±0.55）次，3.3%，（95±5）%，（32±5）d，对照组分别为（3.50±0.92）次，30.0%，（67±10）%，（46±11）d。经检验，差异均有统计学意义（P ﹤0.01）。结论：运用封闭式负压吸引技术治疗深度电烧伤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。
목적：탐토봉폐식부압흡인（VSD）기술재심도전소상창면중적림상운용효과。방법：선택2009년1월—2014년5월수치적30례심도（연구수요입선병례균무골외로）전소상창면운용봉폐식부압흡인기술﹢유리피편이식수복위관찰조，령선30례심도전소상창면운용청（확）창﹢외과환약﹢유리피편이식수복위대조조。관찰비교량조환자적수술차수、창면감염솔、피편존활솔、평균주원천수。수거채용 SPSS 14.0통계연건진행분석。결과：관찰조수술차수、창면감염솔、피편존활솔、평균주원천수분별위（2.40±0.55）차，3.3%，（95±5）%，（32±5）d，대조조분별위（3.50±0.92）차，30.0%，（67±10）%，（46±11）d。경검험，차이균유통계학의의（P ﹤0.01）。결론：운용봉폐식부압흡인기술치료심도전소상가이감소환자수술차수，유효공제창면감염，축단주원시간，감경환자통고，강저치료비용，조작간단。
Objective:To investigate the clinical effect of closed suction(VSD)technology in deep burn wounds. Meth-ods:30 cases of depth electrical burn wound,without bone exposed,froM January 2009 to May 2014 in Ganzhou City Hospital, were treated with closed suction technology ﹢ free skin graft(experiMent group). Other 30 cases of deep electrical burn wounds were treated with clear(extended)Chong ﹢ surgical dressing ﹢ free skin graft(control group). To coMpare the nuMber of op-erations,wound infection,skin graft survival and the average length of hospital stay between the groups above Mentioned. The data were analyzed by SPSS 14. 0 statistical software. Results:The operative tiMes,the wound infection,the skin graft survival and the average hospital stay was 2. 4 ± 0. 55,3. 3% ,(95 ± 5)% ,(32 ± 5)d respectively,corresponding 3. 5 ± 0. 92,30% , (67 ± 10)% ,(46 ± 11)d in control group respectively. The differences were statistically significant(P ﹤ 0. 01). Conclusion:The use of closed suction depth treatMent of electrical burns can reduce the nuMber of surgical patients,the wound infection, the hospital stays,the patient's pain and the treatMent costs.