CAJ | 학술논문

目的：探讨负压辅助封闭技术（vacuum assisted closure，VAC）联合新型敷料治疗难愈性压疮的临床疗效。方法2013年3月至2015年1月我院收治的40例共56处Ⅲ级以上难愈性压疮患者，按随机分配原则分为观察组和对照组各20例，观察组采用 VAC 联合新型敷料治疗，对照组仅进行常规传统治疗，比较两组患者治疗后创面愈合情况及护理工作量。结果观察组治愈率明显高于对照组，创面治愈时间、换药次数、护理时数明显少于对照组，差异有统计学意义（P ＜0．05）。结论VAC 联合新型敷料治疗难愈性压疮，能明显减轻患者痛苦，缩短治疗时间，缓解临床症状。
목적：탐토부압보조봉폐기술（vacuum assisted closure，VAC）연합신형부료치료난유성압창적림상료효。방법2013년3월지2015년1월아원수치적40례공56처Ⅲ급이상난유성압창환자，안수궤분배원칙분위관찰조화대조조각20례，관찰조채용 VAC 연합신형부료치료，대조조부진행상규전통치료，비교량조환자치료후창면유합정황급호리공작량。결과관찰조치유솔명현고우대조조，창면치유시간、환약차수、호리시수명현소우대조조，차이유통계학의의（P ＜0．05）。결론VAC 연합신형부료치료난유성압창，능명현감경환자통고，축단치료시간，완해림상증상。
Objective To observe the clinical curative effect of vacuum assisted closure (VAC)combined with a new type of dressing in the treatment of refractory decubitus ulcers .Methods From March 2013 to January 2015,40 of 56 patients with more thanⅢ grade refractory decubitus ulcers in our hospital were randomly divided into observation and control groups ,20 cases in each group. The observation group was treated with VAC combined with a new type of dressing while the control group was only given conventional treatment.The nursing workload and wound healing were compared between the two groups after treatment .Results The cure rate in the observation group was significantly higher than that in the control group .The wound healing time,the frequency of dressing change and nursing time in the observation group were significantly less than that in the control group (P <0.05).Conclusion VAC com-bined with a new type dressing in the treatment of refractory decubitus ulcers can significantly reduce patient pain ,shorten the time of treatment and relieve the clinical symptoms .