改良持续负压引流法治疗难愈性创面的临床研究

Improved continuous negative pressure sealing drainage for treatment of refractory wounds

摘要:

目的通过与传统负压封闭引流法（VSD）的比较，探讨改良持续负压封闭引流法在治疗难愈性创面上的疗效。方法选取2012 年1 月-2016 年4 月本院骨一科收治的难愈性创面患者104 例进行回顾性分析，患者分别采用改良持续负压封闭治疗（52 例）和传统VSD（52 例）治疗。对两组患者创面治疗效果、愈合时间、手术次数及治疗费用等进行统计学分析。结果改良持续负压封闭引流法与传统VSD 法对难愈性创面治疗痊愈率比较，差异无统计学意义（P <0.05），但改良法可缩短伤口愈合时间，降低手术次数及治疗费用。结论改 良持续负压封闭引流法是治疗难愈性创面的有效方式，可降低手术次数，减轻患者痛苦及经济负担，值得临床广泛推广和应用。

Abstract:

Objective To compare the improved continuous negative pressure sealing drainage with the traditional vacuum sealing drainage (VSD) in the efficacy of treating refractory wounds. Methods One hundred and four patients with refractory wounds in our Department of Orthopedics from January 2012 to April 2016 were included, and divided into improved therapy group (52 cases) and traditional VSD group (52 cases). The treatment effect, wound healing time, number of operations and treatment costs in the two groups were analyzed. Results The improved continuous negative pressure sealing drainage method had similar cure rate on refractory wounds as the traditional VSD (P > 0.05). However, the improved method significantly shortened the healing time, reduced the number of operations and the costs of treatment (P < 0.05). Conclusions The improved continuous negative pressure sealing drainage method is an effective way to treat refractory wounds.It can reduce the number of operations, alleviate the suffering and economic burden of patients.