负压敷料与伤口接触之研究.doc

負壓敷料與傷口接觸之研究研究生：陳泓宇 Chen, Hung-Yu陳勇全本論文主要是利用三維彈塑性有限元素模型，來模擬傷口受負壓力之作用時，傷口區域之變形情形。探討不同參數對負壓敷料與傷口接觸區域微機械力之改變，造成傷口與敷料孔洞接觸處接觸應力、突起位移量或敷料變形之影響。探討參數包括敷料彈性模數、敷料厚度、敷料孔洞直徑、敷料孔洞間距及負壓力。 結果顯示，對於一般傷口模型，傷口區域之垂向應變及突起位移量，會隨著敷料彈性模數、敷料孔洞直徑及負壓力的增加而增加，但是隨著敷料厚度的增加而減少。在壓瘡傷口 敷料未填滿傷口 時，A1傷口區域之垂向應變，會隨著敷料彈性模數、敷料厚度的增加而增加，但是會隨著負壓力的增加而減少；A2傷口區域之垂向應變，會隨著敷料孔洞直徑的增加而增加，但會隨著敷料彈性模數、敷料厚度、敷料孔洞間距及負壓力的增加而減少。A1及A2區域之傷口突起位移量，會隨著敷料彈性模數、敷料厚度、敷料孔洞直徑及負壓力的增加而增加。在壓瘡傷口 敷料填滿傷口 時，A1及A2傷口區域之垂向應變，會隨著敷料孔洞直徑的增加而增加，但是會隨著敷料彈性模數、敷料厚度、敷料孔洞間距及負壓力的增加而減少。A1及A2區域之傷口突起位移量，會隨著彈性模數、敷料孔洞直徑及負壓力的增加而增加；A2區域之突起位移量則會隨著敷料孔洞間距增加而減少。研究成果將可以提供給傷口照護當作參考之依據。 關鍵字：海綿、負壓、有限元素模型、傷口突起位移量。Abstract】 In this thesis, three-dimensional elastic-plastic dynamic finite element models are used to simulate the contact deformation of wound area while negative pressure is applying to the wound. The effects of different parameters on the changes of micro-mechanical behaviors, including contact stress, wound convexity displacement and sponge deformation, on the contact area between the sponge and wound are explored. The parameters discussed are the sponge material, sponge thickness, sponge pore diameter, sponge pore spacing and applied negative pressure. The results indicate that for a general wound model, the wound normal strain and wound convexity displacement increases with an increasing sponge Young’s modulus, sponge pore diameter, or applied negative pressure and decreases with an increasing sponge thickness. For a pressure ulcer wound model with sponge not fully filled, the normal strain of wound on the A1 area increases with an increasing sponge Young’s modulus or sponge thickness and decreases with an increasing applied negative pressure. The normal strain of wound on the A2 area increases with an increasing sponge pore diameter and decreases with an increasing sponge Young’s modulus, sponge thickness, sponge pore spacing or applied negative pressure. In addition, a larger sponge Young’s modulus, sponge thickness, sponge pore diameter or negative pressu