含纳米银聚氨酯敷料的持续封闭负压引流在创面治疗中的应用.docVIP

含纳米银聚氨酯敷料的持续封闭负压引流在创面治疗中的应用 　　[摘要]目的：观察含纳米银聚氨酯敷料的持续封闭负压引流在创面治疗中的疗效。方法：收治骨伤复杂创面患者28例，将该组患者按照随机数字法分为观察组和对照组，每组14例，对照组应用含纳米银聚氨酯敷料的持续封闭负压引流装置。结果：与对照组比较，观察组创面愈合情况良好，抑(杀)菌效果显著，创面愈合时间明显缩短，差异有统计学意义(P0.05)。结论：含纳米银聚氨酯敷料的持续封闭负压引流，对于严重软组织创面患者的早期治疗，是一种较为理想的治疗方式，值得推广应用。 　　[关键词]纳米银；聚氨酯；负压封闭引流；创面修复 　　[中图分类号]R622[文献标识码]A[文章编号]1008-6455（2014）05-0353-03 　　Application of continuous vacuum-sealing drainage based on nano-silver/polyurethane wound repair materials in the treatment of wound 　　LI Yu-fei1,2,ZHAO Jian-ning3,ZHANG Wen-jun4 　　(1.Southern Medical Universiy, Guangzhou 510515,Guangzhou,China;2.The 455th Hospital of PLA, Shanghai 200052,China;3.Nanjing General Hospital of Nanjing Military Command,Nanjing 210002,China;4.Changzheng Hospital,The Second Military Medical University,Shanghai 200003,China) 　　 　　Abstract:ObjectiveTo observe the effect of continuous vacuum-sealing drainage based on nano-silver/polyurethane wound repair materials in the treatment of wound.Methods28 cases of patients were bone complex wounds,the patients were randomly divided into observed group and control group,and 14 cases in each group. The control group using continuous vacuum-sealing drainage based on nano-silver/polyurethane wound repair materials.ResultsCompared with the control group, the wound healed well and had notable antibacterial effect，and wound healing time was shortened obviously in observed group. The difference was statistically significant (P0.05).ConclusionIts an ideal treatment method of using the continuous vacuum-sealing drainage based on nano-silver/polyurethane wound repair materials, in the early treatment of severe soft tissue wounds in patients,and its worth popularizing. 　　Key words:nano silver; polyurethane;vacuum sealing drainage; wound repair含纳米银聚氨酯敷料的持续封闭负压引流装置(Vacuum Sealing Drainage，VSD)是指，以含纳米银粒子涂层的普通聚氨酯（PU）泡沫填充于创伤表面，再将医用的生物半透膜覆盖，封闭创面，并将分布于聚氨酯泡沫内的引流管同外接负压源相连接，实现由点状引流转变为面状引流，从而使整个被覆盖的创面处于全封闭的负压引流状态。该装置能有效促进创面愈合、降低感染率、缩短治疗时间、减少治疗痛苦。2011年8月～2013年2月收治骨伤复杂创面患者28例，