探讨创伤负压引流敷料在30例重度烧伤病人中的应用.docVIP

精品论文 参考文献 探讨创伤负压引流敷料在30例重度烧伤病人中的应用 单秀萍1李胜军2 　　1山东省滕州市中医医院山东枣庄277500; 　　2枣庄科技职业学院职教中心山东枣庄277500 　　【摘要】 　　目的:探讨负压匀溜敷料用于重度烧伤病人的临床疗效。方法：将60例由各种原因所致的重度烧伤病人随机分为A组30例（治疗组），B组30例（对照组）。A组常规创面清创后利用负压引流敷料（vsd)覆盖创面；B组常规生物敷料加压包扎覆盖回植皮片。结果：A组有26例回植全厚皮片全部成活，皮片成活率867%，感染率33%，平均住院时间（132+45）d，B组全组全部成活19例，皮片成活率633%，，感染率10%，平均住院时间（179+38）d，对；两组皮片成活率，创面感染率和平均住院时间进行比较，差异有统计学意义（Plt;005)。结论：与常规生物敷料加压包扎技术比较，VSD可提高重度烧伤患者创面植皮的成活率，降低感染率，缩短住院天数，是治疗重度烧伤患者较为理想的方法。 　　【关键词】创伤负压引流敷；重度烧伤；治疗结果 　　【Abstract】 　　Objective To investigate the clinical effect of vacuum sealing drainage (VSD）dressing for the treatment of patients with severe burns. Methods 60 patients with severe burns were randomly divided into two groups. A group (treatment group)，containing 30 cases，was treated with VSD dressings after conventional debridement. B group (control group)，containing 30 cases，was treated with traditional pressure dressing after skin graft replantation method. Results In A group，the fullthickness skin graft survived completely in 26 cases (867%)，(infection rate was 33%). The average hospital stay in A group was 132 plusmn; 45 d. In B group，the fullthickness skin graft of 19 cases presents survived completely (633%）,(infection rate was 10%). The average hospital stay in B group was 179 plusmn; 38 d. Between the two groups，there were statistical differences of skin graft survival rate，wound infection rate and average hospital stay (P lt; 005). Conclusions Compared with tranditional pressure dressing technique，VSD dressing has the advantage of improving the survival rate of skin graft，reducing infection rate and shortening average hospital stay. Therefore，VSD dressing is a comparable good method for the treatment of patients with severe burns. 　　【Key words】Vacuum Sealing Drainage Dressing; Severe Burn; Clinical Effect 　　【中图分类号】R644 　　【文献标识码】B【文章编号】16748999(2013)12005302 　　我院自2009年9月—2012年3月收治60例，重度烧伤患者进行回顾性研究，目的谈谈创面负压引流敷料治疗重度烧伤患者的有效方法。 　　1资料和方法 　　11一般资料: 　　我院自2009男9月~2012年3月对所收治的60例重度烧伤患者，按住院号