负压封闭吸引联合持续微氧渗透技术治疗重度压疮的临床研究.docxVIP

负压封闭吸引联合持续微氧渗透技术治疗重度压疮的临床研究 　　[摘要]目的探讨负压封闭吸引联合持续微氧渗透技术治疗重度压疮的疗效。方法方便选取该院2015年12月—2017年12月的60例重度压疮患者进行研究，随机分为试验组和对照组，各30例，对照组采用负压封闭引流治疗，试验组在对照组的基础上联合持续微氧技术治疗，治疗8周，观察2组患者的临床疗效、治疗前后的创面面积、深度、潜行情况、疼痛评分、创面愈合时间及愈合率、细菌培养阳性率和创面转阴率。结果治疗8周后，试验组的临床总有效率（93.3%）明显高于对照组（χ2=4.320，p0.05）;其创面愈合时间（19.5±2.2）d（t=26.359）、愈合率（98.6±10.5）%（t=21.561）、细菌培养转阴率（76.9%）（χ2=7.340）均明显优于对照组（p0.05）。结论负压封闭吸引联合持续微氧渗透技术治疗可以有效改善重度压疮患者的创面，促进创面愈合。 　　[关键词]负压封闭吸引;持续微氧渗透;重度压疮;临床疗效 　　[中图分类号]r473[文献标识码]a[文章编号]1674-0742（2020）01（c）-0171-04 　　effectofnegativepressurewoundtherapycombinedwithcontinuousdiffusionofoxygentherapyonthetreatmentoftheseverepressureulcers 　　heshu-min，yicai-lan，liangcai-yi，wumiao-li 　　departmentofwoundandstoma，thefirstaffiliatedhospitalofguangdongpharmaceuticaluniversity，guangzhou，guangdongprovince，510800china 　　[abstract]objectivetoinvestigatetheclinicalefficacyofnegativepressurewoundtherapycombinedwithcontinuousdiffusionofoxygentherapyonthetreatmentoftheseverepressureulcers.methodsinthehospitalbetweendecember2015anddecember2017，60casesofpatientswithseverepressureulcers，wereconvenientyselectedrandomlydividedintotrialgroupandcontrolgroup30cases，controlgroupadoptsclosednegativepressuredrainagetreatment，thepatientsinthecontrolgrouponthebasisofcontinuousmicrooxygentechnologytreatment，treatmentof8weeks，toobservetheclinicalefficacyoftwogroupspatients，beforeandaftertreatmentofwoundarea，depth，stealth，painscore，woundhealingtimeandhealingrate，germiculturepositiverateandtheturnrateofthewound.resultsafter8weeks，thetotalclinicaleffectiverateoftheexperimentalgroup（93.3%）wassignificantlyhigherthanthecontrolgroup（χ2=4.320，p0.05）.thethewoundhealingdays（19.5±2.2）d（t=26.359），thehealingrate（98.6±10.5）%（t=21.561）andthebacterialcultureconversionrate（76.9%）（χ2=7.340）oftheexperimentalgroupwassignificantlybetterthanthecontrolgroup（p0.05）.conclusionnegativepressurewoundtherapycombinedwiththecontinuousdiffusionofoxygencaneffectivelyimprovethewoundsurfaceofpatientswithseverepressureulcerandp