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目的:探讨负压封闭引流技术对皮肤软组织缺损的临床应用价值。方法:选取潮州市潮州医院2011年7月-2014年1月82例皮肤软组织缺损患者为研究对象,根据其意愿分成负压封闭引流技术(VSD)组(A组,n=50)和对照组(B组,n=32)两组。B组采用换药方案,A组则予以负压封闭引流技术完成治疗。比对两组患者二期植皮时间、换药频次、植皮愈合时间、住院时间、疼痛评分及创伤面积缩小百分比等指标差异,行为期3个月随访,记录相关并发症发生情况。结果:A组患者在二期植皮时间、住院时间、植皮愈合时间、换药频次及疼痛评分等指标对比上均明显低于B组,差异具有统计学意义(P<0.05);B组治疗后创伤缩小面积小于A组,差异具有统计学意义(P<0.05);A、B两组并发症发生率分别为14.0%和15.6%,差异无统计学意义(P>0.05)。结论:对皮肤软组织缺损患者予以负压封闭引流方案,疗效确切,利于减轻患者痛苦。
Objective: To investigate the clinical value of vacuum occlusion drainage on skin and soft tissue defects. Methods: 82 patients with skin and soft tissue defects from Chaozhou Chaozhou Hospital from July 2011 to January 2014 were selected and divided into three groups according to their wishes: group A (n = 50) and control group (Group B, n = 32). B group using dressing program, A group was closed vacuum drainage technology to complete the treatment. The two groups of patients were compared in terms of second-stage skin grafting time, frequency of dressing change, skin graft healing time, hospitalization time, pain score and percent reduction of wound area. The follow-up of 3 months was recorded and the related complications were recorded. Results: In group A, the skin grafting time, hospitalization time, skin graft healing time, dressing frequency and pain score were significantly lower in group A than those in group B (P <0.05). After treatment in group B The area of trauma reduction was smaller than that in group A (P <0.05). The incidence of complications in group A and B were 14.0% and 15.6% respectively, with no significant difference (P> 0.05). Conclusion: The procedure of negative pressure drainage and drainage of patients with skin and soft tissue defect is effective and effective in relieving the patient’s pain.