摘要
目的探讨负压封闭引流(VSD)固定移植皮片在儿童深度烧伤创面治疗中的应用效果。方法回顾性分析62例烧伤病儿的临床资料,其中应用VSD固定移植皮片治疗29例(观察组),传统加压固定皮片治疗33例(对照组)。比较两组病儿细菌培养阳性率、移植皮片成活率、外观和功能满意度及治疗费用。结果观察组移植皮片细菌阳性率低于对照组,差异有统计学意义(P=0.026);观察组移植皮片成活率高于对照组,差异有显著性(t=3.89,P<0.01);观察组家长满意度高于对照组,差异有显著性(t=4.11,P<0.01);观察组治疗费用高于对照组,差异有统计学意义(t=6.84,P<0.05)。结论应用VSD固定移植皮片能够降低创面感染率,提高皮片成活率及改善皮片外观,但治疗费用相对较高。
Objective To assess the clinical efficacy of vacuum sealing drainage（VSD）for skin graft fixation in children with deep burn wound. Methods Clinical data of 62 burn children were retrospectively analyzed.Among the patients,VSD was applied in 29 patients to fix the skin graft in observation group,and a traditional compression fixation（TCF）of skin graft was used in 33 patients to fix the skin graft in control group.A comparison between the two groups was done regarding positive rate of bacterial culture,graft survival rate,appearance,satisfaction with function and treatment costs. Results The positive rate of bacterial culture in the observation group was lower than that in the control group（P=0.026）,the survival rate of skin graft was higher in the observation group versus the control group（t=3.89,P〈0.01）,the parent satisfaction was higher in the observation group versus the control group（t=4.11,P〈0.01）,and the treatment costs were higher in the observation group（t=6.84,P〈0.05）.Conclusion Applying vacuum sealing drainage for skin graft fixation in the treatment of burn wounds can reduce wound infection rate,promote skin graft survival rate and improve skin appearance,but the cost of treatment is relatively high.
出处
《齐鲁医学杂志》
2017年第1期85-87,共3页
Medical Journal of Qilu
关键词
烧伤
引流术
负压伤口疗法
皮肤移植
儿童
burns
drainage
negative-pressure wound therapy
skin transplantation
child
