摘要
目的:探讨持续负压封闭引流(vacuum sealing drainage,VSD)技术在骶尾部潜行褥疮中的护理效果。方法:回顾性分析2012~2014年在广州市海珠区中医院收治的13例行骶尾部褥疮清创患者的临床资料,所有患者均应用负压封闭引流敷料覆盖创面,封闭创面后持续负压吸引7~10天,拆除敷料行再次手术,直至创面炎症消退、肉芽组织生长良好,观察创面面积的变化情况。结果:所有患者均取得创面愈合;治疗后创面面积从治疗前的38.9cm^2(22.8~64.2cm^2)减小至21.8cm^2(10.6~37.2cm^2):创面愈合时间为27.3天(11~35天);其中11例经VSD治疗后可直接缝合,2例行转移皮瓣修复后愈合。结论:VSD可缩短褥疮创面愈合时间,缩小创面面积,提高手术成功率及减少治疗费用,值得临床推广应用。
Objective： To investigate the effect of continuous vacuum sealing drainage （VSD） in nursing of sacrococcygeal bedsores. Methods： A ret- rospective analysis on 13 cases of sacrococcygeal bedsores debrided patients wbo were received in Haizbu district of Guangzhou Chinese medicine hospital from 2012 to 2014 was performed, the wounds of all the patients were covered with VSD dressing and continuously negative sucking for 7~ 10 days, then removed the dressing for reoperation until the wound inflammation subsided and granulation tissue well-grown, and observed the change of wound area. Results： All cases were healed; after treatment, the wound area had decreased from 38.9cm2 （22.8-64.2cm2） that of before treatment to 21.8cm2 （10.6-37.2cm2）; the healing time was 27.3 days （11-35 days）; 11 cases were sutured directly after VSD and 2 cases were healed after flap transposition coverage. Conclusion： VSD can accelerate the wound healing of bedsores and reduce the area, improve the success rate of op- eration and decrease the cost, and deserves clinical promotion and application.
出处
《按摩与康复医学》
2017年第14期66-69,共4页
Chinese Manipulation and Rehabilitation Medicine
关键词
骶尾部褥疮
负压封闭引流
创面愈合
护理
sacrococeygeal bedsores
vacuum sealing drainage
wound healing
nursing
