The application of VSD technology in the treatment of clinical value of burn patients in emergency escharectomy after skin grafting
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摘要: 目的:探讨烧伤患者急诊切痂植皮处理后采取负压封闭引流(VSD)处理的临床价值。方法:选取我院2012-01-2015-01急诊收治的59例四肢烧伤患者,采用随机数字表法分为VSD组29例和常规组30例,2组患者急诊切痂植皮处理后,常规组予以常规后予以换药和包扎,VSD组予以VSD技术处理,2组患者均给予植皮治疗后对比临床效果。结果:切痂后第1、2、3天,VSD组患者的疼痛程度评分均显著的低于常规组患者且差异均有统计学意义(P<0.05);切痂后第3、7天,VSD组患者的创面细菌阳性率均低于常规组患者且差异均有统计学意义(P<0.05);VSD组患者在切痂后第3、7天的创面细菌阳性率较第1天呈显著的降低趋势(P<0.05);VSD组患者的创面完全愈合时间显著短于常规组患者且差异均有统计学意义(P<0.05);VSD组患者植皮14 d后创面愈合率显著的高于常规组(P<0.05)。结论:烧伤患者切痂处理后采取急诊VSD处理有助于缓解患者的疼痛、改善创面清洁度,为后续植皮工作打下良好基础。Abstract: Objective:To investigate the clinical value of taking VSD (VSD) treated patients with burns investigate escharectomy emergency treatment.Method:Selected the hospital in January 2012~ January 2015 were treated 59 cases of limb emergency burn patients in clinical studies,using randomly divided into 29 cases of VSD group and conventional group of 30 patients,two groups of patients after emergency escharectomy treatment group received routine after routine to be dressing and bandage,VSD group to be technical,the two groups of patients were given Comparative clinical effect after skin grafting.Result:After escharectomy first 1,2,3 d,pain intensity score VSD patients were significantly lower than regular patients and the differences were statistically significant (P<0.05);After escharectomy wound bacterial positive rate of the 3,7 days,and the VSD group patients were lower than those of the conventional group patients and the difference has statistical significance (P<0.05);group VSD patients in escharectomy after 3 and 7 days of wound bacteria positive rate than the 1 D was significantly decreased (P<0.05);VSD group of patients wounds healing time was significantly shorter in patients and differences in the conventional group were statistically significant (P<0.05);after grafting in patients with VSD group 14 d wound healing was significantly higher in the conventional group (P<0.05).Conclusion:Burn patients treated escharectomy take emergency VSD helps to alleviate the patient's pain,improve wound cleanliness,and lay a good foundation for future grafting work.
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Key words:
- burns /
- escharectomy /
- emergency /
- VSD
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