[精品]封闭式负压引流在治疗慢性创面中的应用与护理.doc

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1、封闭式负压引流在治疗慢性创面中的应用与护理封闭式负压引流在治疗慢性创面中的应用与护理［摘耍］目的：探索封闭式负压引流技术在治疗慢性创面中的应用及护理。方法：选择2010年6月〜7月采用封闭式负压引流技术治疗的慢性创面50例，主耍为压疮患者，对其分别进行封闭式负压引流技术及创面换药治疗。术后均随访至所有创面完全愈合后1个月。结果：使用封闭式负压引流技术至创而修复完整时间较创面换药治疗缩短，此期间患者平均手术次数为1〜2次。可以保持有效引流5〜7天，能有效地减少创面愈合时间，促进创面愈合，治愈率提高。结论：封闭式负压引流(Vacuumsealingdrainage-

2、VSD)技术能明显促进慢性创面愈合，缩短治疗时间，减轻患者痛苦，降低患者费用，操作简便，易于掌握，在治疗慢性创面方面远远优于常规换药治疗。是一种促进浅表创面和深部创面愈合的全新方法，因此准确、有效、及时的治疗和护理是取得良好疗效的关键。［关键词］封闭式负压引流；慢性创面；应用与护理［中图分类号1R473.5［文献标识码"［文章编号11008-6455(2011)10-1638-02InvestigatingtheusingandnursingthattreatthechronicwoundsWANGQing,ZHOUQin,SHIXue-qin,CHENYuan

3、,XUJing,JIAOXiao-chun(DepartmentofBurnsandDermatologySurgeryXijingHospital,TheFourthMi1itaryMedicalUniversityXi?an710032,Shaanxi,China)Abstractobjective:Toinvestigatetheusingandnursingthattreatthechronicwounds・MethodsChoosing50chronicwoundscaseswhichweretreatedwithvacuumsealingdraina

4、gefromJune,2010toJuly,2010,andthemajorityofthemaresufferingfrombedsore・WerespectivelyusedtheVSDandcommonsurgicaldebridementinwound.Thenwefollowedupthepatientspostoperationafter1month・ResultsFromtheperiodofpostoperativetofollowing-up,wecanseethepatientswhotreatwithVSDwerefreefrominfec

5、tionandtheaveragehospitalizedtimeofusingVSDwas(20.5+4.4)days,theaverageofoperationswas1to2times・Keepingtheeffectivedrainageforabout5-7days,itsignificantlyshortenedthetimeoftreatmentandpromotedthewoundhealing・ConclusionTheVSDtechnologycanobviouslypromotethespeedofwoundhealing,shortent

6、hetimeoftreatment,easethepatients'pain,cutdowntheirexpense,helpthehealthcareteamtoreduceworkloadfromthechangeofdressing,whichisalsoconvenientoperationandeasytomaster,whichisfarsuperiortoconventionalchangeofdressingintreatinghigh-energysofttissue・Soifwemasterthestrictindicationandusin

7、gthesuitablemethod,wecouldgainthefavorableeffect・Therefore,thekeyisthatitcangainthefavorableeffectandaccuratewoundhealing・Keywords:Vacuumsealingdrainage(VSD);chronicwounds;usingandnursing慢性创面是由于各种原因导致局部组织缺损，创面难以愈合并且极易因损伤而复溃，是外科常见病，慢性创面的修复是一个复杂的过程，影响因素较多，治疗上比较棘手。临床上大多数慢性创面常有局部缺血或/和感染存

8、在，创面愈合只有在缺血、