VSD负压吸引技术对深度烧伤创面愈合的临床效果分析

摘要

目的 探讨VSD负压吸引技术对深度烧伤创面愈合的临床效果.方法 选取因烧伤住院治疗的患者80例,按照部位对称、深度相同、面积相近及患者自身意愿的原则,将每例患者创面分成VSD组和磺胺嘧啶银(SD-Ag)组,比较观察两组患者烧伤后7、14、21 d的创面感染发生率、细菌培养阳性率和伤口VAS疼痛评分,对比两组患者创面愈合时间、瘢痕发生率和温哥华瘢痕量表评分.结果 在烧伤后7、14和21 d,VSD组患者的创面感染发生率和细菌感染率均显著低于SD-Ag组(P＜0.05),烧伤后7、14、21 d的创面VAS疼痛评分比较,VSD组患者均小于SD-Ag组,差异具有统计学意义(P＜0.05),VSD组的创面愈合时间显著少于SD-Ag组,差异具有统计学意义(P＜0.05),其中VSD组瘢痕发生率显著低于SD-Ag组(P＜0.05),而温哥华瘢痕量表评分VSD患者得分显著低于SD-Ag患者(P＜0.05).结论 VSD负压吸引技术治疗烧伤患者可显著减少创面感染发生率,减轻创面疼痛,同时能促进创面愈合和减少瘢痕发生.%Objective To explore the healing effect of vacuum sealing drainage (VSD) technique using in treatment of deep burn wound.Methods Patients were selected who hospitalized in our hospital because of burn from June 2014 to May 2016,and divided into the VSD group and silver sulfadiazine (SD-Ag) group.The incidence of wound infection,bacterial culture positive rate and wound visual analogue score (VAS) were compared between two groups of patients in different time after burn,and also compared two groups of patients with wound healing time,and incidence of scar and the scar rating scale of vancouver.Results A total of 80 patients were included in the study,and divided into VSD (n =46) and SD-Ag (n =34) groups.The wound infection rate and bacterial culture positive rate in the VSD group were significantly lower than the SD-Ag group after burn for 7 d,14 d,and 21 d (P ＜ 0.05).Patient's wound pain VAS score in the VSD group was less than SD-Ag group after burn for 7 d,14 d,and 21 d (P ＜0.05).The wound healing time,incidence of scar,and vancouver scar table score in the VSD group were significantly lower than that of SD-Ag group (P ＜ 0.05).Conclusions The use of vacuum sealing drainage of treatment for burn patients can significantly reduce the wound infection,relieve wound pain,promote wound healing,and reduce scar occurred at the same time.