早期VSD联合组织瓣序贯治疗在深度电烧伤治疗中的应用效果观察
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摘要
目的探求深度电烧伤采用早期封闭负压引(VSD)联合组织瓣序贯治疗的效果。方法研究对象为本院2015年4月至2017年8月收治的62例深度电烧伤患者,按抽签法分为两组。试验组31例采用早期VSD联合组织瓣序贯治疗,对照组31例采用早期VSD治疗,随访6个月,比较两组治疗相关指标、皮瓣成活效果及感染率。结果较对照组相比,试验组肉芽生长时间、创面愈合时间、住院时间短,皮瓣成活总优良率高,感染率低,差异具有统计学意义(P <0.05)。结论深度电烧伤采用早期VSD联合组织瓣序贯治疗可提升皮瓣成活率,缩短创面愈合时间,降低感染发生率。
Objective To explore the effect of sequential treatment of deep electric burn with early closed negative pressure drainage(VSD) combined with tissue valve. Methods A total of 62 patients with deep electric burn were treated in our hospital from April 2015 to August 2017. They were divided into two groups by drawing lots. 31 cases in the experimental group were treated with early VSD combined with tissue flaps sequentially, and 31 cases in the control group were treated with early VSD. The patients were followed up for 6 months. The treatment-related indicators, the survival effect of the flaps and the infection rate were compared between the two groups. Results Compared with the control group, the experimental group had shorter granulation growth time, wound healing time and hospitalization time, higher overall survival rate of skin flaps and lower infection rate(P < 0.05). Conclusion Early sequential treatment of VSD combined with tissue flaps for deep electric burn can improve the survival rate of skin flaps, shorten the healing time of wounds and reduce the incidence of infection.
Objective To explore the effect of sequential treatment of deep electric burn with early closed negative pressure drainage(VSD) combined with tissue valve. Methods A total of 62 patients with deep electric burn were treated in our hospital from April 2015 to August 2017. They were divided into two groups by drawing lots. 31 cases in the experimental group were treated with early VSD combined with tissue flaps sequentially, and 31 cases in the control group were treated with early VSD. The patients were followed up for 6 months. The treatment-related indicators, the survival effect of the flaps and the infection rate were compared between the two groups. Results Compared with the control group, the experimental group had shorter granulation growth time, wound healing time and hospitalization time, higher overall survival rate of skin flaps and lower infection rate(P < 0.05). Conclusion Early sequential treatment of VSD combined with tissue flaps for deep electric burn can improve the survival rate of skin flaps, shorten the healing time of wounds and reduce the incidence of infection.
引文
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[15]李冈栉,郭忠梁,王国昌,等.双下肢深Ⅱ度烧伤创面早期应用VSD治疗的临床研究[J].现代仪器与医疗,2016,22(4):100-101.DOI:10.11876/mimt201604038.
[2]李萍,唐秀英,袁岚.封闭式负压引流治疗皮肤大面积缺损伴感染1例[J].中国感染与化疗杂志,2016,16(3):377-378.DOI:10.16718/j.1009-7708.2016.03.023.
[3]Chrapusta A,Pchalska M,Wilk-Frańczuk M,et al.Evaluation of the effectiveness of neurofeedback in the reduction of Posttraumatic stress disorder(PTSD)in a patient following high-voltage electric shock with the use of ERPs[J].Annals of Agricultural&Environmental Medicine Aaem,2015,22(3):556-563.DOI:10.5604/12321966.1167734.
[4]张喜海,卓乃强,鲁晓波.游离组织瓣联合游离植皮负压封闭引流技术修复肢体严重创伤后大面积软组织缺损46例[J].重庆医学,2014,43(1):114-116.DOI:10.3969/j.issn.1671-8348.2014.01.042.
[5]蒋晓臣,龚震宇,朱金红,等.封闭负压引流技术联合皮片及皮瓣移植术在电烧伤创面治疗的临床应用[J].华南国防医学杂志,2015,29(7):554-555.
[6]Linden K,Scaravilli V,Kreyer S F,et al.Evaluation of the Cytosorba,￠Hemoadsorptive Column in a Pig Model of Severe Smoke and Burn Injury[J].Shock,2015,44(5):487-495.DOI:10.1097/SHK.0000000000000439.
[7]张睿,文科,杨艳秋,等.负压封闭引流技术在创伤序贯救治中的应用[J].中华全科医学,2017,15(3):401-403.DOI:10.16766/j.cnki.issn.1674-4152.2017.03.011.
[8]刘本立,于仁义,卞东会,等.皮片移植修复联合负压封闭引流技术对深度烧伤患者创面愈合的影响[J].医学研究杂志,2016,45(6):129-132.DOI:10.11969/j.issn.1673-548X.2016.06.033.
[9]Toussaint J,Chung W T,Mc C S,et al.Optimal Timing for Early Excision in a Deep Partial Thickness Porcine Burn Model[J].Journal of Burn Care&Research Official Publication of the American Burn Association,2016,38(1):352-352.DOI:10.1097/BCR.0000000000000387
[10]彭云,庄君灿,梁茶.负压引流联合带蒂复合组织瓣移植修复创伤后软组织缺损的临床研究[J].中国医药导报,2014,11(32):38-41.
[11]白永强,邵洪波,孟令敏,等.负压封闭引流与传统换药治疗烧伤创面疗效比较[J].海南医学,2016,27(10):1672-1675.DOI:10.3969/j.issn.1003-6350.2016.10.042.
[12]Tong E,Dorairaj J,O'Sullivan J B,et al.Deep Full Thickness Burn to a Finger from a Topical Wart Treatment[J].Irish Medical Journal,2015,108(9):283.
[13]张涛,李孝建,邓忠远,等.负压封闭引流技术与传统换药在老年烧伤患者皮肤软组织损伤中的应用比较[J].实用临床医药杂志,2015,19(13):90-92.DOI:10.7619/jcmp.201513029.
[14]Guo S X,Jin Y Y,Fang Q,et al.Beneficial effects of hydrogen-rich saline on early burn-wound progression in rats[J].Plos One,2015,10(4):124897-124897.DOI:10.1371/journal.pone.0124897.
[15]李冈栉,郭忠梁,王国昌,等.双下肢深Ⅱ度烧伤创面早期应用VSD治疗的临床研究[J].现代仪器与医疗,2016,22(4):100-101.DOI:10.11876/mimt201604038.