刘兴华+王剑+石金柱+李健

[摘要] 目的 研究分析VSD负压引流术治疗四肢创伤的临床效果。方法 整群选择2013年10月—2015年4月该院收治的四肢创伤患者86例，随机分为对照组、观察组，各43例。对照组采用传统常规治疗，观察组采用VSD负压引流术治疗，比较分析两组住院时间、植皮所需时间、住院花费、感染发生率、创面愈合率及植皮成活率情况。 结果 观察组住院时间、植皮所需时间显著优于对照组，差异有统计学意义（P<0.01）；观察组感染发生率和住院花费显著低于对照组，差异有统计学意义（P<0.01）；观察组创面愈合率和植皮成活率分别为97.67%、95.35%，明显高于对照组，差异有统计学意义（P<0.01）。结论 采用VSD负压引流术治疗四肢创伤能够显著提高临床效果，清除创面，改善创面局部微循环，促进创面愈合，缩短住院时间，降低感染发生率，安全有效，值得推广。

[关键词] 负压封闭式引流术；四肢创伤；临床疗效

[中图分类号] R658 [文献标识码] A [文章编号] 1674-0742（2015）09（a）-0050-03

Observation on Clinical Efficacy of Vacuum Sealing Drainage for Treatment of Limb Trauma

LIU Xing-hua， WANG Jian， SHI Jin-zhu， LI Jian

Department of Orthopedics， the First Hospital of Fangshan District， Beijing， 102400 China

[Abstract] Objective To study the clinical efficacy of vacuum sealing drainage （VSD） in treating limb trauma. Methods 86 patients with limbs trauma admitted to our hospital between October 2013 and May 2015 were randomly divided into two groups， the observation group and the control group， 43 cases for each group. The control group was given traditional conventional treatment， while the observation group was treated with VSD. The length of hospital stay， skin grafting time， required hospitalization costs， infection rate， rate of wound healing and survival rate of skin grafting were comparatively analyzed between the two groups. Results The length of hospital stay， and required skin grafting time were shorter in the observation group than in the control group， and the differences were statistically significant（P<0.01）；the required hospitalization costs and infection rate were lower in the observation group than in the control group， and the differences were statistically significant（P<0.01）； the rate of wound healing and survival rate of skin grafting were higher in the observation group （97.67% and 95.35%） than in the control group， and the differences were statistically significant（P<0.01）. Conclusion VSD is worthy of promotion in the treatment of patients with limb trauma because it can clear the wound and improve its local microcirculation， promote wound healing， shorter hospital stays， and lower infection rate with high safety and efficacy.

[Key words] Vacuum sealing drainage； Limb trauma； Clinical efficacy

四肢创伤合并皮肤组织大面积损伤患者通常都需要进行换药和包扎治疗，并且每天都需要对创面和坏死组织进行清洗，因此医护人员的工作量会显著增加[1]。近年来随着医疗技术的不断提高，负压封闭引流术（VSD）越来越被广泛运用[2]。此方法主要指采用内含引流管的聚乙烯酒精水化海藻盐辅料填充或覆盖皮肤受损的创面，然后再使用生物半透膜封闭创口，最终接通负压引流管，通过负压进行引流来促进创面愈合[3]。为研究分析VSD负压引流术治疗四肢创伤的临床效果。在该次研究中整群选择该院2013年10月—2015年4月收治的四肢创伤患者86例，对比采用VSD负压引流术治疗和常规治疗的临床疗效，现报道如下。

1 资料与方法

1.1 一般资料

整群选择该院收治的四肢创伤患者86例，随机分为两组，每组43例。对照组男20例，女23例；年龄15～63岁，平均年龄为（42.1±5.4）岁；致伤部位：26例上肢创伤，17例下肢创伤；致伤原因：13例交通事故致伤、10例重物砸伤、9例高空坠落致伤、8例机器绞伤、3例其他原因致伤。……