□ 任晓倩 REN Xiao-qian

Objective To study the clinical application and nursing methods of vacuum sealing drainage (VSD) after free flap transplantation.Methods Forty-six patients with VSD after free flap transplantation in our hospital from February 2019 to July 2020 were included and randomly divided into experimental group (n=23) and control group (n=23). Results The clinical indicators of the two groups showed that the granulation growth time, epithelial tissue growth time and wound healing time of the experimental group were significantly shorter than those of the control group (p＜0.05); the incidence of complications of the experimental group was lower than that of the control group(p＜ 0.05). Conclusion For the burn patients with VSD after free flap transplantation, comprehensive nursing care can reduce the incidence of complications.

负压封闭引流术(VSD)被广泛应用于烧伤科的游离植皮术后，对于彻底清除创面渗液、坏死组织，维持创面清洁以及加快肉芽组织生长的意义重大[1-2]。在临床上，对于游离植皮术后接受负压封闭引流术治疗的患者而言，实施科学护理成为促进康复的有效路径[3]。医院经过长期的临床实践，发现综合护理模式对接受负压封闭引流术的患者效果显著，为深入分析该模式的临床应用价值，本文以2019年2月—2020年7月间收治的46例患者为研究对象进行比较分析。

资料与方法

1.一般资料。选取医院2019年2月-2020年7月收治的46例游离植皮术后负压封闭引流术患者，采用随机数表法将患者分入试验组与对照组，两组患者各23例。

2.方法。对照组患者接受常规护理，包括评估创面状态、护理人员叮嘱患者遵医嘱用药以及对患者不良情绪进行有效干预等，并鼓励患者食用高维生素、高蛋白食物，促进创面预后。

试验组患者在常规护理基础上，接受综合护理干预，包括：(1)负压治疗。在临床干预阶段，护理人员接触患者后接通中心负压引流装置，避免无负压情况下渗出液浸泡贴膜的情况发生。负压接通后，调整负压压力至0.017～0.060MPa之间，若发现负压封闭引流术敷料塌陷则证明密封效果有效。(2)加强负压封闭引流术患者观察。接通负压封闭引流装置后，护理人员做以下观察：负压封闭引流术敷料是否存在渗出情况；判断敷料是否有漏气，如存在漏气及时用贴膜封闭；引流管管型是否正常。……