[1]付永峰,王嘉欣,单 楠,等.负压创面治疗技术联合削痂植皮术在深度烧伤创面修复中的应用[J].中国美容医学,2024,(10):89-93.
　FU Yongfeng,WANG Jiaxin,SHAN Nan,et al.Application of Negative Pressure Wound Therapy Combined with Scab Removal and Skin Grafting in the Repair of Deep Burn Wounds[J].Medical Aesthetics and Beauty,2024,(10):89-93.
点击复制

负压创面治疗技术联合削痂植皮术在深度烧伤创面修复中的应用()

《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2024年10期
页码:
89-93
栏目:
出版日期:
2024-09-26

文章信息/Info

Title:
Application of Negative Pressure Wound Therapy Combined with Scab Removal and Skin Grafting in the Repair of Deep Burn Wounds
文章编号:
1008-6455（2024）10-0089-04
作者:
付永峰1 ; 王嘉欣1 ; 单 楠1 ; 张馨元2
(秦皇岛市第一医院 1.烧伤整形美容外科;2.肿瘤科 河北 秦皇岛 066000)
Author(s):
FU Yongfeng1 ;  WANG Jiaxin1 ;  SHAN Nan1 ;  ZHANG Xinyuan2
( 1.Department of Burn Plastic and Aesthetic Surgery, 2.Department of Oncology, Qinhuangdao First Hospital, Qinhuangdao 066000, Hebei, China )
关键词:
负压创面治疗技术; 削痂; 植皮; 深度烧伤; 创面
Keywords:
negative pressure wound therapy;  scab removal;  skin grafting;  deep burn;  wound
分类号:
R622
文献标志码:
A
摘要:
目的：探究负压创面治疗技术（Negative pressure wound therapy，NPWT）联合削痂植皮术修复深度烧伤后创面的 疗效。方法：选取2020年1月-2023年1月笔者医院收治的112例深度烧伤患者，按随机数字表法分为实验组（56例）和对照组 （56例）。对照组采用削痂植皮术治疗，实验组采用NPWT联合削痂植皮术进行治疗。统计比较两组患者临床疗效、创面愈合 情况、疼痛评分[视觉模拟评分法（Visual analogue scale，VAS）]、外观满意度评分、炎症因子水平[肿瘤坏死因子-α（TNF-α）、白细胞介素-6（IL-6)]、并发症及瘢痕情况[温哥华瘢痕量表（Vancouver scar scale，VSS）]。结果：治 疗后，实验组临床疗效优于对照组，创面愈合时间短于对照组，差异均有统计学意义（P＜0.05）；植皮术后7 d，实验组 创面愈合率、皮片成活率、外观满意度评分均高于对照组（P＜0.05），疼痛VAS评分、TNF-α和IL-6水平均低于对照组 （P＜0.05）；治疗期间，实验组总并发症发生率低于对照组（P＜0.05）；植皮术后6个月，实验组VSS各评分及总分均低 于对照组（P＜0.05）。结论：NPWT联合削痂植皮术修复深度烧伤后创面疗效良好，可有效促进创面愈合，降低疼痛感，减 少瘢痕形成，改善患者预后，值得临床应用。
Abstract:
Objective To explore the repair eff ect of negative pressure wound therapy (NPWT) combined with scab removal and skin grafting in wound after deep burn. Methods A total of 112 patients with deep burns admitted to the author’s hospital from January 2020 to January 2023 were selected and divided into experimental group (56 cases) and control group (56 cases) according to the random number table method. The control group was treated with tangential excision and skin grafting, and the experimental group was treated with NPWT combined with tangential excision and skin grafting.The clinical effi cacy, wound healing, pain score [visual analogue scale (VAS)], appearance satisfaction score, inflammatory factor level [tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6)], complications and scar condition [Vancouver scar scale (VSS)] were compared between the two groups. Results After treatment, the clinical effi cacy of the experimental group was better than that of the control group, and the wound healing time was shorter than that of the control group, and the diff erences were statistically signifi cant (P ＜0.05). At 7 days after skin grafting, the wound healing rate, skin graft survival rate, and appearance satisfaction score of the experimental group were higher than those of the control group (P＜0.05), and the pain VAS score, TNF-α and IL-6 levels were lower than those of the control group (P＜0.05). During the treatment, the total incidence of complications in the experimental group was lower than that in the control group (P＜0.05). At 6 months after skin grafting, the scores and total scores of VSS in the experimental group were lower than those in the control group (P＜0.05). Conclusion Repair eff ect of NPWT combined with scab removal and skin grafting is good in wound after deep burn, which can eff ectively promote wound healing, relieve pain, reduce scar formation, and improve prognosis of patients, which is worthy of clinical application.

相似文献/References:

[1]雷 磊,高 优,许建允,等. 游离植皮联合负压创面治疗技术治疗Ⅲ/Ⅳ度烧伤创面效果分析[J].中国美容医学,2018,(07):20.
　LEI Lei,GAO You,XU Jian-yun,et al. Application of Free Skin Grafting Combined with Negative Pressure Wound Therapy in the Treatment of Ⅲ/Ⅳ Degree Burns Wounds[J].Medical Aesthetics and Beauty,2018,(10):20.
[2] 吴 鹏,彭京梁,刘荣朋,等. 负压创面治疗技术联合皮瓣分期修复臀股部多发Ⅳ期压疮[J].中国美容医学,2020,(12):87.
　 WU Peng,PENG Jing-liang,LIU Rong-peng,et al. Application of Negative Pressure Wound Therapy Combined with Skin Flap in StagedRepair of Multiple Grade Ⅳ Pressure Ulcers in Buttock and Thigh[J].Medical Aesthetics and Beauty,2020,(10):87.
[3] 李 婷,潘建华,黄 峻,等. 序贯压力康复疗法联合负压创面治疗技术对手烧伤后瘢痕挛缩修复患者关节功能障碍及瘢痕情况的影响[J].中国美容医学,2021,(10):51.
　 LI Ting,PAN Jian-hua,HUANG Jun,et al. Effect of Sequential Pressure Rehabilitation Therapy Combined with NegativePressure Wound Therapy on Joint Dysfunction and Scar in Patients with ScarContracture after Hand Burn[J].Medical Aesthetics and Beauty,2021,(10):51.
[4]胡晓东,李永忠,蒋 朔.皮肤牵张闭合器联合负压创面治疗技术在慢性创面修复中的应用[J].中国美容医学,2022,(3):69.
　HU Xiaodong,LI Yongzhong,JIANG Shuo.The Application of Skin Stretch Occluder Combined with Negative Pressure Wound Treatment Technology in Chronic Wound Repair[J].Medical Aesthetics and Beauty,2022,(10):69.
[5]唐黎珺,李笑眉,张筱薇,等.负压创面治疗技术联合重组人碱性成纤维细胞生长因子持续冲洗在慢性创面治疗中的应用[J].中国美容医学,2022,(8):36.
　TANG Lijun,LI Xiaomei,ZHANG Xiaowei,et al.Application of Negative Pressure Wound Therapy Combined with Recombinant Human Basic Fibroblast Growth Factor Continuous Flushing in the Treatment of Chronic Wound[J].Medical Aesthetics and Beauty,2022,(10):36.
[6]周建文,陈志兵,李 丹,等.改良自制简易封闭式负压吸引装置在难愈性创面治疗中的应用[J].中国美容医学,2022,(8):42.
　ZHOU Jianwen,CHEN Zhibing,LI Dan,et al.Application of Improved Self-made Simple Closed Negative Pressure Suction Device in the Treatment of Refractory Wounds[J].Medical Aesthetics and Beauty,2022,(10):42.

更新日期/Last Update: 2024-10-08