[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):20-23.
　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,(07):20-23.
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 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
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2018年07期
页码:
20-23
栏目:
出版日期:
2018-08-10

文章信息/Info

Title:
 Application of Free Skin Grafting Combined with Negative Pressure Wound Therapy in the Treatment of Ⅲ/Ⅳ Degree Burns Wounds
文章编号:
1008-6455（2018）07-0020-04
作者:
 雷 磊; 高 优; 许建允; 郭志谦; 杨新蕾; 江碧川
Author(s):
LEI Lei; GAO You; XU Jian-yun; GUO Zhi-qian; YANG Xin-lei; JIANG Bi-chuan
关键词:
 ; [关键词]烧伤; 清创; 植皮; 负压创面治疗技术
Keywords:
 ; Key words: burns;  debridement;  skin grafting;  negative pressure wound therapy
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：探讨清创植皮联合负压创面治疗技术（Negative pressure wound therapy，NPWT）治疗Ⅲ/Ⅳ度烧伤创面
的临床效果。方法：选取2015年2月-2017年3月笔者医院烧伤科收治的Ⅲ/Ⅳ度烧伤患者78例为研究对象，根据患者治疗
方案分为干预组（清创后NPWT联合游离植皮修复，42例）和对照组（清创后传统换药联合游离植皮修复，36例），比较两
组患者创面愈合时间、住院时间、治疗费用及创面封闭成功率、术后并发症发生率。结果：干预组创面愈合时间、住院时
间、1%烧伤面积治疗费用均低于对照组，差异有统计学意义（P ＜0.05）。干预组一次性手术创面封闭成功率为80.95%高
于对照组的58.33%，干预组创面感染率、肺部感染率（2.38%、0.00%）均低于对照组（16.67%、11.11%），差异有统计
学意义（P ＜0.05）。干预组瘢痕增生程度明显低于对照组，差异有统计学意义（P ＜0.05）。结论：NPWT联合清创植皮治
疗Ⅲ/Ⅳ度烧伤创面可缩短治疗时间、提高治疗效果，减轻术后瘢痕增生程度，具有显著治疗价值。

Abstract:
Abstract: Objective To investigate the therapeutic effect of free skin grafting combined with negative pressure wound therapy
in the treatment of Ⅲ/Ⅳ degree burns wounds. Methods Selected 78 case of Ⅲ/Ⅳ degree burn patients in our hospital from
February 2015 to March 2017 as research subjects. All patients were divided into the intervention group (repair of NPWT
combined with free skin grafting after debridement, 42 cases) and the control group (repair of traditional dressing combined
with free skin grafting after debridement, 36 cases). The wound healing time, hospitalization time, treatment cost, wound
closure success rate and postoperative complication rate were compared between the two groups. Results The wound healing
time, hospitalization time, and 1% burn area treatment cost in intervention group were lower than those in control group, the
differences were statistically significant(P ＜0.05). The successful rate of wound closure in the intervention group was 80.95%
higher than that of the control group (58.33%), the infection rate of the wound and the rate of pulmonary infection (2.38%,
0.00%) in the intervention group were lower than those of the control group (16.67%, 11.11%), the differences were statistically
significant(P ＜0.05). The degree of hypertrophic scar in the intervention group was significantly lower than that of the control
group(P ＜0.05). Conclusion NPWT combined with debridement and skin grafting to treat Ⅲ/Ⅳ degree burn wounds can
shorten the treatment time, improve the therapeutic effect, and reduce postoperative scar hyperplasia, which has significant
therapeutic value.

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更新日期/Last Update: 2018-09-06