[1]孙充洲,王帅道,赵婷慧,等.二次负压封闭引流对小儿大面积深Ⅱ度烧伤创面愈合的疗效研究[J].中国美容医学,2019,(03):31-33.
　SUN Chong-zhou,WANG Shuai-dao,ZHAO Ting-hui,et al. Effect of Twice Vacuum Sealing Drainage on Large Area Deep Ⅱ Degree BurnWounds in Children[J].Medical Aesthetics and Beauty,2019,(03):31-33.
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二次负压封闭引流对小儿大面积深Ⅱ度烧伤创面愈合的疗效研究
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2019年03期
页码:
31-33
栏目:
出版日期:
2019-03-11

文章信息/Info

Title:
 Effect of Twice Vacuum Sealing Drainage on Large Area Deep Ⅱ Degree Burn
Wounds in Children
文章编号:
1008-6455（2019）03-0031-03
作者:
孙充洲; 王帅道; 赵婷慧; 代 强; 吴礼孟
Author(s):
 SUN Chong-zhou; WANG Shuai-dao; ZHAO Ting-hui; DAI Qiang; WU Li-meng
关键词:
 ; [关键词]负压封闭引流; 深度烧伤; 削痂术; 植皮术; 儿童; 慢性创面; 并发症
Keywords:
Key words: vacuum sealing drainage;  deep burn;  escharectomy;  skin grafting;  children;  chronic wound;  complication
分类号:
R622
文献标志码:
B
摘要:
[摘要]目的：探讨二次负压封闭引流（Vacuum sealing drainage，VSD）对小儿大面积深Ⅱ度烧伤创面的应用疗效。方
法：回顾性分析2015年-2017年收治的50例大面积深Ⅱ度烧伤患儿，随机分为观察组及对照组，每组25例。观察组行二次
VSD治疗，既在创面削痂和植皮手术后分别应用VSD技术进行治疗，行削痂手术后采用VSD技术治疗至肉芽创面新鲜后行植皮
术，植皮后再采用VSD技术进行治疗直至愈合；对照组削痂手术后行植皮术，植皮后敷料加压包扎治疗，定期换药直至愈
合。对两组患儿的平均换药次数、平均住院时间、创面愈合时间、并发症发生率进行统计分析，评价治疗效果。结果：观
察组平均换药次数、平均住院时间、创面愈合时间及术后并发症发生率均低于对照组[（4.4±0.5）次，（26.0±2.5）d，
（23.0±1.8）d，4.0%（1/25） vs （10.5±1.2）次，（38.0±4.5）d，（34.0±3.7）d，20.0%（5/25）]，差异有统计
学意义（P ＜0.05）。结论：采用二次VSD治疗小儿大面积深Ⅱ度烧伤创面应用效果良好，较传统治疗方式有明显优势，操作
简便，安全有效，值得临床推广应用。

Abstract:
Abstract: Objective To investigate the effect of twice vacuum sealing drainage（VSD）on large area deep Ⅱ degree burn
wounds in children. Methods From 2015 to 2017, 50 cases of children with large area deep Ⅱ degree burn were analyzed
retrospectively. They were divided into 25 cases each has in the control group and the observation group. The observation
group was treated with twice VSD. VSD was applied to treat wounds after the wound eschar operation and skin grafting
respectively. The observation group was treated with VSD technique after the wound eschar operation, and skin grafting was
done after the granulation wound was fresh. VSD technique was used for healing after skin grafting. The control group skin
grafting was performed after the wound eschar operation. After skin grafting, the dressing was bandaged with pressure and
changed regularly until the wound healed. The average number of dressing change, average hospitalization time, wound healing
time and incidence of complications in two groups of patients were statistically analyzed, and the difference between the two
methods was evaluated. Results The average times of dressing change, average hospitalization time, wound healing time and
the incidence of postoperative complications in the observation group were lower than those in the control group[(4.4±0.5)
times, (26.0±2.5)d, (23.0±1.8)d, 4.0%(1/25) vs (10.5±1.2)times, (38.0±4.5)d, (34.0±3.7)d, 20.0%(5/25)], the differences were
statistically significant(P ＜0.05). Conclusion The application of twice VSD in the treatment of large area deep Ⅱ degree burn
wounds in children has good effect. It has obvious advantages over traditional treatment. It is easy to operate, safe and effective.
It is worthy of clinical application.

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更新日期/Last Update: 2019-03-29