[1]吴 斌,李 荣.VSD联合银离子敷料治疗慢性创面的疗效观察及护理探讨[J].中国美容医学,2023,(2):64-67.
　U Bin,LI Rong.Curative Effect Observation and Nursing Discussion of VSD Combined with Silver Ion Dressing in Treating Chronic Wound[J].Medical Aesthetics and Beauty,2023,(2):64-67.
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VSD联合银离子敷料治疗慢性创面的疗效观察及护理探讨()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2023年2期
页码:
64-67
栏目:
出版日期:
2023-02-10

文章信息/Info

Title:
Curative Effect Observation and Nursing Discussion of VSD Combined with Silver Ion Dressing in Treating Chronic Wound
文章编号:
1008-6455(2023)02-0064-03
作者:
吴 斌; 李 荣
(湖北文理学院附属医院 襄阳市中心医院 皮肤整形科 湖北 襄阳 441021 )
Author(s):
?U Bin; LI Rong
(Department of Dermatology and Plastic Surgery, Xiangyang Central Hospital, Affi liated Hospital of Hubei University of Arts and Sciences, Xiangyang 441021,Hubei,China)
关键词:
慢性创面; 负压封闭引流; 银离子敷料; 护理; 疗效
Keywords:
chronic wound;  vacuum sealing drainage;  silver ion dressing;  nursing;  curative effect
分类号:
R622
文献标志码:
A
摘要:
目的：分析负压封闭引流技术（VSD）联合银离子敷料治疗慢性创面的疗效及相关护理对策。方法：选取2019年4 月-2020年4月于笔者医院诊治的72例慢性创面患者为研究对象，所有受试对象入院后均给予彻底清创及内科治疗，在此基 础上采用VSD联合银离子敷料治疗，并予以优质护理。评估临床疗效，记录治疗期间肉芽形成时间、创面愈合时间及住院 治疗时间。分别于治疗前、治疗7 d、14 d和28 d后对创面进行细菌培养，并分析细菌培养结果。结果：72例患者中显效21 例（21/72，29.17%），有效45例（45/72，62.50%），无效6例（6/72，8.33%），临床有效率为91.67%（66/72）。患者肉 芽组织形成时间为（10.06±2.48）d，创面愈合时间为（36.15±2.87）d，住院治疗时间为（23.12±5.47）d。患者治疗 7 d 、14 d和28 d创面细菌培养阳性率均低于治疗前，治疗14 d和28 d创面细菌培养阳性率均低于治疗7 d，治疗28 d创面细菌 培养阳性率均低于治疗14 d（P＜0.05）。结论：VSD联合银离子敷料治疗慢性创面疗效好，能够有效促进肉芽组织生成和创 面愈合，减轻细菌感染，值得推广。
Abstract:
Objective To analyze the curative effect of negative pressure closed drainage technology (VSD) combined with silver ion dressing in the treatment of chronic wounds and related nursing strategies. Methods Total of 72 patients with chronic wounds who were diagnosed and treated in our hospital from April 2019 to April 2020 were selected.All subjects were given thorough debridement and medical treatment after admission.On this basis,VSD combined with silver ion dressing was used for treatment,and provide quality care.Evaluate the clinical efficacy,record the time of granulation formation,wound healing time and hospitalization time during treatment.Bacteria were cultured on the wounds before treatment and 7 d,14d,and 28 d after treatment,and the results of bacterial culture were analyzed. Results Among 72 patients,21 cases were markedly eff ective (21/72,29.17%),45 cases were eff ective (45/72,62.50%),6 cases were ineff ective (6/72,8.33%),and the clinical eff ective rate was 91.67% (66/72).The granulation tissue formation time of the patient was (10.06±2.48) days,the wound healing time was (36.15±2.87) days,and the hospitalization time was (23.12±5.47) days.The positive rates of bacterial culture on the wounds of patients treated for 7 d,14 d and 28 d were lower than before treatment,the positive rates of bacterial culture on the wounds treated for 14 d and 28 d were lower than those for 7 d,and the positive rate of bacterial culture on wounds for 28 d was lower than that of 14 d (P ＜0.05). Conclusion VSD combined with silver ion dressing has good effi cacy in the treatment of chronic wounds,which can effectively promote the formation of granulation tissue and wound healing,reduce bacterial infection,and is worthy of promotion.

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更新日期/Last Update: 2023-03-06