目的 探讨负压封闭引流 (vacuum sealing drainage,VSD) 技术治疗糖尿病压疮的效果。方法 将60例糖尿病压疮患者随机分为VSD组和常规治疗组,常规组给予基础治疗、基础护理、清创术、创面换药等治疗,VSD组在常规组的基础上应用VSD术。结果 VSD组治愈率为73.3%,明显高于常规治疗组的26.7%,VSD组治愈天数为(15.8±7.1) d,明显低于常规组的(22.1±8.2) d,差异有统计学意义(P<0.05)。结论 VSD治疗糖尿病并发的压疮效果更好,时间更短,并能减轻患者痛苦。
Abstract
Objective To study the therapeutic effects of vacuum sealing drainage (VSD) in diabetes mellitus complicated by bedsore. Methods Sixty patients with diabetic bedsore were randomly divided into two groups: VSD group and general group. Results In VSD group, cure rate(73.3%) was significantly higher than that in general group(26.7%). In VSD group, days for cure was 15.8 days,lower than 22.1 days in general group, but without significant difference(P
关键词
糖尿病 /
压疮 /
负压封闭引流技术
Key words
diabetes mellitus /
bedsore /
vacuum sealing drainage
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1]孙银梅,王筱霞,段吉霏,等.VSD负压引流辅料治疗大面积感染创面的护理体会[J].临床合理用药,2010,9(3 ):130.
[2]万焕云.基础护理操作规程[M].武汉:湖北科学技术出版社,2007:77-78.
[3]中华医学会糖尿病分会.中国2型糖尿病防治指南(2007年版) [J].中华医学杂志,2008,88(18):1227-1245.
[4]殷磊.护理学基础[M].2版.北京: 人民卫生出版社,2000:132-133.
[5]代庆春,张敏,姚元章.真空封闭引流在创伤修复中应用的现状和展望[J].创伤外科杂志,2007,9(4):371-374.
[6]李仕明.糖尿病足与相关并发症的诊治[M].北京:人民卫生出版社,2002:168.
[7]Tauenhahn J, Pross M, Kuhn R, et al.The use of v a C -system in wound management for borderline indications[J].Zentralbl Chir,2004,129(S1):12-13.
[8]Polykandriotis E,KneserU,Kopp J,et al.Modified gloving technique for vacuum therapy in the hand [J].Zentralbl Chir,2006,131(S1):S36-39.
[9]李垂启,孙明举,张晔,等.封闭负压吸引治疗糖尿病患者感染溃疡创面[J].黑龙江医学,2011,35(9):679- 680.
[10]丁锦荣.VSD技术治疗切口感染的应用体会[J].中国医药指南,2010,10(8):291-292.
[11]张敬东,项良碧,田竞.VSD治疗会阴部撕裂伤合并臀部严重感染七例[J].中国骨与关节损伤杂志,2011,2(26) :179.