Zuo H Y, Chen Y
MD, Surgical Residen, Department of Orthopaedics, Jinling General Hospital, Nanjing, JiangSu, China.
MD, Associate Chief Physician; Department of Orthopaedics, Jinling General Hospital, Nanjing, JiangSu, China.
J Wound Care. 2014 Feb;23(2):81, 84, 86-7. doi: 10.12968/jowc.2014.23.2.81.
To describe a modified negative pressure wound therapy (NPWT) apparatus, made mainly of an environmentally-friendly material derived from the retinervus luffae fructus (RLF; or loofah) plant.
We retrospectively reviewed the charts of patients with skin defects on their limbs who underwent treatment with the RLF-NPWT device from September 2012 to October 2012. The endpoint of the study was healing by secondary intention; the time (days) to endpoint was evaluated.
The RLF-NPWT device was used in 16 patients. The age of the patients ranged from 15-82 years, with a mean age of 43 ± 17 years. Six patients sustained crush injuries, nine patients had open limb injuries from motor vehicle accidents and a further patient had a diabetic foot ulcer. The mean time to healing was 8.5 ± 2.4 days. Following RLF-NPWT, fresh granulation tissue was observed in all wound beds, with no evidence of macroscopical necrosis. All 16 patients in the study achieved secondary healing.
The environmentally friendly RLF-NPWT apparatus is easy to use and able to provide continual negative pressure for optimal preparation of the wound bed. The cost-effectiveness of RLF-NPWT compared to standard NPWT requires further investigation.
There were no external sources of funding for this study. The authors have no conflicts of interest to declare.
描述一种改良的负压伤口治疗（NPWT）装置，该装置主要由源自丝瓜络植物的环保材料制成。
我们回顾性分析了2012年9月至2012年10月期间使用丝瓜络-NPWT装置治疗四肢皮肤缺损患者的病历。研究终点为二期愈合；评估达到终点的时间（天）。
16例患者使用了丝瓜络-NPWT装置。患者年龄在15 - 82岁之间，平均年龄为43±17岁。6例患者为挤压伤，9例患者因机动车事故导致开放性肢体损伤，另有1例患者患有糖尿病足溃疡。平均愈合时间为8.5±2.4天。使用丝瓜络-NPWT后，所有创面均可见新鲜肉芽组织，无肉眼可见的坏死迹象。研究中的16例患者均实现了二期愈合。
环保型丝瓜络-NPWT装置使用方便，能够提供持续负压以优化创面准备。与标准NPWT相比，丝瓜络-NPWT的成本效益需要进一步研究。
本研究无外部资金来源。作者声明无利益冲突。
