Ousey Karen J, Milne Jeanette
Reader, School of Human and Health Sciences, Centre for Health and Social Care Research, University of Huddersfield.
Tissue Viability Nurse Specialist, South Tyneside Foundation Trust Community Services.
Br J Community Nurs. 2014 Mar;Suppl:S14, S16-20. doi: 10.12968/bjcn.2014.19.sup3.s14.
Case studies and clinical reviews support the use of negative pressure wound therapy (NPWT) for managing a range of wound types, yet very few scientific studies fully support its effectiveness. However, it has been argued that NPWT can provide excellent symptom management, reduce the frequency of dressing changes and provide a cost-effective alternative to traditional wound therapies due to faster healing times, leading to a reduction in overall treatment costs. Use of NPWT within community environments is increasing as length of hospital in-patient stay decreases, and many patients who would have traditionally been admitted to an acute setting with a complex or highly exuding wound are now managed by community nurses. This article presents a narrative review of NPWT, identifies safety precautions that require consideration and explores the application of smaller/disposable NPWT systems that are now available.
病例研究和临床综述支持使用负压伤口治疗（NPWT）来处理一系列伤口类型，但很少有科学研究充分证实其有效性。然而，有人认为NPWT可以提供出色的症状管理，减少换药频率，并由于愈合时间更快而提供一种比传统伤口治疗更具成本效益的替代方案，从而降低总体治疗成本。随着住院时间的缩短，NPWT在社区环境中的使用正在增加，许多传统上因复杂或大量渗液伤口而需入住急症病房的患者现在由社区护士管理。本文对NPWT进行了叙述性综述，确定了需要考虑的安全预防措施，并探讨了目前可用的小型/一次性NPWT系统的应用。
