Li Yan, Dong Guiqiu, Xie Yun, Wang Jie
Wound Care Clinic of Outpatient, Dushu Lake Hospital Affiliated to Soochow University, Suzhou, Jiangsu Province, China.
Second Department of Orthopaedics, Suzhou Kowloon Hospital, Medical College of Shanghai Jiaotong University, Suzhou, Jiangsu Province, China.
Postepy Dermatol Alergol. 2024 Feb;41(1):128-135. doi: 10.5114/ada.2024.136036. Epub 2024 Feb 28.
Limb trauma (LT) encompasses a variety of conditions and currently poses certain therapeutic challenges in clinical practice.
To assess the effectiveness of applying the vacuum sealing drainage (VSD) technique combined with carbon nanomaterial (CNM) dressings in the nursing treatment of LT patients.
Eighty-six LT patients were enrolled into a control (Ctrl) group and an experimental (Exp) group. Patients in the Ctrl group underwent conventional wound cleansing and drainage methods with regular dressings, while those in the Exp group received VSD combined with CNM dressings. Both groups received the same nursing procedures. Various indicators were observed and compared to analyse the final outcomes.
The Exp group exhibited a higher favourable wound healing (FWH) rate, overall limb functional recovery (LFR) rate, and nursing satisfaction compared to the Ctrl group ( < 0.05). Meanwhile, patients in the Exp group experienced a greatly lower incidence of complications (IOC), pain scores, and average hospital stays (HS), presenting statistically/significant differences compared to those in the Ctrl group ( < 0.05). The combination of the VSD technique with CNM dressings demonstrated advantages in nursing treatment of LT patients. This approach could enhance rates of FWH, reduce IOC, alleviate postoperative pain, facilitate LFR, and shorten HS. Furthermore, patients in the Exp group expressed higher nursing satisfaction.
Results of this work yielded a novel therapeutic option for clinical practice, enhancing treatment outcomes and rehabilitation processes for LT patients.
肢体创伤(LT)涵盖多种情况,目前在临床实践中带来了一定的治疗挑战。
评估应用负压封闭引流(VSD)技术联合碳纳米材料(CNM)敷料对LT患者进行护理治疗的效果。
86例LT患者被纳入对照组(Ctrl)和实验组(Exp)。对照组患者采用常规伤口清洁和引流方法并定期换药,而实验组患者接受VSD联合CNM敷料治疗。两组接受相同的护理程序。观察并比较各项指标以分析最终结果。
与对照组相比,实验组的伤口愈合良好(FWH)率、肢体整体功能恢复(LFR)率和护理满意度更高(<0.05)。同时,实验组患者的并发症发生率(IOC)、疼痛评分和平均住院时间(HS)大大降低,与对照组相比存在统计学/显著差异(<0.05)。VSD技术与CNM敷料相结合在LT患者的护理治疗中显示出优势。这种方法可以提高FWH率,降低IOC,减轻术后疼痛,促进LFR,并缩短HS。此外,实验组患者表达了更高的护理满意度。
本研究结果为临床实践提供了一种新的治疗选择,改善了LT患者的治疗效果和康复进程。