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评价真空密封引流联合含银敷料在改善慢性难治性创面中的疗效。

Evaluation of the efficacy of vacuum sealing drainage in combination with silver-containing dressings for the improvement of chronic refractory wounds.

机构信息

Department of Plastic Burn and Wound Repair, Lanxi People's Hospital, Jinhua, Zhejiang, China.

出版信息

Wound Manag Prev. 2024 Sep;70(3). doi: 10.25270/wmp.23067.

Abstract

PURPOSE

The aim of this study was to explore the clinical efficacy of vacuum sealing drainage in combination with silver-containing dressings for the treatment of chronic refractory wounds.

METHODS

In this retrospective study, 80 patients with chronic refractory wounds who were treated in the hospital were retrospectively selected as the study objects. Based on the treatment modalities, the patients were divided into the study group (SG; n = 40, receiving vacuum sealing drainage combined with silver-containing dressings) and the control group (CG; n = 40, receiving vacuum sealing drainage alone).

RESULTS

The total effective rate of the SG was 92.5%, significantly higher than the 75% in the CG. After treatment, the SG exhibited lower positive rates in bacterial culture, as well as decreased levels of C-reactive protein and erythrocyte sedimentation rate compared to the CG. Starting from the sixth day of treatment, the SG reported statistically significant lower pain intensity scores than the CG. Additionally, the SG exhibited significantly lower dimension scores in terms of scar thickness, color, tenderness, and vascular distribution compared to the CG.

CONCLUSION

The combined application of vacuum sealing drainage and silver-containing dressings demonstrated a positive treatment efficacy for patients with chronic refractory wounds.

摘要

目的

本研究旨在探讨真空密封引流联合含银敷料治疗慢性难愈性创面的临床疗效。

方法

本回顾性研究回顾性选取了 80 例在我院接受治疗的慢性难愈性创面患者作为研究对象。根据治疗方式的不同将患者分为研究组(SG,n=40,接受真空密封引流联合含银敷料治疗)和对照组(CG,n=40,接受单纯真空密封引流治疗)。

结果

SG 的总有效率为 92.5%,明显高于 CG 的 75%。治疗后,SG 的细菌培养阳性率较低,C 反应蛋白和红细胞沉降率水平也低于 CG。从治疗第 6 天开始,SG 的疼痛强度评分明显低于 CG。此外,SG 在瘢痕厚度、颜色、触痛和血管分布等方面的维度评分明显低于 CG。

结论

真空密封引流联合含银敷料的应用对慢性难愈性创面患者具有积极的治疗效果。

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