Sharma Arvind Kumar, Sunaina Kumari, Nongrum Ivanah P, Asthana Satyasheel Singh
Department of Physical Medicine and Rehabilitation, All India Institute of Medical Sciences, Raebareli.
Department of Endocrine and Breast Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, India.
J Orthop Case Rep. 2025 Jan;15(1):241-246. doi: 10.13107/jocr.2025.v15.i01.5188.
Pressure injuries (PIs) continue to remain one of the most common and debilitating complications seen adding to the financial burden of the patients and caregivers. The available VAC (vacuum assisted closure) systems are expensive. In our case series we have applied low-cost negative pressure dressing (NPD) for sacral pressure injuries in five patients along with individualised rehabilitation protocol which resulted in accelerated healing of their PIs and improved functional outcome.
Five patients having pressure injuries of Grade IV according to NPIAP classification in whom we applied NPD were included. Pressure ulcer scale for healing (PUSH), reduction of surface area of the wounds were recorded on a weekly basis. FIM (Functional independence measure) score of the patients were evaluated at admission and at discharge. Healing rate by means of PUSH score and surface area were recorded.
Improvement in FIM score from the time of admission till at discharge was calculated to be 42.86% with a standard deviation of 16.84. Healing rate by means of PUSH score was the highest for patient C at 3.57% per week and in terms of surface area for patient C at 5.44% per week.
Low-cost negative pressure device has been observed to be a safe and effective method of managing PIs. It prevents further infection and helps to optimise and accelerate healing in PIs with the additional advantage of being cost effective and easy to apply.
压力性损伤（PIs）仍然是最常见且使人衰弱的并发症之一，增加了患者和护理人员的经济负担。现有的负压封闭引流（VAC）系统价格昂贵。在我们的病例系列中，我们对5例骶部压力性损伤患者应用了低成本负压敷料（NPD），并结合个性化康复方案，这使得他们的压力性损伤加速愈合且功能结局得到改善。
纳入5例根据NPIAP分类为IV级压力性损伤且应用了NPD的患者。每周记录愈合的压力性溃疡量表（PUSH）、伤口表面积的减少情况。在入院时和出院时评估患者的功能独立性测量（FIM）评分。记录通过PUSH评分和表面积得出的愈合率。
从入院到出院时FIM评分的改善计算为42.86%，标准差为16.84。通过PUSH评分得出的愈合率最高的是患者C，为每周3.57%，从表面积来看患者C也是最高，为每周5.44%。
已观察到低成本负压装置是管理压力性损伤的一种安全有效的方法。它可防止进一步感染，并有助于优化和加速压力性损伤的愈合，还具有成本效益高且易于应用的额外优势。
