负压封闭引流技术在感染伤口处理中的临床意义：一项观察性对比研究。
Clinical Significance of Vacuum assisted Closure in Management of Infected Wound: An Observational, Comparative Study.
作者信息
Suhagpure Arvind, Rathod Yogesh, Baitule Rajendra, Pundkar Ganesh, Jaiswal Sanjeev, Rathod Arnav
机构信息
Department of Orthopaedics, Dr. Panjabrao Deshmukh Memorial Medical College and Hospital, Amravati, Maharashtra, India.
出版信息
J Orthop Case Rep. 2025 Jun;15(6):264-268. doi: 10.13107/jocr.2025.v15.i06.5732.
INTRODUCTION
Vacuum-assisted closure (VAC) is an alternative method of wound management, which uses negative pressure to prepare the wound for spontaneous healing or for lesser reconstructive options.Aims and Objectives: To determine the effectiveness of VAC dressings in the healing of chronic wounds, as compared to normal wound dressings.
MATERIALS AND METHODS
The study was conducted among 60 patients with chronic wounds randomly divided into groups of 30 each, to compare VAC dressing with conventional dressings.
RESULTS
There was a significant difference in total hospital stay, granulation tissue fill up and graft take up in both groups. The mean duration of hospital stay in Group A and Group B was 22.4 ± 5.61 and 28.57 ± 6.45 days, respectively. The mean percentage of granulation tissue formation in Group A was 94.12 ± 6.03, and in Group B was 91.2 ± 2.71.
CONCLUSION
Activated Carbon dressing was found to be more beneficial and patient- patient friendly with lesser hospital stay and thus lesser cost than conventional dressings.
引言
负压封闭引流（VAC）是一种伤口处理的替代方法，它利用负压促使伤口自然愈合或选择较小的重建方案。
目的
与普通伤口敷料相比，确定VAC敷料在慢性伤口愈合中的有效性。
材料与方法
该研究在60例慢性伤口患者中进行，随机分为两组，每组30例，比较VAC敷料与传统敷料。
结果
两组患者的总住院时间、肉芽组织填充和植皮成功率存在显著差异。A组和B组的平均住院时间分别为22.4±5.61天和28.57±6.45天。A组肉芽组织形成的平均百分比为94.12±6.03，B组为91.2±2.71。
结论
与传统敷料相比，活性炭敷料被发现更有益且对患者更友好，住院时间更短，因此成本更低。
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