微动力负压手艺医治烧伤后慢性难愈合创面的疗效
方高丰潘孙峰王振君朱敏达郭志丽
方针：窥察微动力负压手艺医治烧伤后慢性难愈合创面的疗效。办法：烧伤后慢性难愈合创面患者80例平分为实验(Ａ)组和比较(Ｂ)组，取创面排泄物教育，凭借细菌学药敏成效突矬莫匹罗星软膏和／或多黏菌素Ｂ软膏，教育成效阴性者不予突矬抗菌药膏。Ａ组予微动力负压材料笼罩创面，每３～４天改换１次；Ｂ组笼罩凡士林纱布包扎，每１～２天改换１次。医治后对创面大致实行窥察，ELISE法探测医治前和医治后创面渗液中VEGF程度，较量两组创面治愈率等干系目标。成效：Ａ组创面坏死结构和排泄物均节减，医治１～３周创面渗液中VEGF程度高于Ｂ组（Ｐ＜0.05）。与Ｂ组较量，Ａ组创面愈合时候短，换药次数少，VAS痛楚评分低（Ｐ＜0.01）。两组医治花费和并发症产生率相仿（Ｐ＞0.05）。论断：微动力负压手艺可加快创面愈合，是医治烧伤后慢性难愈合创面较好的办法。
微动力负压；烧伤
中图分类号:R
文件标识码:A
文章编号:-（）02--04
DOI：10./J.cnki.-..02.
Efficacyofmicrodynamicnepativepressuretechniou
-eintreatingchronicrefractorywoundafterburns.
FANGGaofeng,PANSunfeng,WANGZhenjun,etal.DepartmentofBurnSurgery,AffiliatedHospitalofTraditionalChineseMedicine,JiaringUniversity,Jiaring.CHINA
ObjectiveToobservetheefficacyofmicrodynamicnegativepressuretechniqueintreatingchronicrefractorywoundafterbums.MethodsEightypatientswithchronicrefractorywoundafterburnsweredividedintogroupsofAandB.Thewoundsecretionsweretakenforcultureintwogroups.Accordingtobacteriologicaldrugsensitivityresults,mupiroxineointmentand/orpolymyxinBointmentwereappliedforexternaluse.ThepatientswithnegativecultureresultswerenotallowedtouseantibacterialointmentThewoundwascoveredwithmicro-dynamicnegativepressurematerialingroupA,whichwasreplacedonceevety3to4days.ThewoundwascoveredwithyaselinegauzedressingingroupB.whichwasreplacedonceevery1to2days.Thegrosssurfaceofthewoundwasobservedaftertreatment.VEGFlevelsinthewoundexudatebeforeandaftertreatmentweredetectedbyELISA.andrelevantindicatorswere
