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目的:探讨VSD负压引流术应用于四肢创伤并发皮肤大面积受损患者的临床治疗效果。方法:选取2013年12月-2014年12月期间在我院住院治疗的94例并发皮肤大面积受损患者进行研究,按照随机分组法将其分为常规换药组和VSD组,并比较两组患者感染率、植皮成活率、住院时间以及住院费用。结果:VSD组患者其感染率和植皮成功率分别为4.0%和96.0%,常规换药组患者其感染率和植皮成功率分别为4.0%和79.5%,两组比较差异具有统计学意义(p<0.05);同时VSD组患者其住院时间和住院费用显著低于常规换药组(p<0.05)。结论:VSD负压引流术在治疗四肢创伤并发皮肤大面积受损患者方面其临床效果较佳,且可有效降低感染发生率以及缩短住院时间,该方法值得推广应用。
Objective: To investigate the clinical effect of VSD negative pressure drainage on patients with extensive trauma of limbs and trauma. Methods: A total of 94 patients with extensive skin lesion undergoing inpatient treatment in our hospital from December 2013 to December 2014 were selected and divided into routine dressing group and VSD group according to randomization method. Group infection rate, skin graft survival, hospitalization and hospitalization costs. Results: The infection rate and skin graft success rate were 4.0% and 96.0% respectively in VSD group. The infection rate and skin graft success rate were 4.0% and 79.5% in the conventional dressing group, respectively, with significant difference between the two groups (p <0.05). At the same time, the hospitalization cost and hospitalization cost in VSD group were significantly lower than those in routine dressing group (p <0.05). Conclusion: VSD negative pressure drainage in the treatment of traumatic limbs complicated with extensive skin damage in patients with its clinical effect is better, and can effectively reduce the incidence of infection and shorten the length of stay, the method worthy of wide application.