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目的:观察比较生肌膏与VSD负压封闭引流技术对创面修复的影响。方法:将30例创面修复患者随机分为2组,治疗1组14例采用生肌膏治疗,治疗2组16例采用负压封闭引流技术,观察比较2组患者临床疗效。结果:总有效率治疗组为85.7%,对照组为87.5%,2组比较,差异无显著性意义(P>0.05)。治疗后2组创面大小及临床症状积分均较治疗前明显降低,差异均有非常显著性意义(P<0.01);治疗后2组间上述指标比较,差异无显著性意义(P>0.05)。2组未愈者追加2周治疗后,治疗1组、治疗2组均各有14例治愈;随访3月,复发率治疗1组为0.07%,治疗2组为0.13%,2组比较,差异无显著性意义(P>0.05)。结论:生肌膏与VSD负压封闭引流技术治疗创面均有较好疗效,负压封闭引流技术对于肌腱及骨质外露或血运不良创面有更好的优势。
Objective: To observe the effect of Shengangi Ointment and VSD negative pressure closed drainage technique on wound repair. Methods: Thirty patients with wound repair were randomly divided into two groups. One group was treated with Shengji Zhi (14 cases) and the other two groups (16 cases) were treated by negative pressure drainage. The clinical effects of two groups were observed and compared. Results: The total effective rate was 85.7% in the treatment group and 87.5% in the control group. There was no significant difference between the two groups (P> 0.05). After treatment, the wound size and clinical symptom scores of two groups were significantly lower than those before treatment, the differences were significant (P <0.01). There was no significant difference between the two groups after treatment (P> 0.05). After 2 weeks of treatment, the treatment group 1 and the treatment group 2 had 14 cases each cured. In the follow-up period of 3 months, the recurrence rate in treatment group 1 was 0.07% and that in treatment 2 group was 0.13% No significant (P> 0.05). CONCLUSION: The myogenic plaster and VSD negative pressure closed drainage technique have a good curative effect on the wound surface. The negative pressure closed drainage technique has better advantages on tendon and bone exposed or poor blood circulation.