摘要
封闭式负压引流(vacuum sealing drain,VSD)是目前临床上各种伤口的首选治疗方法,临床广泛应用,包括急性创伤、慢性难愈合性创面、糖尿病足、伤口感染等,取得了良好的临床效果。VSD通过充分引流、增加血液灌注、促进伤口创缘的机械牵拉、促进血管生成、增殖细胞因子的表达等从而促进伤口愈合。VSD的临床使用需要注意其最佳负压压力值的设定、适时的敷料更换终止以及掌握好VSD的适应证及禁忌证。VSD的最新进展主要包括以下方面:将作为抗菌剂的银制成含银VSD敷料可以减少创面的细菌负荷、防治感染;智能负压确保VSD管道的畅通;VSD联合局部氧疗、超声清创、植骨术及中药等促进创面愈合。本文就VSD的临床应用进展做一综述。
The vacuum sealing drainage(VSD)is the first choice for clinical treatment of various wounds.It has been widely used in clinical practice,including acute trauma,chronic refractory wounds,diabetic foot,wound infection,etc.VSD promotes wound healing by adequate drainage,increasing of the blood perfusion,mechanical traction of wound skin,promotion of angiogenesis,and expression of proliferating cytokines.The clinical use of VSD needs to pay attention to the setting of the optimal negative pressure value,the timely replacement or termination of dressing,and the indications and contraindications of VSD.The latest developments of VSD mainly include the following aspects:silver-based VSD dressing made of antibacterial agent can reduce the bacterial load of wounds and prevent infection;intelligent negative pressure ensures the smooth flow of VSD pipeline;VSD combined with local oxygen therapy,ultrasonic debridement,bone grafting and traditional herb promoting wound healing.This article reviews the progress of clinical application of VSD.
作者
赵斌
褚庆玉
安玉章
杨庆圆
ZHAO Bin;CHU Qingyu;AN Yuzhang(Chongqing Raffles Hospital (Shen’an Hospital),Chongqing 40000,China)
出处
《河北医药》
CAS
2020年第9期1402-1407,共6页
Hebei Medical Journal
关键词
封闭负压引流
智能负压
伤口康复
伤口感染
closed negative pressure drainage
intelligent negative pressure
wound recovery
wound infection
