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目的研究与分析烧伤肉芽创面植皮术后可调节负压创伤治疗技术(RNPT)的运用效果。方法 80例烧伤肉芽创面植皮术后患者,利用计算机随机分为对照组与观察组,各40例。对照组采用加压包扎换药治疗,观察组采用可调节负压创伤治疗技术治疗。观察比较两组治疗效果。结果观察组创面愈合时间(9.2±2.1)d、创面细菌感染率2.5%(1/40)、皮片存活率95.0%(38/40),对照组创面愈合时间(24.1±5.3)d,创面细菌感染率17.5%(7/40)、皮片存活率77.5%(31/40),观察组均显著优于对照组,差异具有统计学意义(P<0.05)。结论烧伤肉芽创面植皮术后运用可调节负压创伤治疗技术能够获得显著效果,且能降低创面细菌感染率,提高皮片存活率,还能加速创面愈合,值得临床应用推广。
Objective To study and analyze the effect of adjustable negative pressure wound therapy (RNPT) after burn granulation wound grafting. Methods Eighty patients with burned granulation wound skin grafting were randomly divided into control group and observation group with 40 cases in each group. The control group was treated with pressure bandaging dressing, and the observation group was treated with adjustable negative pressure wound therapy. Observed and compared the treatment effect. Results The wound healing time in the observation group was 9.2 ± 2.1 days, bacterial infection rate was 2.5% (1/40), skin graft survival rate was 95.0% (38/40), wound healing time was (24.1 ± 5.3) days in the control group, The bacterial infection rate was 17.5% (7/40) and skin graft survival rate was 77.5% (31/40). The observation group was significantly better than the control group, the difference was statistically significant (P <0.05). Conclusion Burns granulation wound grafting using adjustable negative pressure wound treatment can obtain significant results, and can reduce the bacterial infection rate of the wound, improve skin graft survival, but also accelerate wound healing, it is worth promoting the clinical application.