Improved The VSD Care Technology In Extremity Soft Tissue Defects The Wounds Of Clinical Research

ObjectiveVSD(vacuum sealing drainage).Through improved VSD care technology inthe treatment of soft tissue defects observed VSD improved care technologyalone VSD nursing techniques compare to find a way to shorten the length ofhospital stay,reduce hospital costs,and promote the growth of granulationtissue,the growth of anaerobic bacteria prevent wound advantage caretreatment.Seek treatment experience effective way to provide experimentalbasis.MethodsThe test through clinical hospitalized patients were randomized and dividedinto four groups:Test group for vacuum sealing drainage channel to establishgroup (referred to as the channel to establish group);Test two sets ofvacuum-assisted closure intermittent high-concentration oxygen group(referred to as the oxygen group);Test three groups for vacuum sealingdrainage channel built plus local discontinuous high concentration oxygen group(referred to as channels plus oxygen group);The fouth group purely negativepressure closed drainage usual care group (referred to as the control group).Analysis of vacuum sealing drainage channel to establish,vacuum-assistedclosure with the local discontinuous high concentrations of oxygen and vacuum sealing drainage channel to establish the usual care group of highconcentrations of oxygen and simple vacuum-assisted closure plus localdiscontinuous first skin graft survival,promote the growth of granulation tissue,to prevent wound growth of anaerobic bacteria, shorter hospitalization time,reduce change and changes in the cost of hospitalization and the degree of pain,Comfort efficacy.The test data are used spss17.0software for statisticaldescription and statistical inference count data were compared using thechi-square test;measurement data were compared with analysis of variance.Results1、Channel in the prevention and reduction of the number of pipe blockagebuild plus oxygen group and channel to establish the group less than theoxygen group and the control group（P<0.05）,which channel setup plus oxygengroup and channel to establish between the groups,no difference（P>0.05）,theoxygen set of tubes congestion is most severe.2、In the VSD dressing placed the time of the comparison,the channel hasestablished plus oxygen group and oxygen group short channel to establishgroup and the control group（P<0.05）,which channel is established betweenplus oxygen group was no difference（P>0.05）channel is established betweenthe combined control group, no difference（P>0.05）.3、Comparison of the skin graft survival rate,channel setup plus oxygengroup and oxygen group is higher than the channel establishment and controlgroups（P<0.05）which channel to establish plus oxygen group and oxygengroup,no differences（P>0.05）,no difference（P>0.05）between the channelsto establish and control groups.4、 The dressing after implantation Comfort comparison,channelestablishment,plus oxygen group and the channel group was superior to theoxygen group and the control group (P<0.05),the first two groups no differences (P>0.05), oxygen The group feels the most discomfort.5、In the comparison of the number of days of hospitalization,the channelhas established plus oxygen group and oxygen group short channel to establishgroup and the control group（P<0.05）,which channel establishment plus nodifference between the oxygen group and oxygen group（P>0.05）,no difference（P>0.05）between the channels to establish and control groups.6、Comparison of the cost of the time spent on admission to the VSDdressing removal,channel establishment plus oxygen group and oxygen groupthan in the channel establishment and control groups (P<0.05),which channelsetup plus oxygen group and oxygen group were no differences (P>0.05),nodifference (P>0.05) between the channels to establish and control groups.7、The cost of hospitalization,skin grafts views,pain,comparison betweenthe four groups were not statistically different （P>0.05）.ConclusionsVacuum sealing drainage channel to establish four groups plus oxygengroups in the prevention of pipe clogging dressings placed in time,the firstskin graft survival rate, shorter hospital stays, skin tissue recovery,reducecosts, and increase comfort care treatment effect an advantage,it may be anew kind of care treatment is the limbs soft tissue defects.