Nursing of Vacuum-assisted Closure Technology for Deficiency of Skin and Soft Tissue Deficiency Damaged in“4·20”Earthquake_West China Medical Journal

Authors：

 LuYu , HuangJianqiong

Department of Burn and Plastic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

Keywords：

Vacuum-assisted closure; Earthquake damage; Deficiency of skin and soft tissue; Nursing

DOI：

10.7507/1002-0179.20160089

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Objective To summarize the nursing experience of vacuum-assisted closure (VAC) technology for deficiency of skin and soft tissue in "4·20" earthquake damage. Methods We used VAC to treat 20 patients suffering from deficiency of skin and soft tissue who were injured in "4·20" earthquake (35 wounds) from April 21st to 28th, 2013; and we observed closely the results of nursing for pain and psychological care. Results A total of 35 wounds were all cleaned after 5 to 7 days; 20 wounds were healed after VAC treatment; 15 wounds recovered well by covering autogenous split-thickness skin; 20 patients had stable emotion and all left the hospital with the recovery. Conclusion VAC for deficiency of skin and soft tissue caused by "4·20" earthquake damage may obviously decrease the time of wound healing, relieve the pain caused by changing fresh dressing, and reduce the length of stay in the hospital.

Citation： LuYu, HuangJianqiong. Nursing of Vacuum-assisted Closure Technology for Deficiency of Skin and Soft Tissue Deficiency Damaged in“4·20”Earthquake. West China Medical Journal, 2016, 31(2): 332-334. doi: 10.7507/1002-0179.20160089 Copy

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2.	Venturi ML, Attinger CE, Mesbahi AN, et al. Mechanisms and clinical applications of the vacuum-assisted closure (VAC) device:a review[J]. Am J Clin Dermatol, 2005, 6(3):185-194.
3.	高素梅, 郭錦麗. 封閉負壓引流治療軟組織損傷的護理觀察[J]. 實用骨科雜志, 2010, 16(7):558-560.
4.	王春明. 封閉式負壓引流治療骨外科疾病合并高血壓患者的護理[J]. 護士進修雜志, 2012, 15(30):174-175.
5.	曲加富, 趙國志, 曹立海, 等. 封閉式恒定負壓吸引技術治療足踝部皮膚軟組織嚴重撕脫性損傷[J]. 中華骨科雜志, 2005, 25(9):573.
6.	陳紹宗, 李金清, 李躍軍. 封閉負壓引流技術減少爆炸傷創面壞死及促進愈合的實驗研究[J]. 中華創傷雜志, 2007, 23(7):542-545.
7.	Petkar KS, Dhanraj P, Kingsly PM, et al. A prospective randomized controlled trial comparing negative pressure dressing and conventional dressing methods on split-thickness skin grafts in burned patients[J]. Burns, 2011, 37(6):921-925.
8.	Stannard JP, Volgas DA, Mc Gwin, et al. Incisional negative pressure wound therapy after high-risk lower extremity fractures[J]. J Orthop Trauma, 2012, 26(1):37-42.
9.	Borgquist O, Ingemansson R, Malmsjo M. Wound edge microvascular blood flow during negative-pressure wound therapy:examining the effects of pressures from -10 to -175 mm Hg[J]. Plast Reconstruct Surg, 2010, 125(2):502-509.
10.	Hutchison RL, Craw JR. Use of acellular dermal regeneration template combined with NPWT to treat comp licated extremity wounds in children[J]. J Wound Care, 2013, 22(12):708-712.
11.	Peer SM. Negative pressure wound therapy for sternal wound infections following congential heart surgery[J]. J Wound Care, 2014, 23(1):31-36.
12.	焦嬌, 王鵬華, 褚月頡, 等. 封閉負壓引流促進糖尿病足潰瘍愈合機制的研究[J]. 國際內分泌代謝雜志, 2014, 34(1):10-14.
13.	Irkoren S, Sivrioglu N, Karaca H. Rare complication after VAC therapy in the treatment of tissue defect due to surgical excision of pilonidal sinus[J]. Wound Ostomy Contin Nurs, 2013, 40(6):641-643.
14.	李蕊. 61例負壓封閉引流治療骨科創傷的護理[J]. 天津護理, 2010, 12(18):337-338.
15.	Morykwas MJ, Argenta LC, Shelton-Brown EI, et al. Vacuum-assisted closure:a new method for wound control and treatment:animal studies and basic foundation[J]. Ann Plast Surg, 1997, 38(6):553-562.
16.	黃靜, 吳悅維. 地震災區青少年傷員創傷后應激障礙及心理、藥物干預[J]. 中國醫藥指南, 2008, 6(10):6-7.
17.	張心天. 醫學心理學[M]. 北京:人民衛生出版社, 1994:188.

1. Argenta LC, Morykwas MJ. Vacuum-assisted closure:a new method for wound control and treatment:clinical experience[J]. Ann Plast Surg, 1997, 38(6):563-577.
2. Venturi ML, Attinger CE, Mesbahi AN, et al. Mechanisms and clinical applications of the vacuum-assisted closure (VAC) device:a review[J]. Am J Clin Dermatol, 2005, 6(3):185-194.
3. 高素梅, 郭錦麗. 封閉負壓引流治療軟組織損傷的護理觀察[J]. 實用骨科雜志, 2010, 16(7):558-560.
4. 王春明. 封閉式負壓引流治療骨外科疾病合并高血壓患者的護理[J]. 護士進修雜志, 2012, 15(30):174-175.
5. 曲加富, 趙國志, 曹立海, 等. 封閉式恒定負壓吸引技術治療足踝部皮膚軟組織嚴重撕脫性損傷[J]. 中華骨科雜志, 2005, 25(9):573.
6. 陳紹宗, 李金清, 李躍軍. 封閉負壓引流技術減少爆炸傷創面壞死及促進愈合的實驗研究[J]. 中華創傷雜志, 2007, 23(7):542-545.
7. Petkar KS, Dhanraj P, Kingsly PM, et al. A prospective randomized controlled trial comparing negative pressure dressing and conventional dressing methods on split-thickness skin grafts in burned patients[J]. Burns, 2011, 37(6):921-925.
8. Stannard JP, Volgas DA, Mc Gwin, et al. Incisional negative pressure wound therapy after high-risk lower extremity fractures[J]. J Orthop Trauma, 2012, 26(1):37-42.
9. Borgquist O, Ingemansson R, Malmsjo M. Wound edge microvascular blood flow during negative-pressure wound therapy:examining the effects of pressures from -10 to -175 mm Hg[J]. Plast Reconstruct Surg, 2010, 125(2):502-509.
10. Hutchison RL, Craw JR. Use of acellular dermal regeneration template combined with NPWT to treat comp licated extremity wounds in children[J]. J Wound Care, 2013, 22(12):708-712.
11. Peer SM. Negative pressure wound therapy for sternal wound infections following congential heart surgery[J]. J Wound Care, 2014, 23(1):31-36.
12. 焦嬌, 王鵬華, 褚月頡, 等. 封閉負壓引流促進糖尿病足潰瘍愈合機制的研究[J]. 國際內分泌代謝雜志, 2014, 34(1):10-14.
13. Irkoren S, Sivrioglu N, Karaca H. Rare complication after VAC therapy in the treatment of tissue defect due to surgical excision of pilonidal sinus[J]. Wound Ostomy Contin Nurs, 2013, 40(6):641-643.
14. 李蕊. 61例負壓封閉引流治療骨科創傷的護理[J]. 天津護理, 2010, 12(18):337-338.
15. Morykwas MJ, Argenta LC, Shelton-Brown EI, et al. Vacuum-assisted closure:a new method for wound control and treatment:animal studies and basic foundation[J]. Ann Plast Surg, 1997, 38(6):553-562.
16. 黃靜, 吳悅維. 地震災區青少年傷員創傷后應激障礙及心理、藥物干預[J]. 中國醫藥指南, 2008, 6(10):6-7.
17. 張心天. 醫學心理學[M]. 北京:人民衛生出版社, 1994:188.

West China Medical Journal

Nursing of Vacuum-assisted Closure Technology for Deficiency of Skin and Soft Tissue Deficiency Damaged in“4·20”Earthquake

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