负压封闭引流对烧伤患者疼痛程度及炎症因子水平的影响
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孙泽凡(1998.10-),女,江苏宿迁人,硕士,住院医师,主要从事烧伤、整形方面研究

通讯作者:

王鹏(1986.9-),男,山东枣庄人,本科,副主任医师,主要从事烧伤、整形方面研究

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R644

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Effect of Vacuum Sealing Drainage on Inflammatory Factor Levels in Burn Patients
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    摘要:

    目的 分析在烧伤患者中应用负压封闭引流对其炎症因子水平的影响。方法 选择江苏省人民医 院宿迁医院2023年1月-2025年1月收治的80例烧伤患者,以随机数字表法分为对照组、观察组,各40例。 对照组行常规换药治疗,观察组行负压封闭引流治疗,比较两组炎症因子水平、疼痛程度、肢体功能、 手术指标、创面恢复情况及并发症发生率。结果 观察组治疗后TNF-α、CRP、IL-6水平均低于对照 组(P <0.05);观察组治疗后VAS评分低于对照组,AO-FAS评分高于对照组(P <0.05);观察组各项 手术指标均优于对照组(P <0.05);观察组治疗后创面色泽、肉芽组织、柔软度评分均低于对照组 (P<0.05);观察组并发症发生率为5.00%,低于对照组的22.50%(P<0.05)。结论 在烧伤患者中应用负 压封闭引流治疗可有效降低炎症因子水平,治疗效果确切,能够减轻患者的疼痛程度,有利于促进创面及 肢体功能恢复,且治疗后并发症发生几率较低。

    Abstract:

    Objective To analyze the effect of vacuum sealing drainage on inflammatory factor levels in burn patients. Methods A total of 80 burn patients admitted to Jiangsu Province (Suqian) Hospital from January 2023 to January 2025 were selected, and they were divided into the control group and the observation group by the random number table method, with 40 patients in each group. The control group received conventional dressing change treatment, and the observation group received vacuum sealing drainage. The inflammatory factor levels, pain degree, limb function, surgical indicators, wound recovery and complication rate were compared between the two groups. Results The levels of TNF-α, CRP and IL-6 in the observation group after treatment were lower than those in the control group (P <0.05). The VAS score of the observation group after treatment was lower than that of the control group, and the AO-FAS score was higher than that of the control group (P <0.05). The surgical indicators of the observation group were better than those of the control group (P <0.05). The scores of wound color, granulation tissue and softness in the observation group after treatment were lower than those in the control group (P <0.05). The incidence of complications in the observation group (5.00%) was lower than that in the control group (22.50%) (P <0.05). Conclusion The application of vacuum sealing drainage in burn patients can effectively reduce inflammatory factor levels, demonstrating a definite therapeutic effect. It can alleviate pain, promote wound and limb function recovery, and reduce the incidence of complications after treatment.

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孙泽凡,汪 洋,马 雷,等.负压封闭引流对烧伤患者疼痛程度及炎症因子水平的影响[J].医学美学美容,2025,34(14):82-85.

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  • 在线发布日期: 2025-09-04
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