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

Video：

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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

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, 郭锦丽. 封闭负压引流治疗软组织损伤的护理观察[J]. 实用骨科杂志, 2010, 16(7):558-560.
4.	王春明. 封闭式负压引流治疗骨外科疾病合并高血压患者的护理[J]. 护士进修杂志, 2012, 15(30):174-175.
5.	曲加富, 赵国志, 曹立海, 等. 封闭式恒定负压吸引技术治疗足踝部皮肤软组织严重撕脱性损伤[J]. 中华骨科杂志, 2005, 25(9):573.
6.	陈绍宗, 李金清, 李跃军. 封闭负压引流技术减少爆炸伤创面坏死及促进愈合的实验研究[J]. 中华创伤杂志, 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.	焦娇, 王鹏华, 褚月颉, 等. 封闭负压引流促进糖尿病足溃疡愈合机制的研究[J]. 国际内分泌代谢杂志, 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例负压封闭引流治疗骨科创伤的护理[J]. 天津护理, 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.	黄静, 吴悦维. 地震灾区青少年伤员创伤后应激障碍及心理、药物干预[J]. 中国医药指南, 2008, 6(10):6-7.
17.	张心天. 医学心理学[M]. 北京:人民卫生出版社, 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, 郭锦丽. 封闭负压引流治疗软组织损伤的护理观察[J]. 实用骨科杂志, 2010, 16(7):558-560.
4. 王春明. 封闭式负压引流治疗骨外科疾病合并高血压患者的护理[J]. 护士进修杂志, 2012, 15(30):174-175.
5. 曲加富, 赵国志, 曹立海, 等. 封闭式恒定负压吸引技术治疗足踝部皮肤软组织严重撕脱性损伤[J]. 中华骨科杂志, 2005, 25(9):573.
6. 陈绍宗, 李金清, 李跃军. 封闭负压引流技术减少爆炸伤创面坏死及促进愈合的实验研究[J]. 中华创伤杂志, 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. 焦娇, 王鹏华, 褚月颉, 等. 封闭负压引流促进糖尿病足溃疡愈合机制的研究[J]. 国际内分泌代谢杂志, 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例负压封闭引流治疗骨科创伤的护理[J]. 天津护理, 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. 黄静, 吴悦维. 地震灾区青少年伤员创伤后应激障碍及心理、药物干预[J]. 中国医药指南, 2008, 6(10):6-7.
17. 张心天. 医学心理学[M]. 北京:人民卫生出版社, 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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