傷床スコアを用いた壁に設置された負圧傷療法の後の傷の治癒の評価
Parth Mishra1, Aditya Nath Aggarwal1, Amit Srivastava2
1University College of Medical Sciences, Delhi, India.
まとめ
低コストのネガティブ・プレッシャー・ワンドセラピー (NPWT) 装置は,急性筋骨格損傷患者の傷床スコアを有意に改善しました. この手頃な価格のNPWTオプションは,傷の治癒,粒化と上皮化を促進する有望な代替手段を提供します.
科学分野:
- 整形外科
- 傷のケア
- 生物医学工学
背景:
- 急性筋骨格損傷は しばしば手術が必要で 複雑な傷を起こすことがあります
- 効果的な傷口管理は 患者の回復と合併症を最小限に抑えるために重要です
- ネガティブ・プレッシャー・ウォン・セラピー (NPWT) は,傷の治癒を促進する治療方法として認められています.
研究 の 目的:
- 壁に設置された低コストのネガティブ・プレッシャー・ワンドセラピー (NPWT) 装置の有効性を評価する.
- 急性筋骨創の患者における傷床スコア (WBS) の変化を測定する
- 商用NPWTシステムと結果を比較する.
主な方法:
- 50人の急性筋骨創患者 (≥18歳) が手術による脱皮手術を受けた.
- 壁に設置された安価なNPWT装置を125mmHgで48時間使用した.
- 傷床スコアのパラメータはNPWTの適用前と後に評価された.
主要な成果:
- 平均WBSはNPWT後の7. 42から12. 12に大幅に増加しました (平均4. 7ポイント).
- 陽性な変化には,エスカルの減少,皮膚炎,深さ,腫れ,排泄物が含まれていた.
- 粒状組織 (92%) と上皮の表面再生 (48%) で有意な改善が観察されました.
結論:
- 低コストのNPWT装置は,傷床スコアで統計的に有意な改善を示しました.
- この手頃な価格のNPWTは,高価な商用機器に有効な代替手段を提供します.
- 周回傷の傷跡は 重要な変化を示さなかったので 更に調査が必要でした
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