Observation on continuous vacuum sealing drainage technique in treatment of infected wounds in department of orthopedics and nursing countermeasures

OBJECTIVE To observe the clinical efficacy of continuous vacuum sealing drainage(VSD) technique in the treatment of infected wounds in the department of orthopedics and analyze the nursing features so as to provide basis for the clinical treatment and nursing.METHODS Totally 30 patients who were enrolled from Apr 2010 to Mar 2012 and were treated with VSD were selected as the treatment group,and in the same period 20 patients who received the routine dressing change drainage were set as the control group.The wound growth and the infection status of the two groups of patients were observed after the treatment and nursing.RESULTS The 30 cases in the treatment group were treated with VSD for 7-11 day with the average of 9.2 days,all the cases with infections have been under control by use of antibiotics on the basis of the bacterial culture.There were 23 cases who suffered from the granulation fresh 7-10 days after the drainage and healed after Ⅱ stage suture and 7 cases whose wounds recovered fresh after being treated with VSD for 2 or 3 times and were given the suture.Of the 20 cases in the control group,there were 10 cases with the wound infections under control after the routine dressing change and 10 cases with the wounds cured after a 15-day treatment,who were then given the suture.CONCLUSION Continuous VSD can fully drain the necrotic material and exudate,which has great significance in the wound healing and the prevention and treatment of complications.