汕头大学医学院学报2025，Vol.38Issue(1)：22-26,5.DOI:10.13401/j.cnki.jsumc.2025.01.005
双通道负压封闭引流技术在难愈性创面治疗中的效果与经济性分析
Effectiveness and economic analysis of dual-channel vacuum sealing drainage technique in the treatment of refractory wounds
摘要
Abstract
Objective:To evaluate the clinical efficacy of dual-channel vacuum sealing drainage(DC-VSD)compared to single-channel vacuum sealing drainage(SC-VSD)in chronic wound healing,with a focus on patient satisfaction,hospitalization costs,length of stay,and infection rates.Methods:From May 2023 to May 2024,80 patients with refractory wounds were selected from the Second Affiliated Hospital of Shantou Medical University and randomly divided into DC-VSD and SC-VSD groups,with 40 patients in each group.The Pressure Ulcer Scale for Healing(PUSH)was used to assess wound healing within 28 days postoperatively,and data on patient satisfaction,hospitalization costs,length of stay,and infection rates were collected.Data were statistically analyzed using SPSS 23.0.Results:Baseline characteristics showed that the two groups were similar in terms of demographic statistics,wound nature,and comorbidities.The PUSH scores revealed significant differences between the DC-VSD and SC-VSD groups(P<0.001),with moderate to high effect sizes.Significant changes in PUSH scores were observed at different time points(P<0.001),with high effect sizes;the group-by-time interaction was also significant(P=0.007),with a moderate effect size,indicating that the efficacy of DC-VSD gradually surpassed SC-VSD over time.Additionally,patients in the DC-VSD group had higher satisfaction(P=0.02),lower hospitalization costs(P=0.03),shorter lengths of stay(P=0.005),and reduced infection rates(P=0.04).Multivariate analysis results were consistent.Conclusion:DC-VSD technology demonstrates significant clinical advantages in the treatment of refractory wounds,not only improving wound healing speed but also enhancing nursing satisfaction,shortening hospital stays,reducing bacterial infection rates,and not increasing the economic burden on patients.This study provides new evidence for the treatment of refractory wounds and supports the clinical value of DC-VSD technology.关键词
负压封闭引流/双通道/难愈性创面/疗效/经济性Key words
vacuum sealing drainage/dual-channel/refractory wounds/efficacy/cost-effectiveness分类
临床医学引用本文复制引用
林晓琪,陈燕贤,杨文瑶,林芝瑶..双通道负压封闭引流技术在难愈性创面治疗中的效果与经济性分析[J].汕头大学医学院学报,2025,38(1):22-26,5.基金项目
汕头市医疗卫生科技计划(230509106495347) （230509106495347）
