Efficacy of vacuum sealing drainage therapy in treatment of large skin defect complicated with infections

OBJECTIVE To compare the curative effect between the vacuum sealing drainage(VSD) therapy and the routine dressing on the treatment of large skin defect complicated with infections and summarize the treatment measures so as to reduce the incidence of infections.METHODS A total of 56 cases of large skin defect patients complicated with infections were randomly divided into the control group with 37 cases and the treatment group with 50 cases;the infection control,debridement and thorough wound flushing were carried out in both of the two groups;the treatment group was treated with VSD,the control group treated with the routine dressing.RESULTS The clean-up time,wound healing time and wound healing rate of the treatment group were(7.2±1.85) d,(12.7±2.09)d,(96.5±2.34)%,as compared with the wound healing effect between the two groups,the three indicators of the treatment group were better than those of the control group(P0.01).The dressing frequency,length of hospital stay,and total treatment cost of the treatment group were(3.4±1.7) times,(18.5± 3.12) d,and(7655.3±432.75) yuan,respectively,which were better than the control group,the difference was statistically significant(P0.01).CONCLUSION VSD therapy can benefit the protection of the wound,drainage fluid,and the control of infections and promote the wound healing,while reducing the nursing workload.