Vacuum sealing drainage versus conventional dressing in the treatment of extremities wounds: a meta-analysis
- Author:
- No author available
- Journal Title:
- Chinese Journal of Orthopaedic Trauma
- Issue:
- 10
- DOI:
- 10.3760/cma.j.issn.1671-7600.2012.10.010
- Key Word:
- 四肢;Meta分析;随机对照试验;引流术;Extremities;Meta-analysis;Randomized controlled trials;Drainage
Abstract： Objective To analyze systematically the efficacy of vacuum sealing drainage (VSD) versus conventional dressing in the treatment of traumatic soft tissue wounds at extremities. Methods We searched Pubmed, Cochrane Library, EMBASE, CNKI and Wanfang Databases for randomized controlled trials (RCT) and clinical controlled trials (CCT) in either English or Chinese up to April 2012 which had compared VSD and conventional dressing in the treatment of traumatic soft tissue wounds at extremities.The eligible researches were included in the present Meta analysis and evaluated in terms of healing time,dressing changes and hospital stay using software RevMan5.1. Results Eight researches with 529 patients were included and analyzed,including 5 RCTs and 3 CCTs.Compared with conventional dressing,VSD facilitated the process of wound healing [MD=-6.80,95％ CI ( -9.17, -4.43),P ＜0.05],reduced the frequency of dressing change [MD =- 12.08,95％ CI ( - 15.91, - 8.25),P ＜0.05]and shorten the time for hospital stay [MD =- 8.57,95％ CI ( - 12.08,-5.06),P ＜ 0.05],resulting in significant differences between the 2 methods. Conclusion In the treatment of traumatic soft tissue wounds at extremities,VSD is significantly superior to conventional dressing in terms of healing time,dressing changes and hospital stay.
- [1]林阳,陈安民,李锋.负压封闭引流技术在四肢皮肤软组织缺损中的应用[J].2007,(4).
- [2]漆白文,喻爱喜,祝少博,等.严重小腿损伤的中晚期修复[J].2008,(8).
- [3]吴刚,喻爱喜,祝少博,等.负压封闭引流技术在显微外科中应用的探讨[J].2009,(5).
- [4]段小军,杨柳,戴刚,等.负压封闭引流技术在足踝部皮肤软组织缺损治疗中的应用[J].2011,(1).
- [5]喻爱喜,余国荣,邓凯,等.封闭负压吸引联合组织瓣移植治疗严重感染性骨外露[J].2006,(3).
- [6]胡恺轩,章宏伟,周芳,等.负压技术治疗复杂性和难愈性创面疗效观察[J].2009,(4).
- [7]黎清波,王欣,邹艳丽,等.负压封闭引流减少创面毒素再损伤的临床观察[J].2011,(1).
- [8]韦建勋,李荣祝,陈峰,等.负压封闭引流术治疗四肢皮肤软组织缺损[J].2011,(3).
- [9]曾宪涛,冷卫东,李胜,等.如何正确理解及使用GRADE系统[J].2011,(9).
- [10]Collins JF,Powell HL,Bauman WA,etc.Poor nutrition is a relative contraindication to negative pressure wound therapy for pressure ulcers: preliminary observations in patients with spinal cord injury.[J].2010,23(11).
- [11]William T Obremskey,Philipp N Streubel,Daniel J Stinner.Use of negative-pressure wound therapy in orthopaedic trauma.[J].2012,20(9).
- [12]Leung M,Leong J,Oppy A,etc.Too much vacuum-assisted closure.[J].2003,73(12).
- [13]Obdeijn MC,Feitz R,van-Griethuysen AJ,etc.The clinical efficacy and cost effectiveness of the vacuum-assisted closure technique in the management of acute and chronic wounds: a randomized controlled trial.[J].2006,118(2).
- [14]E. Krug,L. Berg,C. Lee,etc.Evidence-based recommendations for the use of Negative Pressure Wound Therapy in traumatic wounds and reconstructive surgery: Steps towards an international consensus[J].2011,42(1).
- [15]Fleischmann, W.,Strecker, W.,Bombelli, M.,etc.Vacuum sealing for treatment of soft tissue injury in open fractures[J].1993,96(9).
- [16]C M, Mou?s,G J C M, van den Bemd,W J, Meerding,etc.An economic evaluation of the use of TNP on full-thickness wounds.[J].2005,14(5).
- [17]Perez D,von Ruden C,Exe C,etc.Modern wound care for the poor: a randomized clinical trial comparing the vacuum system with conventional saline-soaked gauze dressings.[J].2010,199(1).
- [18]罗伟东,黄枫,何才勇,等.游离植皮联合负压封闭引流治疗骨科创面的临床研究[J].2011,(2).
- [19]Henderson,V.,Searle,R.,Davis,L.,etc.The economic benefits of negative pressure wound therapy in community-based wound care in the NHS[J].2012,9(5).
- [20]Mark L Venturi,Christopher E Attinger,Ali N Mesbahi,etc.Mechanisms and Clinical Applications of the Vacuum-Assisted Closure (VAC) DeviceA Review[J].2005,6(3).
- [21]Karabekmez FE,Keskin M,Tosun Z,etc.Vacuum-assisted closure of wounds and anxiety.[J].2008,42(4).