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題名:密閉式抽吸療法--傷口照護的新選擇
書刊名:護理雜誌
作者:曾銀貞洪至正謝瑩滿韓晶彥 引用關係
作者(外文):Tzeng, Yn-jenHung, Chih-chengHsieh, Ying-manHan, Chin-yen
出版日期:2004
卷期:51:2
頁次:頁79-83
主題關鍵詞:密閉式抽吸療法傷口照護Vacuum-assisted closureVACWound care
原始連結:連回原系統網址new window
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     密閉式抽吸療法是在傷口上施以負壓,藉由敷料引流管將壓力平均分佈在傷口上,讓開放性傷口變成受控制密閉式環境的一種傷口照護方式。它不但臨床上容易操作,且能增加傷口癒合的速度、減少病人在治療過程中疼痛、縮短住院日數、降低醫療費用支出以及減少護理時間等優點,還能運用於有多處傷口或是不同專科的病人,其多元的優點是絕對值得肯定。當國人平均壽命提高、老年人口逐年增加以及系統性疾病複雜度提高,臨床上出現病人有慢性或難癒傷口的情形也有增加趨勢。對病人及家屬而言,慢性或難癒傷口恢復速度緩慢,在照護過程中人力與財力付出都是極大的壓力。此外,達到促進傷口癒合的照護目標,一直是醫護人員努力突破的範疇,減少傷口照護的醫療費用,也是國家社會在經濟層面期望達成的目標。密閉式抽吸療法的推廣應用,未來可能會是在傷口照護領域中,提供慢性或難癒傷口的照護方式之一,並能協助達到滿足病人與家屬、醫護人員以及國家社會各層次需求的一項選擇。
     A new method for wound management, vacuum-assisted closure (VAC) is a technique that applies negative pressure to a wound bed through a porous, open-cell foam that fills the wound cavity. Its advantages include rapid wound healing, reduced pain, shorter hospital stays, lower medical costs, and fewer nursing responsibilities. It can also be used with patients suffering from multiple wounds. The tool may be used to address wounds that are appearing more frequently now that technological advancements are prolonging the lives of elderly patients. Reducing costs associated with wound treatments is therefore becoming an increasingly important issue in health care.
期刊論文
1.Alvarez, A. A.、Maxwell, G. L.、Rodriguez, G. C.(2001)。Vacuum-assisted closure for cutaneous gastrointestinal fistula management。Gynecologic Oncology,80(3),413-416。  new window
2.Argenta, L. C.、Morykwas, M. J.(1997)。Vacuum-assisted closure: A new method for wound control and treatment: Clinical experience。Annals of Plastic Surgery,38(6),563-576。  new window
3.Argenta, P. A.、Rahaman, J.、Gretz, H. F.、Nezhat, F.、Cohen, C. J.(2002)。Vacuum-assisted closure device。Annals of Plastic Surgery,47(5),552-554。  new window
4.Ballard, K.、Baxter, H.(2000)。Developments in wound care for difficult to manage wounds。British Journal of Nursing,9(7),405-406+408+410。  new window
5.Ballard, K.、Baxter, H.(2001)。Vacuum-assisted closure。Nursing Time,97(35),51-52。  new window
6.Ballard, K.、McGregor, F.(2001)。Vacuum-assisted closure in the treatment of complex gynecologic wound failure。Obsterics & Gynecology,99(3),497-501。  new window
7.Catarino, P. A.、Chamberlain, M. H.、Wright, N. C.、Black, E.、Campbell, K.、Robson, D.、Pillai, R. G.(2000)。Highpressure suction drainage via a polyurethane foam in the management of poststemotomy mediastinitis。Annals of Thoracic Surgery,70(6),1891-1895。  new window
8.Collier, M.(1997)。Know how vacuum-assisted closure (VAC)。Nursing Time,93(5),32-33。  new window
9.Cro, C.、George, K. J.、Donnelly, J.、Irwin, S. T.、Gardiner, K. R.(2002)。Vacuum assisted closure system in the management of enterocutaneous fistulae。Postgraduate Medical Journal,78(920),364-365。  new window
10.DeFranzo, A. J.、Marks, M. W.、Argenta, L. C.、Genecov, D. G.(1999)。Vacuum-assisted closure for the treatment of degloving injuries。Plastic & Reconstructive Surgery,104(7),2145-2148。  new window
11.Erdmann, D.、Drye, C.、Heller, L.、Wong, M. S.、Levin, S. L.(2001)。Abdominal wall defect and enterocutaneous fistula treatment with the vacuum-assisted closure (VAC) system。Plastic & Reconstructive Surgery,108(7),2066-2068。  new window
12.Josty, I. C.、Ramaswamy, R.、Laing, J. H.(2001)。Vacuum assisted closure: And alternative strategy in the management of degloving injuries of the foot。British Journal of Plastic Surgery,54(4),363-365。  new window
13.McCallon, S. K.、Knight, C. A.、Valiulus, J. P.、Cunningham, M. W.、McCulloch, J. M.、Farinas, L. P.(2000)。Vacuum-assisted closure versus saline-moistened gauze in the healing of postoperative diabetic foot wounds。Ostomy Wound Management,46(8),28-29。  new window
14.Mendez-Eastman, S.(1998)。When wounds won’t heal。RN,61(1),20-24。  new window
15.Mooney, J. F.、Argenta, L. C.、Marks, M. W.、Morykwas, M. J.、DeFranzo, A. J.(2000)。Treatment of soft tissue defects in pediatric patients using the VAC system。Clinical Orthopaedic & Related Research,376,26-31。  new window
16.Morykwas, M. J.、Argenta, L. C.、Shelton-Brown, E. I.、McGuirt, W.(1997)。Vacuum-assisted closure: A new method for wound control and treatment: Animal studies and basic foundation。Annals of Plastic Surgery,38(6),553-562。  new window
圖書
1.KCI(1999)。Recommended guidelines for use。San Antonio, TX:KCI。  new window
 
 
 
 
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