[摘要]目的：探究不同负压材料对带蒂筋膜肌皮瓣修复压疮手术成功率及围术期指标的影响。方法：选取2019年1月-2024年1月于笔者医院行带蒂筋膜肌皮瓣修复手术的85例压疮患者为研究对象，依据负压材料的不同分为对照组(n=41)和试验组(n=44)，对照组采用聚乙烯乙醇水化泡沫藻酸盐作为负压材料，试验组采用聚氨酯海绵垫作为负压材料。比较两组的手术成功率及围术期指标，包括换药次数、住院时间及皮瓣修复术后创面愈合时间，评价两组换药过程中的疼痛程度、舒适度及安全性。结果：两组手术成功率、术后换药次数、术后创面愈合时间、住院时间及并发症比较差异无统计学意义(P>0.05)。术后负压治疗过程中，相比于对照组，试验组疼痛评分更低、舒适度评分更高(均P<0.05)。结论：在带蒂筋膜肌皮瓣修复术中应用不同负压材料进行负压封闭引流术均可取得明显的效果，其中聚氨酯作为负压材料在减轻患者疼痛感、提升患者舒适度方面更具优势。

    [关键词]压疮；带蒂筋膜肌皮瓣；负压封闭引流；负压材料；聚氨酯；疼痛；舒适度

    [中图分类号]R622" " [文献标志码]A" " [文章编号]1008-6455(2025)07-0051-04

    Effects of Different Negative Pressure Material on Success Rate of Surgery and Perioperative Indexes in Pressure Ulcer with Pedicled Fascia Myocutaneous Flap Repair

    WANG Renkun， DING Yunlin， JIANG Jinzhu， YANG Bo， TAO Tingting

    ( Department of Burns and Plastic Surgery， the First People's Hospital of Hefei， Hefei 230000， Anhui， China )

    Abstract： Objective" To explore the effects of different negative pressure material on the success rate and perioperative indicators of the pedicled fascial myocutaneous flap for the repair of pressure ulcers in patients. Methods" Eighty-five patients with pressure ulcers who underwent pedicled fasciocutaneous flap repair in the hospital from January 2019 to January 2024 were selected as the research objects. According to the different negative pressure materials ......