摘要
[目的]探讨改良伤口负压吸引技术治疗回肠造口术后裂开并发伤后感染病人的临床效果。[方法]将60例回肠造口术后裂开并发伤后感染病人根据随机数字表法分为观察组和对照组,每组30例,对照组行常规性换药及抗感染治疗,观察组在对照组基础上行改良伤口负压吸引技术治疗,比较两组病人预后情况及满意率情况。[结果]观察组病人愈合率、满意率高于对照组(P<0.05),而伤口质地颜色为黑色的比例低于对照组(P<0.05);观察组换药次数、肉芽组织增生时间、伤口愈合、抗生素使用时间明显短于对照组(P<0.05);观察组病人治疗后视觉模拟评分(VAS)明显低于对照组(P<0.05),观察组伤口面积、伤口深度均少于对照组(P<0.05)。[结论]改良伤口负压吸引技术能有效促进回肠造口术后裂开并发伤口感染病人愈合,有助于病人创面感染控制,提高病人满意率。
Objective:To probe into the clinical effect of modified wound vacuum suction in nursing care of patients with wound splitting and infection after ileostomy.Methods:A total of 60 cases of patients with wound splitting and infection after ileostomy were divided into observation group(n=30)and control group(n=30)according to the random number table from January 2016 to December 2016.The patients in control group received the routine dressing and anti-infective treatment and the patients in observation group received modified wound vacuum suction.The prognosis and satisfaction rate of patients in two groups was compared.Results:The healing rate and satisfaction rate of patients in observation group were higher than those in control group(P<0.05).The proportion of wound with black color was lower than that in control group(P<0.05).The time of dressing,granulation tissue hyperplasia time,wound healing,antibiotic use time of patients in observation group were significantly shorter than those in control group(P<0.05).The VAS score of the observation group was significantly lower than control group(P<0.05).The wound area and wound depth of patients in observation group were lower than those in control group(P<0.05).Conclusion:The modified wound vacuum suction could effectively promote the healing of patients with wound splitting and infection after ileostomy,and it could help to control the wound infection and improve the patient's satisfaction rate.
出处
《全科护理》
2018年第2期162-164,共3页
Chinese General Practice Nursing