摘要
目的探讨自制负压装置联合纳米银敷料治疗手术后切口感染的临床疗效。方法选取2013年1月-2015年12月湖南省湘潭市第一人民医院术后切口感染患者84例，采用随机数字表法分为观察组（n=42）和对照组（n=42），观察组早期采用自制负压装置联合纳米银敷料换药，对照组早期采用碘仿纱布换药；当伤口床肉芽生长良好时两组予藻酸钙敷料换药或行二期缝合直至痊愈。比较两组患者炎症指标情况、切口生长情况和治疗效果。结果治疗1周后，观察组患者白细胞（7．62±2．15）×10^9／L，c反应蛋白（19．33±23．46）mg／L，切15疼痛评分（2．83±0．82）分，换药费用（570．13±33．88）元，均低于对照组，差异有统计学意义“值分别为2．592、2．695、7．497、7．752；P〈0．05）；观察组患者切口肉芽组织100％覆盖时间（3．86±1．37）d，整个切口愈合时间（12．02±2．80）,3，低于对照组，差异有统计学意义（t值分别为12．669、6．954；P〈0．01）。结论自制负压装置联合纳米银敷料治疗术后切口感染较为理想，在提高患者治疗效果的同时，能减少切口愈合时间及换药费用。
Objective To explore the clinical effects of the combination of the self-made negative pressure drainage and Nano-Silver dressings on postoperative infection of incision. Methods A total of 84 patients with post-operative incision infection in the First People＇s Hospital of Xiangtan City from January 2013 to December 2015 were selected and divided into the observation group and the control group with 42 cases in each by random number table method. The observation group was treated with self-made negative pressure device combined with Nano-Silver dressing at the early stage, while the control group was treated with iodoform gauze dressing. When the wound bed granulation grew well, the two groups were treated with calcium alginate dressing or two stage suture until healed. The inflammatory index, incision growth and therapeutic effect of the two groups were compared. Results A week after treatment, the white blood cell, C reactive protein, incisional pain score and the change cost of the observation group were （7.62 ± 2.15） × 10^9/L, （19.33±23.46） mg/L, （2.83 ± 0.82） and （570.13 ± 33.88） Yuan, which were all lower than those of the control group, and the differences were statistically significant （t=2.592, 2.695, 7.497, 7.752; P 〈 0.05）. 100% coverage time of the incisional granulation tissue in the observation group was （3.86 ± 1.37） d, and the healing time of the whole incision was （12.02±2.80） d in the observation group, which were both lower than those in the control group, with statistical significance （t=12.669, 6.954; P 〈 0.01）. Conclusions The self-made negative pressure device combined with Nano-Silver dressing is ideal for the treatment of postoperative incision infection, while improving the therapeutic effect of the patients, and reducing the healing time of the incision and the cost of changing the medicine.
作者
成沛玉
杨剑英
鄢碧玙
王薇
邹惠美
郭姣
Cheng Peiyu;Yang Jianying;Yan Biyu;Wang Wei;Zou Huimei;Guo Jiao Nursing(Department,the First People＇s Hospital of Xiangtan City,Hu＇nan Province,Xiangtan 411101,China（Cheng PY;Wound Care Center of Outpatient Department,the First People＇s Hospital of Xiangtan City,Hu＇nan Province,Xiangtan 411101,China（Yang JY;Hospital Infection Control Department,the First People＇s Hospital of Xiangtan City,Hu＇nan Province,Xiangtan 411101,Chin;Emergency Department,the First People＇s Hospital of Xiangtan City,Hu＇nan Province,Xiangtan 411101,China;School of Nursing,University of South China,Hengyang 421001,China)
出处
《中华现代护理杂志》
2018年第23期2828-2831,共4页
Chinese Journal of Modern Nursing
基金
湖南省湘潭市科技计划项目（SF-YB20151011）
关键词
手术切口
感染
负压封闭引流技术
纳米银敷料
Surgical wound
Infection
Vacuum sealing drainage technique
Nano-Silver dressing
