摘要
目的探讨负压封闭引流联合持续微氧渗透技术在新生儿先心病术后胸骨切口深部感染护理中的安全性及有效性。方法对13例发生胸骨切口深部感染的先心病术后新生儿,在伤口彻底清创和静脉抗生素治疗的基础上,使用负压封闭引流联合持续微氧渗透技术,采用专科护士为主导的医护一体化模式,对患儿伤口进行精细化管理。结果13例手术结束至诊断胸骨切口深部感染的时间为5~17(8.73±3.84)d;使用负压封闭引流联合持续微氧渗透治疗6~18(11.92±3.48)d;手术至完全愈合16~40(25.35±7.41)d。1例大动脉转位患儿行Switch术后第20天心脏骤停死亡;其余12例患儿予负压封闭引流联合持续微氧渗透技术辅助治疗后伤口愈合良好,住院时间24~64(44.62±13.51)d。出院后门诊或微信随访,没有因伤口相关问题再次入院。结论采用负压封闭引流联合持续微氧渗透技术处理伤口安全有效,能促进胸骨切口深部感染伤口快速愈合。
Objective To explore the safety and effectiveness of vacuum sealing drainage combined with continuous micro-oxygen per-meation technology in nursing care of deep sternal wound infection after neonatal congenital heart disease operation.Methods A total of 13 neonates with deep sternal wound infection after operation of congenital heart disease were participants.We used vacuum sea-ling drainage combined with continuous micro-oxygen permeation technique based on thorough wound debridement and intravenous antibiotic treatment,the integrated mode of doctor-nurse dominated by specialist nurses was used to manage the wound precisely.Results The time from completion of surgery to diagnosing a deep sternal wound infection was 5-17(8.73±3.84)days.The treatment of vacuum sealing drainage combined with continuous micro-oxygen permeation lasted 6-18(11.92±3.48)days.The time from surgery to fully wound healing was 16-40(25.35±7.41)days.A child with transposition of the great arteries died of cardiac arrest on the 20th day after the Switch operation,the remaining 12 children's wounds healed well after treated with vacuum sealing drainage combined with continuous micro-oxygen permeation technique,their length of hospitalization was 24-64(44.62±13.51)days.According to outpatient or WeChat follow-up,there wasn't readmission due to wound-related problems.Conclusion Application of vacuum sealing drainage combined with continuous micro-oxygen permeation technique is safe and effective,which can promote deep infection wounds healing quickly.
作者
蔡丽娜
李明兄
徐京
邵文森
谢宗云
徐邦红
Cai Lina;Li Mingxiong;Xu Jing;Shao Wensen;Xie Zongyun;Xu Banghong(Department of Cardiothoracic Surgery,Children's Hospital of Nanjing Medical University,Nanjing 210008,China)
出处
《护理学杂志》
CSCD
北大核心
2023年第5期25-28,共4页
Journal of Nursing Science
基金
南京医科大学科技发展基金项目(NMUB2018100)。
关键词
先天性心脏病
切口感染
负压封闭引流
持续微氧渗透
医护一体化
伤口护理
congenital heart disease
wound infection
vacuum sealing drainage
continuous micro-oxygen permeation
doc-tor-nurse integration
wound care
