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多学科诊疗模式在慢性创面护理中的临床观察

Clinical Observation of Multidisciplinary Diagnosis and Treatment Model in Chronic Wound Nursing
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摘要 目的分析多学科诊疗模式(Multidisciplinary-Treatment-Model,MDT)在慢性创面护理中的临床效果。方法选取莆田市第一医院烧伤整形科在2022年6月-2023年6月收治的331例慢性创面患者进行分析,对其实施MDT护理,评估所有患者临床数据。结果331例患者中,愈合时间为(17.88±2.26)d、换药次数为(4.02±1.12)次、创面深度为(0.85±0.26)cm、创面面积为(2.58±0.41)cm^(2)。331例患者干预第7 d VAS、HAMA、HAMD评分均低于干预前(P<0.05);331例患者干预第7 d的IL-4、TNF-a、IL-1β指标均低于干预前(P<0.05)。结论MDT在慢性创面护理中的临床应用可以显著改善患者的治疗效果,缩短愈合时间,并且有效控制疼痛感受,是一种值得推广和应用的治疗策略。 Objective To analyze the clinical efficacy of Multidisciplinary Treatment Model(MDT)in chronic wound care;Method A total of 331 patients with chronic wounds admitted to Putian First Hospital from June 2022 to June 2023 were selected for analysis,and MDT care was implemented to evaluate the clinical data of all patients;Result Among 331 patients,the healing time was(17.88±2.26)days,the number of dressing changes was(4.02±1.12)times,the wound depth was(0.85±0.26)cm,and the wound area was(2.58±0.41)cm^(2).On the 7th day of intervention,the VAS,HAMA,and HAMD scores of 331 patients were lower than before intervention(P<0.05);331 patients with IL-4,TNF-a,and IL-1 on the 7th day of interventionβThe indicators were all lower than before intervention(P<0.05);Conclusion The clinical application of MDT in chronic wound care can signifificantly improve the treatment effect of patients,shorten healing time,and effectively control pain sensation.It is a treatment strategy worth promoting and applying.
作者 吴曼丽 姚剑霞 李淑萍 WU Man-li;YAO Jian-xia;LI Shu-ping(Burn and Plastic Surgery Department of Putian First Hospital,Fujian Province 351100,China)
出处 《中国医疗美容》 2024年第6期79-82,共4页 China Medical Cosmetology
关键词 多学科诊疗模式 慢性创面 护理 临床观察 Multidisciplinary Diagnosis and Treatment Model Chronic Wounds Nursing Clinical Observation
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