中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2014年
13期
48-50
,共3页
烧伤创面%负压封闭引流术%持续冲洗
燒傷創麵%負壓封閉引流術%持續遲洗
소상창면%부압봉폐인류술%지속충세
Burn wound%Vacuum sealing drainage%Continuous irrigation
目的 讨论负压封闭引流术联合冲洗液持续冲洗在深Ⅱ度烧伤中的应用价值.方法 选择齐齐哈尔医学院附属第三医院烧伤科收治的深Ⅱ度烧伤患者33例作为研究对象,将采用负压封闭引流术联合冲洗液持续冲洗治疗的患者15例作为观察组,将采用传统治疗方法的患者18例作为对照组,比较2组患者的创面愈合率、创面愈合时间和创面疼痛情况.结果 观察组在治疗3d后,便有坏死组织溶解脱落后被引流媛负压瓶,在治疗第7天后,更换VSD敷料时,创面的坏死组织已经基本溶解脱落,在治疗14 d后,创面出现大量新生上皮组织.患者在7d后的创面愈合率、14 d愈合率、总愈合时间、创面疼痛方面比较差异均有统计学意义.结论 VSD负压封闭引流联合冲洗液持续冲洗,能够有效改善烧伤创面的局部微循环,增加局部血流量,保持创面湿润环境,加快渗液引流,利于减轻局部炎性损害,多角度促进上皮细胞再生,促进创伤愈合,并且能够改善局部疼痛症状,有效提高了患者的生活质量.
目的 討論負壓封閉引流術聯閤遲洗液持續遲洗在深Ⅱ度燒傷中的應用價值.方法 選擇齊齊哈爾醫學院附屬第三醫院燒傷科收治的深Ⅱ度燒傷患者33例作為研究對象,將採用負壓封閉引流術聯閤遲洗液持續遲洗治療的患者15例作為觀察組,將採用傳統治療方法的患者18例作為對照組,比較2組患者的創麵愈閤率、創麵愈閤時間和創麵疼痛情況.結果 觀察組在治療3d後,便有壞死組織溶解脫落後被引流媛負壓瓶,在治療第7天後,更換VSD敷料時,創麵的壞死組織已經基本溶解脫落,在治療14 d後,創麵齣現大量新生上皮組織.患者在7d後的創麵愈閤率、14 d愈閤率、總愈閤時間、創麵疼痛方麵比較差異均有統計學意義.結論 VSD負壓封閉引流聯閤遲洗液持續遲洗,能夠有效改善燒傷創麵的跼部微循環,增加跼部血流量,保持創麵濕潤環境,加快滲液引流,利于減輕跼部炎性損害,多角度促進上皮細胞再生,促進創傷愈閤,併且能夠改善跼部疼痛癥狀,有效提高瞭患者的生活質量.
목적 토론부압봉폐인류술연합충세액지속충세재심Ⅱ도소상중적응용개치.방법 선택제제합이의학원부속제삼의원소상과수치적심Ⅱ도소상환자33례작위연구대상,장채용부압봉폐인류술연합충세액지속충세치료적환자15례작위관찰조,장채용전통치료방법적환자18례작위대조조,비교2조환자적창면유합솔、창면유합시간화창면동통정황.결과 관찰조재치료3d후,편유배사조직용해탈락후피인류원부압병,재치료제7천후,경환VSD부료시,창면적배사조직이경기본용해탈락,재치료14 d후,창면출현대량신생상피조직.환자재7d후적창면유합솔、14 d유합솔、총유합시간、창면동통방면비교차이균유통계학의의.결론 VSD부압봉폐인류연합충세액지속충세,능구유효개선소상창면적국부미순배,증가국부혈류량,보지창면습윤배경,가쾌삼액인류,리우감경국부염성손해,다각도촉진상피세포재생,촉진창상유합,병차능구개선국부동통증상,유효제고료환자적생활질량.
Objective To discuss the value of vacuum sealing drainage combined with continuous fluid irrigation in deep second degree burn.Methods 33 patients with deep second degree burns in burn department of the Third Affiliated Hospital of Qiqihar Medical College were selected as study object.The observation group used vacuum sealing drainage combined with continuous fluid irrigation,while the control group used the traditional method of treatment.The rate of wound healing,wound healing time and pain conditions were compared between the two groups of patients.Results After 3 days in the observation group,there was dissolved necrotic tissue which were drained into the negative pressure bottles,wound necrosis dropped off and dissolved when changing VSD dressings after seven days,a large number of newborn epithelial tissue appeared on the wound after 14 days of treatment.The healing rate after 7 days and 14 days,total healing time and wound pain showed statistically significant differences between two groups.Conclusions VSD combined with continuous fluid irrigation can effectively improve local microcirculation of burn wounds,increase local blood flow,keep the wound stay at a moist environment,accelerate the exudate drainage,which will help reduce the damage caused by local inflammation,promote epithelial cell regeneration from multiple perspectives,promote wound healing,and improve local pain symptoms and the quality of life of patients.
