中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
36期
4531-4533
,共3页
负压封闭引流技术%高渗盐敷料%慢性伤口
負壓封閉引流技術%高滲鹽敷料%慢性傷口
부압봉폐인류기술%고삼염부료%만성상구
Vacuum sealing drainage technique%Hypertonic saline dressing%Chronic wounds
目的：探讨高渗盐敷料结合负压封闭引流技术在慢性伤口中应用效果。方法将68例因各种原因导致的迁延不愈的慢性伤口患者随机分为治疗组和对照组各34例，治疗组采用高渗盐敷料为伤口填充材料，以一次性使用胃管为引流管连接负压瓶为患者进行创面负压引流治疗；对照组采用湿性愈合原理常规换药，比较两组治疗效果。结果治疗组伤口治愈率为91．17％，对照组为70．59％，两组比较差异有统计学意义（χ2＝4．66，P＜0．05）；治疗组伤口面积愈合率（92．58±3．68）％，伤口愈合时间（12．15±2．74）d，换药次数（2．25±0．28）次，均优于对照组，差异有统计学意义（t值分别为6．034，-14．884，-15．257；P＜0．05）。结论高渗盐敷料结合负压封闭引流技术能够营造有利于慢性伤口愈合的环境，改善局部血供，促进伤口愈合。降低换药次数及费用，提高伤口愈合质量。
目的：探討高滲鹽敷料結閤負壓封閉引流技術在慢性傷口中應用效果。方法將68例因各種原因導緻的遷延不愈的慢性傷口患者隨機分為治療組和對照組各34例，治療組採用高滲鹽敷料為傷口填充材料，以一次性使用胃管為引流管連接負壓瓶為患者進行創麵負壓引流治療；對照組採用濕性愈閤原理常規換藥，比較兩組治療效果。結果治療組傷口治愈率為91．17％，對照組為70．59％，兩組比較差異有統計學意義（χ2＝4．66，P＜0．05）；治療組傷口麵積愈閤率（92．58±3．68）％，傷口愈閤時間（12．15±2．74）d，換藥次數（2．25±0．28）次，均優于對照組，差異有統計學意義（t值分彆為6．034，-14．884，-15．257；P＜0．05）。結論高滲鹽敷料結閤負壓封閉引流技術能夠營造有利于慢性傷口愈閤的環境，改善跼部血供，促進傷口愈閤。降低換藥次數及費用，提高傷口愈閤質量。
목적：탐토고삼염부료결합부압봉폐인류기술재만성상구중응용효과。방법장68례인각충원인도치적천연불유적만성상구환자수궤분위치료조화대조조각34례，치료조채용고삼염부료위상구전충재료，이일차성사용위관위인류관련접부압병위환자진행창면부압인류치료；대조조채용습성유합원리상규환약，비교량조치료효과。결과치료조상구치유솔위91．17％，대조조위70．59％，량조비교차이유통계학의의（χ2＝4．66，P＜0．05）；치료조상구면적유합솔（92．58±3．68）％，상구유합시간（12．15±2．74）d，환약차수（2．25±0．28）차，균우우대조조，차이유통계학의의（t치분별위6．034，-14．884，-15．257；P＜0．05）。결론고삼염부료결합부압봉폐인류기술능구영조유리우만성상구유합적배경，개선국부혈공，촉진상구유합。강저환약차수급비용，제고상구유합질량。
Objective To explore the effects and application of hypertonic saline dressing combined with vacuum sealing drainage technique in chronic wounds .Methods 68 cases with chronic wounds for various reasons, were randomly divided into treatment group and control group , with 34 cases for each group.Treatment group were treated with hypertonic saline dressing filling material and with the disposable gastric tube for drainage tube connected to a negative pressure bottle drainage for the treatment of patients with chronic wounds ;the control group used the conventional dressing moist healing theory .The therapeutic effects were compared between the two groups .Results The healing rate was 91.17%in the treatment group higher than 70.59%in the control group (χ2 =4.66, P<0.05).In the treatment group, the healing area was (92.58 ±3.68)%,and the healing time interval was (12.15 ±2.74)d, and the dressing changing frequency was (2.25 ±0.28), which were all superior to the control group (t=6.034, -14.884, -15.257, respectively;P<0.05).Conclusions Hypertonic saline dressing combined with vacuum sealing drainage technique create a favorable environment for chronic wound healing.It modifies the local blood supply of choronic wounds and promotes the process of wound healing , which reduces the time and cost of dressing changes and improves the quality of wound healing .
