CAJ | 학술논문

目的：探讨湿性愈合模式在肛周脓肿致坏死性筋膜炎患者伤口护理中的应用及效果。方法回顾性分析、总结2010年1月-2013年5月收治的3例肛周脓肿致坏死性筋膜炎患者伤口治疗及护理经验。结果通过开放引流、瘘管科学处理，有效清创、控制感染、防止血流感染，合理固定、提高生活质量，科学营养支持、促进肉芽生长创面愈合，人文关怀、多学科协作促进康复等湿性愈合伤口护理，所有患者均愈合，无病死、致残。结论湿性愈合伤口护理在急性坏死性筋膜炎的创面治疗中可以促进伤口愈合、降低医疗风险，安全可行。
목적：탐토습성유합모식재항주농종치배사성근막염환자상구호리중적응용급효과。방법회고성분석、총결2010년1월-2013년5월수치적3례항주농종치배사성근막염환자상구치료급호리경험。결과통과개방인류、루관과학처리，유효청창、공제감염、방지혈류감염，합리고정、제고생활질량，과학영양지지、촉진육아생장창면유합，인문관부、다학과협작촉진강복등습성유합상구호리，소유환자균유합，무병사、치잔。결론습성유합상구호리재급성배사성근막염적창면치료중가이촉진상구유합、강저의료풍험，안전가행。
Objective To investigate the effect of moist healing mode in the wound care of patients with perianal abscess to necrotizing fasciitis .Methods The wound treatment and care experience of three patients with perianal abscess to necrotizing fasciitis from January 2010 to May 2013 was retrospectively analyzed and summarized.Results Through the methods of open drainage , scientific fistula treatment, effective debridement , infection control , bloodstream infections prevention and reasonable fixation to improve patients ’ quality of life.And the scientific nutritional support could promote the growth of granulation wound healing . Besides, humane care multidisciplinary collaboration , promotion of rehabilitation and other moist wound healing care made all patients healed without death and disability .Conclusions The moist healing wound care in acute necrotizing fasciitis treatment can help patients promote wound healing and reduce medical risks .