敷料更换过程疼痛对伤口愈合速率的影响.pdfVIP

．22· 解放军护理杂志2011年9月，28(9A) 敷料更换过程疼痛对伤口愈合速率的影响 刘 佳，于瑞英，陈 锦，罗 梅 (第三军医大学大坪医院野战外科研究所护理部，重庆400042) 【摘要l 目的探讨敷料更换过程疼痛对伤口愈合速率的影响。方法 按入选标准选择慢性伤口患者60例．采用随机数字 表法将患者随机分为两组，试验组采用促渗剂水溶性氮酮和盐酸利多卡因湿敷的方法用于局部麻醉，对照组采用生理盐水湿 敷。规定观察周期为3周，清创之后均选用湿性愈合敷料覆盖伤口。使用数字化疼痛计分尺及换药时的血压、脉率对两组患 者的疼痛程度进行评估，记录两组患者伤El的清创时间和愈合率。结果试验组疼痛计分、收缩压、脉率、清创时间、伤口愈 性氮酮和盐酸利多卡因联合使用可以改善伤口疼痛，缩短清创期，促进伤口愈合。 【关键词】伤口；敷料；疼痛；愈合；清创 l中图分类号】R472．9【文献标志码】A l文章编号】1008—9993(2011)9A一0022—03 Influenceof PainonWound Rate Dressing-related Healing ofField Hos— LIUJia．YU Jin，LUO Surgery，Daping Rui—ying，CHENMei(NursingDepartment，Institute Medical 400042，China) Military University，Chongqing pital。Third author：YU CorrespondingRui—ying，E—mail：yuruiyin91963@sina．corn To theinfluenceof onthewound rate．Methods Abstract healing l l 0bjectiveexplore dressing—relatedpain inclusioncriteria，60 withchronicwoundsweredividedintotwo to groupsrandomly． According patients The weretreatedwithwater—soluble enhancersAzoneandlidocaine experimentalgroup penetration using were with saline．Anumeric forlocalanesthesia．Thenthecontrol treated normal group painintensity scale，blood and ratewereusedtoassessmentthe of timeofdebridement pressurepulse degreepain．The wound ratewererecorded．Theobservationwas21 and healing period days．After were tocoverthewound．Results withthecontrol dressingap