简易持续负压吸引在深度创面应用观察及护理.docVIP

简易持续负压吸引在深度创面应用观察及护理[摘要]目的：探讨简易持续负压吸引对促进深度创面愈合的疗效及护理。方法：50例患者分为治疗组25例和对照组25例，对照组给予常规换药，治疗组用简易材料进行持续负压吸引，比较两组的换药次数、应用抗生素费用及总住院时间等指标，评估疗效。结果：在换药次数、应用抗生素费用及总住院时间等，治疗组均优于对照组。结论：简易负压吸引是一种良好的促进深度创面愈合的方法，配合创面观察及护理，疗效优于传统方法，值得推广。 [关键词]负压吸引； 深度创面； 护理 [中图分类号]R471 [文献标识码]A [文章编号]1008-6455（2011）01-0151-02 Applicable observation and nursing care of simple continuous negative pressure suction on the deep wound WANGFei （Nursing Department, The Third People’s Hospital of Bengdu city. Bengbu233000，Anhui,China） Abstract:Objective To explore the effects and nursing care of the simple continuous negative pressure suction on the deep wound. Methods 50 patients were divided into two groups. Group 1 were treated by the routing dressing change and group 2 treated by the simple continuous negative pressure suction on the deep wound. Comparing the frequency of dressing change, cost of antibiotics and the hospitalization time of two groups to evaluate the clinical effects. Results The treatment group was significant better than comparitive group on the dressing change time, cost of antibiotics using and hospitalization time etc. ConclusionSimple negative pressure suction is a good method for promoting deep wound healing with wound observation and nursing care,the clinical effects is better than traditional method, therefore it is worth for popularization. Key words：negative pressure suction； deep wound； nursing care 深度创面由于各种原因导致创面血运、营养差，难以愈合。封闭式负压封闭引流技术(vacuum sealing drainage，VSD)是裘华德-在国内率先引进的一种新型引流技术，适用于不同原因引起的各种深度创面，疗效明显[1]，但目前临床上所应用的负压吸引疗法需要特殊的材料及设备，价格昂贵，在临床应用受到了一定的限制。笔者于2008年12月以来运用简易负压吸引持续负压吸引方法治疗深度创面对25例患者的深度创面进行持续吸引治疗，配合创面观察及护理，取得了良好的效果，现报道如下。 1临床资料与方法 1.1一般资料：本组共50例患者，其中男性31例，女性19例，年龄17～78岁，烧伤28例，电烧伤8例，挫裂伤4例，挤压伤6例，术后创面4例，创面3cm×2cm～40cm×20cm，伤后时间10～50天（与伤后收住时间有关）。其中25例采用简易的负压吸引疗法治疗，其余25例患者接受常规治疗作为对照组。两组一般情况比较差异无统计学意义，具有可比性。 1.2材料：治疗组所用的负压吸引发生装置为医院中心负压吸引系统，引流管为一次性吸痰管，创面敷料为消毒纱布，封闭材料为江西3L医用制品有限公司生产的医用手术粘贴巾。 1.3方法：创面常规换药，剪除创面的焦痂等坏死组织，如焦痂不易分离，可进行开窗处理，创面可