成纤维细胞生长因子凝胶在食管癌术后呼吸衰竭患者气管切开切口护理中应用研究.docVIP

成纤维细胞生长因子凝胶在食管癌术后呼吸衰竭患者气管切开切口护理中应用研究 　　[摘要] 目的 探讨成纤维细胞生长因子凝胶在食管癌术后呼吸衰竭患者气管切开切口护理中的应用效果。 方法 收集食管癌术后发生急性呼吸衰竭（AFR）行气管切开患者64例，根据入院先后顺序分为两组：对照组（n=34）采用常规气管切开护理，观察组（n=30）在对照组的基础上应用成纤维细胞生长因子凝胶。比较两组气管切开切口感染率、切口换药情况、拔管时间及护理满意度。 结果 观察组与对照组气管切开切口周围皮肤感染率分别为10.00%（2/30）、29.41%（10/34），观察组的感染率显著低于对照组（P0.05），但观察组的换药间隔时间较对照组明显延长，换药次数明显降低（P0.05）；观察组护理满意度为93.33%，显著高于对照组的76.47%（P0.05）。 结论 在食管癌术后呼吸衰竭行气管切?_患者的切口换药护理中应用成纤维细胞生长因子凝胶能够减少换药次数，降低切口感染率并提高护理满意度。 　　[关键词] 食管癌；呼吸衰竭；气管切开；成纤维细胞生长因子凝胶；切口感染；切口护理 　　[中图分类号] R473.73 [文献标识码] B [文章编号] 1673-9701（2017）28-0145-04 　　[Abstract] Objective To investigate the effect of fibroblast growth factor gel in tracheotomy incision nursing in patients with postoperative respiratory failure of esophageal carcinoma. Methods 64 patients with acute respiratory failure （AFR） after esophageal carcinoma who underwent tracheotomy were selected and randomly divided into two groups according to the order of admission. The control group （n=34） was treated with conventional tracheotomy. The observation group （n=30） was given fibroblast growth factor gel on the basis of the treatment of the control group. The tracheotomy incision infection rate， incision dressing， extubation time and nursing satisfaction between the two groups were compared. Results The infection rate of the skin around the tracheotomy incision was 10.00%（2/30） in the observation group and 29.41%（10/34） the control group， respectively. The infection rate of the observation group was significantly lower than that of the control group（P0.05）. There was no significant difference in the extubation time between the two groups. But the dressing interval in the observation group was significantly longer than that in the control group， and the number of dressing in the observation group was significantly decreased（P0.05）. The nursing satisfaction of the observation group was 93.33%， which was significantly higher than that of the control group（76.47%， P0.05）. Conclusion Fibroblast growth factor gel applied i