湿性愈合敷料对胸部手术患者切口感染的应用效果研究

发布时间：2018-04-29 11:53

本文选题：湿性愈合敷料 + 切口感染　；参考：《中华医院感染学杂志》2016年07期

【摘要】：目的探讨湿性愈合敷料在胸部手术患者切口感染中的临床疗效,为切口感染患者换药方案的选择提供参考依据。方法选择2012年9月-2014年12月于医院心胸外科接受开胸手术治疗后发生切口感染的70例患者为研究对象,随机分为对照组和观察组,各35例;对照组患者采用传统干纱布换药方案,观察组患者采用湿性愈合敷料换药;比较两组患者的愈合时间及临床疗效,数据采用SPSS 17.0软件进行统计分析。结果观察组患者新生肉芽组织生长时间及切口完全愈合时间分别为(4.63±1.92)(12.46±3.51)d,显著短于对照组(7.45±2.87)(18.73±4.16)d;观察组的总有效率为91.43%,显著高于对照组71.43%,两组比较,差异均有统计学意义(P0.05)。结论湿性愈合辅料可以加速开胸手术切口部位感染患者切口的愈合,提高治疗效果和患者满意度,并降低医疗费用,值得在临床推广。
[Abstract]:Objective to investigate the clinical effect of wet healing dressing on incision infection in patients undergoing thoracic surgery, and to provide reference for the choice of dressing change scheme in patients with incision infection. Methods from September 2012 to December 2014, 70 patients with incision infection were randomly divided into control group (n = 35) and observation group (n = 35). The patients in the control group were treated with traditional dry gauze dressing and the patients in the observation group were treated with wet healing dressing. The healing time and clinical efficacy of the two groups were compared. The data were statistically analyzed by SPSS 17.0 software. Results the growth time of new granulation tissue and the complete healing time of incision in the observation group were 4.63 卤1.92 and 12.46 卤3.51 days, respectively, which were significantly shorter than those in the control group (7.45 卤2.87) and 18.73 卤4.16 days respectively, and the total effective rate of the observation group was 91.43, which was significantly higher than that of the control group (71.43). The difference between the two groups was statistically significant (P 0.05). Conclusion Wet healing excipients can accelerate wound healing in patients with infection of incision site in thoracotomy, improve therapeutic effect and patient satisfaction, and reduce medical cost, which is worth popularizing in clinical practice.
【作者单位】：潍坊市人民医院麻醉科;潍坊市人民医院放疗科;
【基金】：国家自然科学基金资助项目(1400171148)
【分类号】：R473.6

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