四肢皮肤软组织缺损感染患者应用封闭负压引流的研究

发布时间：2018-06-11 18:08

本文选题：四肢 + 皮肤软组织缺损　；参考：《中华医院感染学杂志》2016年04期

【摘要】：目的总结分析四肢皮肤软组织缺损感染患者的护理措施及其应用封闭负压引流(VSD)的护理经验,为临床护理提供参考。方法回顾性分析2014年4月-2015年5月20例四肢皮肤软组织缺损患者临床资料,应用VSD技术治疗四肢皮肤软组织缺损患者感染,并给予对应护理措施。结果 11例四肢皮肤软组织缺损患者创面感染时间发生在入院后4~6d,占55.00%;20例四肢皮肤软组织缺损患者创面共培养出病原菌22株,其中金黄色葡萄球菌检出8株占36.36%;应用VSD技术治疗20例四肢皮肤软组织缺损患者创面均愈合,治疗有效率为100.00%。结论四肢皮肤软组织缺损患者感染应用封闭负压引流前,应全面掌握护理要点,有针对性、重点性的护理是关键;负压封闭引流技术在控制感染方面效果显著,并且在减少患者换药次数的同时,也减轻了护士工作量,具有临床应用价值。
[Abstract]:Objective to summarize and analyze the nursing experience of patients with skin and soft tissue defect infection in extremities and its application of closed negative pressure drainage (VSD), so as to provide reference for clinical nursing. Methods the clinical data of 20 patients with skin and soft tissue defects in extremities from April 2014 to May 2015 were retrospectively analyzed. VSD technique was used to treat the infection of patients with skin and soft tissue defects of extremities and corresponding nursing measures were given. Results the time of wound infection in 11 patients with skin and soft tissue defects of extremities occurred 4 days after admission, accounting for 55.00% of the 20 patients with skin and soft tissue defects of extremities, 22 strains of pathogenic bacteria were cultured in the wound surface of patients with skin and soft tissue defects of extremities. Among them, 8 strains of Staphylococcus aureus were detected, and 20 cases of skin and soft tissue defects of extremities were treated with VSD technique, the effective rate was 100.00000. Conclusion before the infection of patients with skin and soft tissue defect of extremities, the key points of nursing should be grasped, and the key points should be grasped, and the key nursing care should be given, and the technique of negative pressure sealing and drainage is effective in controlling infection. At the same time, it also reduces the workload of nurses and has clinical application value.
【作者单位】：吉林大学中日联谊医院手术室;
【基金】：国家科技支撑计划基金资助项目(2009BAI79B00)
【分类号】：R473.6

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