给氧负压封闭伤口治疗在骨科慢性伤口中的应用效果研究

发布时间：2018-07-09 19:51

本文选题：外科伤口感染 + 负压伤口疗法　；参考：《中华护理杂志》2016年06期

【摘要】：目的探讨负压伤口疗法联合局部给氧治疗骨科慢性伤口的抑菌促愈效果。方法将60例患者随机分为试验组和对照组,每组30例。试验组在负压伤口治疗的基础上局部给氧2L/min,连续10d。对照组给予负压伤口治疗,连续10d。之后,两组均给予手术治疗或标准湿性疗法至愈合并随访3个月。结果干预后第10天,试验组细菌培养阳性率低于对照组(P0.05),伤口渗液p H低于对照组(P0.01),伤口温度高于对照组(P0.01),肉芽组织覆盖率高于对照组(P0.01),两组压疮愈合计分量表计分结果差异无统计学意义(P0.05)。随访期内试验组治愈率高于对照组(P0.01),平均愈合时间短于对照组(P0.05)。结论给氧负压封闭伤口治疗有利于控制骨科慢性伤口感染,促进肉芽组织生长,提高伤口治愈率并缩短伤口愈合时间,效果优于单纯负压伤口疗法。
[Abstract]:Objective to investigate the antibacterial effect of negative pressure wound therapy combined with local oxygen on chronic orthopedic wound. Methods 60 patients were randomly divided into experimental group and control group with 30 cases in each group. The experimental group was given oxygen 2 L / min on the basis of negative pressure wound treatment for 10 days. The control group was treated with negative pressure wound for 10 days. Both groups were treated with surgical treatment or standard wettable therapy until healing and were followed up for 3 months. Results on the 10th day after intervention, The positive rate of bacteria culture in test group was lower than that of control group (P0.05), the pH of wound exudate was lower than that of control group (P0.01), the wound temperature was higher than that of control group (P0.01), and the coverage of granulation tissue was higher than that of control group (P0.01). The cure rate in the trial group was higher than that in the control group (P0.01), and the average healing time was shorter than that in the control group (P0.05). Conclusion the treatment of oxygen negative pressure blocking wound is more effective than simple negative pressure wound therapy in controlling chronic infection of orthopedic wound, promoting granulation tissue growth, increasing cure rate and shortening wound healing time.
【作者单位】：南京鼓楼医院集团宿迁市人民医院骨关节科;南京军区南京总医院门诊伤口护理中心;
【基金】：南京军区科技创新课题(14MS103) 宿迁市科技局课题(S201417)
【分类号】：R473.6

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