袖珍负压装置的设计及在脂肪液化伴感染坏死伤口中的应用

发布时间：2018-03-21 18:14

本文选题：外科伤口感染　切入点：负压伤口疗法　出处：《中华护理杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的观察自行设计的袖珍负压装置在脂肪液化伴感染坏死伤口中的应用效果。方法选择56例冠状动脉搭桥术后取大隐静脉处脂肪液化伴伤口感染坏死的患者,随机分为实验组30例和对照组26例。实验组采用自行设计的袖珍负压装置换药治疗,对照组采用常规负压封闭换药治疗,比较两组的治疗效果。结果两组伤口进入红期时间、伤口面积愈合率、伤口愈合时间、换药次数比较,差异均无统计学意义(t值分别为0.695,0.531,-0.075,-0.582;P0.05);两组总费用比较,差异有统计学意义(t=-62.766;P0.001)。结论袖珍负压装置能促进脂肪液化伴感染坏死伤口愈合,提高伤口愈合的质量,较常规负压封闭治疗具有更经济、更实用、更便携的优点。
[Abstract]:Objective to observe the effect of self-designed pocket negative pressure device on the wound of fat liquefaction with infection and necrosis. Methods 56 patients with fat liquefaction of the great saphenous vein and wound infection and necrosis after coronary artery bypass grafting were selected. The patients were randomly divided into experimental group (n = 30) and control group (n = 26). The experimental group was treated with self-designed pocket negative pressure device and the control group was treated with routine negative pressure block dressing change. There was no significant difference in wound area healing rate, wound healing time and dressing change times between the two groups. The difference was statistically significant (P 0.001). Conclusion the pocket negative pressure device can promote the wound healing of fat liquefaction with infection and necrosis, and improve the quality of wound healing. It is more economical, practical and portable than the conventional negative pressure sealing therapy.
【作者单位】：成都市第三人民医院门诊换药室;
【分类号】：R473.6

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