不同湿性敷料结合负压封闭式引流技术在胸壁结核创面伤口护理中的应用

The application of different wet dressing combined with vacuum sealing drainage in tuberculosis of the chest wall wound nursing

目的:探讨不同湿性敷料结合负压封闭式引流技术在胸壁结核创面伤口护理中的应用效果。方法:将66例胸壁结核患者随机等分为对照组和治疗组,对照组行胸壁结核病灶清除术后应用传统的敷料进行引流换药;治疗组行胸壁结核病灶清除术后彻底切除结核病后,采用负压封闭式引流术结合不同湿性敷料换药。对两组患者的换药次数、伤口愈合时间和伤口疗效进行比较。结果:与对照组比较,治疗组患者的换药次数少于对照组,伤口愈合时间短于对照组,伤口疗效优于对照组差异有统计学意义(P<0.05)。结论:采用不同湿性敷料结合负压封闭式引流技术,可缩短胸壁结核患者的伤口愈合时间,减少换药频率,提高伤口创面愈合效果。

Objective： To disscuss the combination of different wet dressing combined with vacuum sealing drainage（ VSD） in tuberculosis of the chest wall wound nusing. Methods： 66 cases of tuberculosis in patients with chest wall randomly divided into control group and treatment group,the control group underwent chest wall tuberculosis cleared after the application of traditional dressings were drainage dressing; treatment group underwent chest wall tuberculosis cleared after complete resection of tuberculosis,VSD using a combination of different wet dressing dressing. The number of dressing two groups of patients,wound healing time and wound efficacy comparison. Results： Compared with the control group,the treatment group than the control group the number of dressing,wound healing time shorter than the control group,wound effective than the control group,the difference was statistically significant（ P 〈 0. 05）.Conclusion： The combination of different wet dressing and VSD can shorten the patient’s chest wall tuberculosis wound healing time,reducing the frequency of dressing changes,improve wound healing effect.