医护一体化负压伤口治疗在Miles术后会阴伤口的临床应用

Application of Negative Pressure Wound Therapy with Integrated Doctor-Nurse for Perineal Wound After Miles Operation

目的探讨医护一体化负压伤口治疗在Miles术后会阴伤口的应用效果。方法于2014年11月构建医护一体化负压伤口治疗工作模式,由医护共同对Miles术后会阴伤口进行治疗管理,对比实施前后的对照组和观察组患者在治疗第3天、第7天、第14天、第21天、第28天、第35天、第42天、第56天的伤口愈合计分、疼痛计分,以及伤口愈合率和伤口愈合时间。结果观察组患者在治疗第14天、21天、28天、35天的伤口愈合计分及第21天、35天的疼痛计分显著低于对照组(P<0.05);观察组患者的伤口愈合率高于对照组,各类型伤口平均愈合时间显著短于对照组(P<0.05)。结论医护一体化负压伤口治疗能促进Miles术后会阴伤口的早期愈合,减轻治疗过程中的疼痛,提高伤口愈合率,缩短愈合时间。

Objective To study the effect of negative pressure wound therapy（NPWT） with integrated doctor-nurse for patients with perineal wound after Miles operation. Methods The model of integrated doctor-nurse for NPW Twas built up from November 2014. Before and after the implementation, patients with perineal wound were set as control group and observation group respectively. The wound healing scores and pain scores at different time points of two groups were compared. The wound healing rate and wound healing time were compared between two groups. Results The wound healing scores at day 14, 21,28 and 35 and pain scores at day 21, 35 of the observation group were significantly lower than those of the control group（P〈0.05）. The wound healing rate of the observation group was significantly higher than that of the control group, and the average healing time of different kinds of wound of the observation group was significantly shorter than that of the control group（P〈0.05）. Conclusions The integrated doctor-nurse for NPW Tafter Miles operation can improve the perineal wound healing at the early stage, release the pain during treatment, improve the wound healing rate and reduce the healing time.