间断负压引流联合冲洗治疗感染创面的护理

Nursing effect of irrigation combined with intermittent vacuum sealing drainage in the treatment of infected wounds

目的探讨间断负压引流联合冲洗治疗感染创面的护理及效果观察。方法选取我院骨科2015年5月～2017年9月收治的45例感染创面患者,按随机数字表法分为对照组及观察组,其中对照组20例采取持续负压冲洗治疗,观察组25例采取间断负压冲洗治疗。对比两组患者创面肉芽组织生长情况、住院时间、电动吸引器使用中损坏例数以及患者满意度。结果两组患者创面肉芽组织生长情况、住院时间差异均无统计学意义(P>0.05)。观察组负压吸引器损坏率低于对照组,观察组的患者满意度高于对照组(P<0.05)。结论间断负压引流结合冲洗治疗感染创面,在保证疗效的前提下可以减少仪器的损耗,减轻患者痛苦,增加睡眠质量,提高患者满意度,值得临床推广使用。

Objective To investigate the nursing effect of irrigation combined with intermittent vacuum sealing drainage（VSD）in the treatment of infected wounds.Methods 45 patients with infective wounds admitted to the department of orthopedics in our hospital from May 2015 to September 2017 were included. According to random number table, they were divided into control group（n=20） and observation group（n=25）. Cases in the control group were treated with irrigation with continuous VSD, while those in observation group were treated with irrigation with intermittent VSD. Clinical statistics of two groups,including the growth of granulation tissue, hospitalization time, number of damaged electric aspirator during treatment and degree of patient satisfaction, were recorded and analyzed.Results There were no significant differences in the growth of wound granulation tissue and hospitalization time between the two groups（P〈0.05）. However, the damage rate of negative pressure aspirator in the observation group was lower than that of the control group, and the degree of patient satisfaction in the observation group was higher than that in the control group（P〈0.05）.Conclusion The application of intermittent VSD combined with irrigation in the treatment of infected wounds can, in the prerequisite of ensuring the curative effect, reduce wear on the machine, relieve the sufferings of the patient, and improve the patient＇s sleep quality and satisfaction, thus worthy of clinical application and promotion.