改良负压吸引技术治疗小创口效果分析

Effect of modified negative pressure suction technique in the treatment of small wound

目的探讨改良负压吸引技术在小创口中的应用效果。方法选取本院2016年1月至2017年10月符合纳入标准的伤口引流患者40例,随机分为改良负压吸引技术组(实验组)和胶片引流组(对照组)各20例。对照组接受常规清创处理后行胶片引流、换药操作;实验组接受常规清创处理后行改良负压吸引技术处理。记录两组患者接受治疗的时间、死腔形成情况、渗出物量、治疗平均费用及疼痛程度评分,评价两组患者的疗效及治疗满意度。结果对照组患者创面渗出物明显多于实验组;实验组和对照组分别有0例和3例(15.00%)出现死腔,差异有统计学意义(P<0.05);实验组总有效率、社会维度评分、心理维度评分及治疗维度评分均高于对照组(P<0.05)。实验组治疗用时及治疗平均费用均低于对照组,但疼痛程度评分高于对照组(P<0.05)。结论改良负压吸引技术治疗小创口,可有效降低住院费用及伤口愈合、创面渗出物量、死腔发生率、住院时间,缓解患者疼痛,提高满意度。

Objective To explore the therapeutic effects of modified negative pressure suction technique in the treatment of small wound. Methods Forty patients who were suspected with wound drainage were selected in our hospital from January 2016 to October 2017, and randomly divided into modified negative pressure suction technique （experimental group） and film drainage group （control group）, with 20 cases in each group. The control group was treated with film drainage after routine dehridement. The experimental group was treated with modified negative pressure suction ＂technique after ＂the routine debridement treatment. The score of hospitalization ＂time, ＂the formation of ＂the dead cavity, ＂the incidence of retrograde infection, ＂the amount of exu dates, treatment cost, curative effect, treatment satisfaction and pain degree in two groups were measured and compared respectively. Results The wound exudates of control group were signifi cantly more ＂than ＂those in experimental group. The die cavity in experimental group and control group were 0 case and 3 cases（15.00%）, ＂the difference was significant（P〈0.05）. The total effective rate, social dimension score, psychological dimension score and treatment dimension score in experimental group were significantly higher ＂than ＂those in control group （P〈0.05）. The score of hospitalization ＂time and treatment cost in experimental group were significantly lower ＂than ＂those in control group（P〈0.05）, but ＂the pain degree was significantly higher than that of con trol group. Conclusion Modified negative pressure suction ＂technique can effectively reduce hos pitalization expenses, wound healing, formation of ＂the dead cavity, amount of exudates and hos pitalization ＂time. The patient＇s pain is significantly relieved and ＂the satisfaction is significantly in creased.