负压封闭引流术治疗胸骨正中切口深部感染的护理

Nursing Care of Patients with Deep Infection of the Middle Incision of Sternum Treated by Negative Pressure Sealing and Drainage

目的试分析胸骨正中切口深部感染采用负压封闭引流术治疗的临床护理。方法在我院2014年6月至2017年4月收治的18例胸骨正中切口深部感染患者为研究对象,依据临床护理方案差异分为观察组(10例)与参照组(8例),参照组接受常规护理,观察组采用针对性护理干预,比较两组临床治疗效果。结果参照组的感染持续时间、切口愈合时间以及抗生素使用时间长于观察组,观察组视觉模拟评分(Visual Analogue Scale/Score,VAS)低于参照组,两组间差异有统计学意义(P<0.05)。结论对胸骨正中切口深部感染患者采用针对性护理干预,可有效缩短患者感染持续、切口愈合以及抗生素使用时间,并且可有效减轻患者的疼痛程度。

Objective to analyze the clinical nursing of deep sternotomy incision infection with negative pressure closed drainage. Methods 18 patients with deep infection of the central sternal incision were studied in our hospital from June 2014 to April 2017. They were divided into observation group（10 cases） and reference group（8 cases） according to the differences in clinical nursing plans. The reference group received routine nursing care and the observation group received targeted nursing intervention to compare the clinical treatment effect of the two groups. Results the duration of infection, wound healing and antibiotic use in the reference group was longer than that in the observation group. Visual Analogue Scale/Score（VAS） of the observation group was lower than that of the reference group, and the difference between the two groups was statistically significant（P〈0.05）. Conclusion the targeted nursing intervention for deep infection patients with central sternal incision can effectively shorten the duration of infection, wound healing and antibiotic use, and effectively reduce the pain degree of patients.