医用皮肤减张闭合器对无法缝合伤口愈合时间和二次损伤的影响分析

Analysis of the Effect of Medical Skin Reduction and Closure on Wound Healing Time and Secondary Injury

目的探究医用皮肤减张闭合器对无法缝合伤口愈合时间和二次损伤的影响。方法方便选取该院2015年3月—2017年6月收治的90例伤口感染患者,随机分为研究组45例和对照组45例。对照组采用常规治疗和护理措施,研究组在对照组的基础上,加入使用医用皮肤减张闭合器对无法缝合伤口进行减张处理。观察伤口愈合情况、愈合时间、瘢痕宽度和患者满意度。结果研究组伤口愈合良好率明显好于对照组,差异有统计学意义(X^2=13.14, P<0.05)。研究组愈合时间(10.8±0.2)d低于对照组,差异有统计学意义(t=28.65, P<0.05)。研究组术后2个月的瘢痕宽度(1.41±0.29)mm小于对照组,差异有统计学意义(t=16.04, P<0.05)。且研究组满意度为89.9%高于对照组,差异有统计学意义(X^2=8.66,P<0.05)。结论医用皮肤减张闭合器可用于初期由于感染而无法缝合的伤口,能够显著提高患者伤口愈合良好率,有效缩短伤口愈合时间和瘢痕的宽度,避免对患者的二次损伤,进一步提升患者满意度,值得临床进一步推广。

Objective To investigate the effect of medical skin reduction and closure on wound healing time and secondary injury. Methods 90 patients with wound infection admitted to the hospital from March 2015 to June 2017 were conveniently selected and randomly divided into study group（45 cases） and control group（45 cases）. The control group received routine treatment and nursing measures. On the basis of the control group, the study group added a medical skin reduction and closure device to reduce the unsewable wound. Observe wound healing, healing time, scar width, and patient satisfaction. Results The wound healing rate of the study group was significantly better than that of the control group, with significant difference（X^2=13.14, P〈0.05）. The healing time of the study group（10.8±0.2）d was lower than that of the control group, and the difference was statistically significant（t=28.65, P〈0.05）. The scar width（1.41±0.29） mm of the study group was lower than that of the control group at 2 months after operation, and the difference was statistically significant（t=16.04, P〈0.05）.The satisfaction of the study group was 89.9% higher than that of the control group, and the difference was statistically significant（X^2=8.66, P〈0.05）. Conclusion The medical skin reduction and closure device can be used for wounds that cannot be sutured due to infection, which can significantly improve the wound healing rate, effectively shorten the wound healing time and the width of scars, avoid secondary injury to patients, and further improve patient satisfaction. It is worth further clinical promotion.