湿润烧伤膏在小儿尿道下裂术后创面护理中的应用

Application of Moist Exposed Burn Ointment in Wound Nursing after Hypospadias Operation in Children

目的:观察尿道下裂患儿尿道成形术后创面应用湿润烧伤膏的效果。方法:选取尿道下裂患儿120例,按随机数字表法分为对照组和观察组各60例。对照组患儿术后应用碘伏消毒和生理盐水纱布包扎湿敷创面,观察组应用湿润烧伤膏涂抹纱布后包扎湿敷创面。观察比较2组患儿创面愈合情况、疼痛程度和术后并发症发生情况,并由家长评价护理满意情况。结果:观察组创面愈合时间和住院时间均短于对照组,观察组术后第8天、术后第10天面部表情量表(FRS-R)评分均低于对照组,差异均有统计学意义(P<0.05)。观察组术后并发症发生率为6.67%,低于对照组20.00%,差异有统计学意义(P<0.05)。观察组家长满意率为96.67%,高于对照组83.33%,差异有统计学意义(P<0.05)。结论:对行尿道成形术的尿道下裂患儿术后使用湿润烧伤膏护理创面,能够有效促进创面愈合,缓解患儿疼痛,减少并发症发生,提高护理质量,值得临床应用。

Objective:To observe the clinical effect of applying moist exposed burn ointment in wound of children with hypospadias after urethroplasty.Methods:Selected 120 cases of children with hypospadias,and divided them into the control group and the observation group according to random number table,60 cases in each group.After operation,the control group received disinfection with iodophor,dressings and wet compress with gauzes soaked in normal saline in burn wound,while the observation group received dressings and wet compress with gauzes covered with moist exposed burn ointment.Observed and compared the healing condition of burn wound,the degree of pain,the occurrence of postoperative complications,and parents evaluated nursing satisfaction in both groups.Results:The healing time of burn wound and the time of hospitalization in the observation group were obviously shorter than those in the control group;on the 8 thand 10 thdays after operation,the scores of Facial Expression Scale-rating(FRS-R)in the observation group were lower than those in the control group,differences being significant(P<0.05).The incidence of postoperative complications was 6.67%in the observation group,being lower than 20.00%in the control group,difference being significant(P<0.05).The satisfactory rate of parents was 96.67%in the observation group,being higher than 83.33%in the control group,difference being significant(P<0.05).Conclusion:The application of moist exposed burn ointment for nursing burn wound of children with hypospadias after urethroplasty can effectively promote the healing of wound,alleviate pain,reduce complications and improve the quality of nursing,which is worthy of clinical application.