负压封闭引流联合创面修复生物凝胶在老年创伤性感染护理干预中的疗效观察

Efficacy of vaccum sealing drainage combined with wound repair hydrogel in nursing care of traumatic infection in the elderly

目的探讨负压封闭引流技术(vaccum sealing drainage,VSD)联合创面修复生物凝胶在老年创伤性感染护理干预中的应用效果。方法选取2017年1月至2019年12月在南京市第一医院收治的60例老年创伤性感染病人为研究对象,按护理干预方法不同分为对照组(n=30)和观察组(n=30)。对照组接受外科清创术等常规治疗措施,并实施VSD治疗,观察组在对照组基础上联合创面修复生物凝胶治疗,观察并比较2组炎症因子IL-6、CRP和IL-17水平以及创面面积变化和疗效。结果入院护理干预第14天,观察组IL-6、CRP和IL-17水平明显低于对照组,差异有统计学意义(t=8.399,5.060,12.490,均P<0.01)。2组护理干预第7天与第1天比较,创伤面积差异均有统计学意义(t=6.669,7.194,均P<0.01);护理干预第7天,2组创面面积比较,差异无统计学意义(t=1.303,P>0.05);2组护理干预第14天和第21天创面面积比较,差异有统计学意义(t=3.265,5.574,均P<0.01)。观察组病人临床护理干预总有效率为93.3%,显著高于对照组的73.3%,差异有统计学意义(P<0.05)。结论VSD联合创面修复生物凝胶治疗策略可显著控制老年创伤性感染病人体内炎症因子水平,提高治愈率。

Objective To explore the efficacy of vaccum sealing drainage(VSD)combined with wound repair hydrogel in nursing care of traumatic infection in the elderly.Methods A total of 60 elderly patients with traumatic infection admitted to Nanjing First Hospital from January 2017 to December 2019 were selected and divided into control group(n=30)and observation group(n=30)according to different treatment methods.The control group received conventional treatment measures such as surgical debridement and VSD treatment.The observation group was treated with wound repair hydrogel on the basis of the control group.The levels of inflammatory factors such as interleukin-6(IL-6),C-reactive protein(CRP)and interleukin-17(IL-17)as well as the changes in wound area and efficacy were compared between the two groups.Results After 14 days of nursing intervention,the levels of IL-6,CRP and IL-17 in the observation group were significantly lower than those in the control group(t=8.399,5.060,12.490,all P<0.01).After 7 days of nursing intervention,the trauma area of the two groups was significantly different from that on the first day(t=6.669,7.194,all P<0.01).After 7 days of nursing intervention,the wound area of the two groups showed significant difference(t=1.303,P>0.05).After 14 days and 21 days of nursing intervention,the wound area of the two groups showed significant difference(t=3.265,5.574,all P<0.01).In addition,the total effective rate of nursing intervention in the observation group was 93.3%,compared with 73.3%in the control group(χ2=4.320,P<0.05).Conclusions VSD combined with wound repair biogel treatment strategy can significantly control the inflammatory factors in the elderly patients with traumatic infection,and can significantly improve the successful rate of controlling traumatic infection in the elderly patients.