湿性愈合理念在四肢骨折伴软组织缺损术后创面护理的应用

The effect of comprehensive skin care intervention based on the concept of wet healing on postoperative wound healing of limb fractures with soft tissue defects

目的探讨分析基于湿性愈合理念的综合皮肤护理干预对四肢骨折伴软组织缺损术后创面愈合情况的影响。方法于2020年10月至2023年10月期间,选取我院收治的四肢骨折伴软组织缺损术后患者180例,均予以基于湿性愈合理念的综合皮肤护理,观察干预情况。结果患者创面上皮化面积为(2.17±0.49)cm²,创面渗出评分、视觉模拟评分法(VAS)评分为(0.79±0.21)分、(1.24±0.41)分,创面愈合时间为(10.69±1.57)d;干预后的血管内皮生长因子(VEGF)、表皮细胞生长因子(EGF)较干预前高,肿瘤坏死因子-α(TNF-α)较干预前低(P<0.05);干预后患者满意度为满意度为96.67%。结论基于湿性愈合理念的综合皮肤干预可促进四肢骨折伴软组织缺损术后患者创面愈合,减轻疼痛,也能调节生长因子水平,减轻炎症反应,患者满意度高,值得推广。

Objective To explore and analyze the impact of comprehensive skin care intervention based on the concept of wet healing on the postoperative wound healing of limb fractures with soft tissue defects.Methods From October 2020 to October 2023,180 postoperative patients with limb fractures and soft tissue defects admitted to our hospital were selected,all of whom received comprehensive skin care based on the concept of wet healing,and the intervention was observed.Results The epithelialization area of the patient's wound is(2.17±0.49)cm^(2),The wound exudation score and Visual Analog Scale(VAS)score were(0.79±0.21)and(1.24±0.41)respectively,and the wound healing time was(10.69±1.57)days;After intervention,the levels of vascular endothelial growth factor(VEGF),epidermal growth factor(EGF),and tumor necrosis factor were higher than before intervention-α(TNF-α)Lower than before intervention(P<0.05);After intervention,the patient satisfaction rate was 96.67%.Conclusion Comprehensive skin intervention based on the concept of wet healing can promote wound healing,alleviate pain,regulate growth factor levels,and alleviate inflammatory reactions in patients with limb fractures and soft tissue defects after surgery.Patient satisfaction is high,and it is worth promoting.