脉冲式冲洗法在急诊动物致伤中的应用效果

Application effect of pulsed irrigation in emergency animal injury

目的探讨脉冲式冲洗法在急诊动物致伤中的应用效果。方法选取2019年1月至2022年1月云南省昆明市第三人民医院收治的102例动物致伤患者作为研究对象,根据随机数字表法分为观察组和对照组,每组51例。对照组接受常规方法冲洗,观察组接受脉冲式冲洗法冲洗。比较两组清创效果、伤口创面愈合效果、温哥华瘢痕评定量表(VSS)评分、伤口感染情况、就诊次数、愈合时间、满意度。结果观察组清创有效率、创面愈合总有效率、满意度调查问卷评分高于对照组,差异有统计学意义(P<0.05)。观察组VSS各维度评分及总分、感染率均低于对照组,差异均有统计学意义(P<0.05)。观察组伤口愈合时间短于对照组,就诊次数少于对照组,差异均有统计学意义(P<0.05)。结论脉冲式冲洗法应用于动物致伤患者中效果良好,可提升清创效果,降低感染风险,促进伤口恢复,改善瘢痕状态,有助于提高患者满意度。

Objective To investigate the application effect of pulsed irrigation in emergency animal injuries.Methods A total of 102 patients with animal injury admitted to the Third People′s Hospital of Kunming from January 2019 to January 2022 were selected as research objects and divided into observation group and control group according to random number table method,with 51 cases in each group.The control group was washed by conventional method,and the observation group was washed by pulsed irrigation.Debridement effect,wound healing effect,Vancouver Scar Rating Scale(VSS)score,wound infection,number of visits,healing time and satisfaction were compared between the two groups.Results The debridement effective rate,wound healing total effective rate and satisfaction questionnaire score of observation group were higher than those of control group,the difference was statistically significant(P<0.05).The VSS scores and total score and infection rate of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The wound healing time of the observation group was shorter than that of the control group,and the number of visits was less than that of the control group,with statistical significance(P<0.05).Conclusion Pulsed irrigation is effective in animal injury patients,which can improve the debridement effect,reduce the risk of infection,promote wound recovery,improve scar status and help to improve patient satisfaction.