新型敷料在骨科难愈性伤口中的应用体会

Experience of using new type of wound dressings on refractory wounds in the department of orthopedics

目的：总结新型敷料在骨科难愈性伤口治疗中的使用体会。方法伤口护理小组利用新型敷料对7例骨科难愈性伤口进行换药及护理。结果7例伤口患者有5例痊愈出院；1例肉芽生长良好，联合皮瓣转移手术后痊愈。1例伤口愈合率达90%后自行出院换药，跟踪随访22 d后痊愈。结论对伤口进行正确评估，合理选择新型敷料，做好抗感染治疗及伤口周围皮肤保护可有效促进骨折后难愈性伤口的愈合。

Objective To discuss the experience of using the new dressings in the treatment of refractory wounds in the department of orthopedics. Methods Wound care team gave the treatment and nursing to 7 cases of refractory wounds in the department of orthopedics, used the new type of wound dressings. Results Among 7 cases, 5 cases were cured and discharged. The granulation growth of the wound was good, and the wound was healed after the transfer surgery of the joint flap. One patient had reached the healing rate of 90% after discharging, and recovered after being followed up for 22 days. Conclusions The correct assessment of the wound, reasonable choice of the new dressing, a good job of anti-infection treatment and the skin protection around the wound can effectively promote healing of the refractory wound after fracture, reduce the cost of health care, and bring the satisfaction to the patients and their families.