负压封闭引流技术联合银离子杀菌护理液在坏死性筋膜炎护理中的应用
Application of negative pressure sealing drainage technology combined with silver ion sterilization nursing solution in the nursing of necrotizing fasciitis.
作者信息
Chen Feng, Liu Changqing
机构信息
Feng ChenDepartment of Anorectal, The Affiliated Nanhua Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan Province 421002, P.R. China.
Changqing Liu Department of Operating Room, The Affiliated Nanhua Hospital, Hengyang Medical School, University of South China, Hengyang, Hunan Province 421002, P.R. China.
出版信息
Pak J Med Sci. 2022 May-Jun;38(5):1150-1154. doi: 10.12669/pjms.38.5.5945.
OBJECTIVES
To study the application effect of negative pressure sealing drainage technology combined with silver ion sterilization nursing solution in the nursing of necrotizing fasciitis.
METHODS
Medical records of patients with necrotizing fasciitis, treated in our hospital from June 2019 to June 2021, were selected. Patients were retrospectively assigned into two groups based on the debridement method used: debridement with silver ion sterilization nursing solution Group-I, or debridement with negative pressure sealing drainage technology combined with silver ion sterilization nursing solution. Group-II. Wound healing, dressing change times, healing time, treatment cost and patient satisfaction in both groups were statistically compared.
RESULTS
The wound healing rate of patients in Group-II group was higher than that of Group-I on the 5th, 10th and 15th day after operation (P < 0.05). Dressing change times, healing time and treatment cost of patients in the Group-II were lower than those of Group-I (P < 0.05). Patient satisfaction in the Group-II was 91.4% (54 / 59), which was higher than that of Group-I (75.4% (40 / 53) (P < 0.05).
CONCLUSIONS
Negative pressure sealing drainage technology combined with silver ion sterilization nursing solution in the nursing of necrotizing fasciitis is effective. It can promote wound healing, shorten the healing time, reduce the times of wound dressing change and treatment cost. It also improves the overall patient satisfaction, making it an efficient method in clinical application.
目的
探讨负压封闭引流技术联合银离子杀菌护理液在坏死性筋膜炎护理中的应用效果。
方法
选取2019年6月至2021年6月在我院接受治疗的坏死性筋膜炎患者的病历资料。根据清创方法将患者回顾性分为两组：使用银离子杀菌护理液清创的I组，以及使用负压封闭引流技术联合银离子杀菌护理液清创的II组。对两组患者的伤口愈合情况、换药次数、愈合时间、治疗费用及患者满意度进行统计学比较。
结果
II组患者术后第5天、第10天和第15天的伤口愈合率高于I组（P<0.05）。II组患者的换药次数、愈合时间和治疗费用低于I组（P<0.05）。II组患者满意度为91.4%（54/59），高于I组的75.4%（40/53）（P<0.05）。
结论
负压封闭引流技术联合银离子杀菌护理液用于坏死性筋膜炎护理效果显著。可促进伤口愈合，缩短愈合时间，减少伤口换药次数及治疗费用，提高患者总体满意度，是临床应用的一种有效方法。
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