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如何拆除不可吸收缝线。

How to remove non-absorbable sutures.

作者信息

Liddle Cathy

机构信息

Birmingham City University, Edgbaston, Birmingham, England.

出版信息

Nurs Stand. 2024 Dec 4;39(12):69-73. doi: 10.7748/ns.2024.e12385. Epub 2024 Oct 14.

Abstract

Skin sutures are commonly used to bring together the edges of a wound, assisting it to heal. Depending on the location of the wound, the sutures used may be absorbable or non-absorbable. Non-absorbable sutures will need to be removed once the wound has sufficiently healed. Timely, safe and effective removal of non-absorbable sutures is crucial to avoid complications and ensure optimal cosmetic results. Nurses undertaking suture removal must have the knowledge and skills to undertake the procedure safely and effectively and work within the limits of their competence. • Before suture removal, the wound must be checked for signs of infection and indications of dehiscence. • Removing sutures at the recommended time assists in preventing new skin growth from covering the sutures and in reducing scarring. • Aseptic non-touch technique (ANTT) is recommended for suture removal, but local policy should always be followed. REFLECTIVE ACTIVITY: 'How to' articles can help to update your practice and ensure it remains evidence-based. Apply this article to your practice. Reflect on and write a short account of: • How this article might improve your practice when removing non-absorbable sutures. • How you could use this information to educate nursing students or your colleagues about the procedure for removing non-absorbable sutures.

摘要

皮肤缝线常用于拉拢伤口边缘,帮助伤口愈合。根据伤口位置的不同,所使用的缝线可能是可吸收的或不可吸收的。一旦伤口充分愈合,不可吸收缝线就需要拆除。及时、安全且有效地拆除不可吸收缝线对于避免并发症和确保最佳美容效果至关重要。进行缝线拆除的护士必须具备安全有效地进行该操作的知识和技能,并在其能力范围内工作。

• 在拆除缝线前,必须检查伤口是否有感染迹象和裂开迹象。

• 在推荐时间拆除缝线有助于防止新皮肤生长覆盖缝线,并减少疤痕形成。

• 建议采用无菌非接触技术(ANTT)进行缝线拆除,但应始终遵循当地政策。

反思活动

“如何做”类文章有助于更新你的实践并确保其基于证据。将本文应用于你的实践。思考并简要描述:

• 本文在拆除不可吸收缝线时可能如何改进你的实践。

• 你如何利用这些信息向护理专业学生或同事传授拆除不可吸收缝线的操作方法。

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