腹腔开放患者湿性疗法的护理  

Application of Moist Therapy in Nursing Care of Patients with Open Abdominal Cavity

作　　者：倪小红[1] 叶向红[1] 邹志英[1] 

机构地区：[1]南京军区南京总医院全军普通外科研究所,南京210002

出　　处：《解放军护理杂志》2008年第4期38-39,共2页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的探讨腹腔开放患者湿性疗法的护理要点及并发症的预防措施。方法选择入住外科监护室行腹腔开放治疗的患者21例,急性生理学、年龄和慢性健康(acute physiology,age and chronic health evaluationⅡ,APACHEⅡ)评分均≥12分。局部创面用聚丙烯网片保护,其上覆盖温湿生理盐水纱布,滴水管持续或间断滴入生理盐水保持纱布湿润。结果21例患者中19例治愈,治愈率达91%;无一例患者因创面护理不当发生并发症。结论科学的创面保护、有效引流及湿性疗法的护理,是腹腔开放患者治疗护理的关键。Objective To discuss the characteristics ot moist therapy and the measures ior prevenuon of complications in patients with open abdominal cavity. Methods Twenty-one patients admitted into the surgical intensive care unit （SICU） with open abdominal cavity and the acute physiology, age and chronic health evaluation Ⅱ（APACHEⅡ） score≥12 were studied. The wound surface was protected using：polypropylene mesh, which was covered by gauzes wetted with normal saline dripped continuously or intermittently to keep the gauzes moist. Results Nineteen of the 21 patients recovered, and the healing rate reached 91%. No patients developed Complications caused by inappropriate wound nursing Conclusion Appropriate protection Of the wound SurfaCe, effective drainage and moist therapy in nursing care are the key points in the treatment of patients with open abdominal cavity.

关 键 词：腹腔开放 湿性疗法 护理 

分 类 号：R473.6[医药卫生—护理学]