水胶体拉合免缝法在老年患者腹部二期愈合切口中的应用  

Hydrocolloid:application to phase Ⅱ abdominal wound closure without suture for elderly patients

作　　者：杨静[1] 黄金[1] 

机构地区：[1]中南大学湘雅二医院门诊换药室,湖南长沙410011

出　　处：《护理学杂志》2011年第14期32-34,共3页

摘　　要：目的探讨水胶体拉合免缝法在老年患者二期愈合切口中的应用效果。方法将40例老年腹部手术后二期愈合切口患者随机分为观察组与对照组各20例,于二期愈合切口换药处理至红色期创面后,分别采用水胶体拉合免缝法和传统缝合处理,比较两组切口愈合时间、疼痛程度、换药费用。结果两组愈合时间比较,差异无统计学意义(P>0.05),但观察组在切口处理过程中的疼痛程度及医疗费用显著低于对照组(均P<0.01)。结论水胶体拉合免缝法应用于老年患者腹部二期愈合切口效果优于传统缝合法,能减轻患者的疼痛,降低医疗费用,且切口更美观。Objective To reveal effect of hydrocolloid on phase II abdominal wound closure without suture for elderly patients.Methods Forty elderly patients with phase II abdominal wound were randomly divided into two groups,with 20 cases in each group.When the wound surface became red after dressing change,they were treated either by hydrocolloid for closure without suture（the observation group） or traditional suture（the control group）.Wound healing time,degree of pain,and expense of dre-ssing change were compared between the two groups.Results There was no significant difference in wound healing time between the two groups（P0.05）;degree of pain during wound dressing and medical expense in the observation group were significantly lower than those in the control group（P0.01 for both）.Conclusion Hydrocolloid used in phase II abdominal wound closure wi-thout suture for elderly patients is superior to traditional suture,which could relieve pain,decrease medical expense,and make the wound artistic.

关 键 词：老年患者 切口愈合不良 水胶体拉合免缝法 缝合 二期愈合切口 换药 

分 类 号：R472.9[医药卫生—护理学]