创面床准备理论在腹部切口感染换药中的应用  

Application of the theory of wound bed preparation(WBP)in treatment of abdominal incision infection

作　　者：邹艳[1] 

机构地区：[1]南华大学附属南华医院胃肠外科,湖南衡阳421002

出　　处：《护理学杂志》2014年第6期24-25,共2页

摘　　要：目的探讨创面床准备理论在腹部感染切口换药中的临床应用效果,以促进感染切口的早日愈合。方法将38例腹部术后切口感染患者按随机数字表法分为对照组和观察组各19例。对照组采用传统换药法;观察组由造口治疗师专人负责跟踪管理感染切口,采用基于创面床准备理论的换药法换药。结果观察组二期缝合13例,相对少于对照组(16例);两组换药次数、住院时间比较,差异有统计学意义(均P<0.01)。结论应用创面床准备理论指导腹部切口感染换药效果较好。Objective To probe into clinical effect of the theory of wound bed preparation （WBP） on outcome of infected abdominal surgical wounds, and to boost wound healing. Methods Totally, 38 cases were equally divided into an observation group and a con- trol group by using random number table method, with the control group receiving traditional dressing changing therapy, and the observation group receiving dressing changing therapy which was performed by an enterostomal therapist based on WBP. Results Thirteen cases in the observation group required a secondary wound closure versus 16 cases in the control group. The counts of dressing change and the length of hospital stays had significant differences between the 2 groups （P〈0.01 for both）. Conclusion The theory of WBP enjoys great value in treatment of infected abdominal surgical wounds.

关 键 词：腹部切口 切口感染 换药 创面床准备理论 造口治疗师 

分 类 号：R473.6[医药卫生—护理学]