湿性愈合模式在肛周脓肿致坏死性筋膜炎患者伤口护理中的应用  

Application of moist healing mode in the wound care of patients with perianal abscess to necrotizing fasciitis

作　　者：刘春娟[1] 印义琼[1] 覃清梅[1] 宁宁[2] 

机构地区：[1]四川大学华西医院胃肠中心1病房,成都610041 [2]四川大学华西医院骨科,成都610041

出　　处：《中华现代护理杂志》2014年第17期2108-2109,共2页Chinese Journal of Modern Nursing

摘　　要：目的：探讨湿性愈合模式在肛周脓肿致坏死性筋膜炎患者伤口护理中的应用及效果。方法回顾性分析、总结2010年1月-2013年5月收治的3例肛周脓肿致坏死性筋膜炎患者伤口治疗及护理经验。结果通过开放引流、瘘管科学处理，有效清创、控制感染、防止血流感染，合理固定、提高生活质量，科学营养支持、促进肉芽生长创面愈合，人文关怀、多学科协作促进康复等湿性愈合伤口护理，所有患者均愈合，无病死、致残。结论湿性愈合伤口护理在急性坏死性筋膜炎的创面治疗中可以促进伤口愈合、降低医疗风险，安全可行。Objective To investigate the effect of moist healing mode in the wound care of patients with perianal abscess to necrotizing fasciitis .Methods The wound treatment and care experience of three patients with perianal abscess to necrotizing fasciitis from January 2010 to May 2013 was retrospectively analyzed and summarized.Results Through the methods of open drainage , scientific fistula treatment, effective debridement , infection control , bloodstream infections prevention and reasonable fixation to improve patients ’ quality of life.And the scientific nutritional support could promote the growth of granulation wound healing . Besides, humane care multidisciplinary collaboration , promotion of rehabilitation and other moist wound healing care made all patients healed without death and disability .Conclusions The moist healing wound care in acute necrotizing fasciitis treatment can help patients promote wound healing and reduce medical risks .

关 键 词：筋膜炎 坏死性 感染 肛周脓肿 伤口护理 湿性愈合 

分 类 号：R473.6[医药卫生—护理学]