改良换药法在拔甲术后的应用  

The Application of Modified Treatment Method in a Postoperative Pull

作　　者：孔霜婵 谢少花 苏淑芬 

机构地区：[1]广东省汕头市澄海人民医院急诊科(换药室),汕头515800

出　　处：《当代护士（下旬刊）》2016年第1期125-127,共3页Modern Nurse

摘　　要：目的探讨改良换药法对指甲损伤拔甲术后创口愈合的影响。方法将60例指甲损伤拔甲术后患者随机分为实验组和对照组各30例,实验组采用改良换药法即在换药时保留里面一层凡士林纱布不揭除,对照组采用传统换药法即在换药时把凡士林纱布全部揭除,比较两组患者创口愈合时间及换药时疼痛强度。结果两组创口愈合时间及换药时疼痛强度比较差异均有统计学意义(P<0.05)。结论改良换药法能有效的保护新生的肉芽组织和内皮细胞不受损伤,并减少出血和减轻疼痛,缩短愈合时间。Objective aim of the study was to explore the effect of improved dressing change on wound healing after nail extraction for nail injury.Methods 60 patients with nail injury were randomly divided into observational group and control group. The inner geoline gauzes were retained in the observational groupwhen changing dressing while in the controls they were all removed. Results Between the two compared groups, statistical deference was detected both in pain intensity while changing dressing and the healing time of wound（P〈0.05）.Conclusion The method of improved dressing change is effected to protect new granulation tissue and endothelial ceils from damage, reduce bleeding and suffering, as well as shorten the healing time.

关 键 词：指甲损伤 拔甲术 换药法 愈合 

分 类 号：R473.6[医药卫生—护理学]