负压创面治疗技术在肾盂造瘘口拔管后治疗的应用  

The use of negative pressure wound therapy to manage the remained cavities after removal of nephrostomy tubes

作　　者：戎清 张维[2] 宋晓莉[1] 黎檀实[1] 

机构地区：[1]解放军总医院急诊科,北京100853 [2]解放军总后勤部机关第一门诊部

出　　处：《临床急诊杂志》2016年第4期277-279,共3页Journal of Clinical Emergency

基　　金：国家自然基金项目(No:81272060)

摘　　要：目的:探讨负压创面治疗技术(NPWT)在肾盂造瘘术患者引流管拔除后瘘口治疗中的应用价值。方法:选择急诊重症监护病房(EICU)肾盂造瘘术留置引流管患者41例,随机分为2组:NPWT组(n=20)和对照组(n=21)。在肾盂引流管拔除后,NPWT组应用自制负压封闭吸引器材处置瘘口,对照组给予常规换药法,比较2组患者瘘口愈合时间、瘘口感染率、日均换药次数及护理用时等指标。结果:NPWT组的瘘口愈合时间、日均换药次数及日均护理用时显著少于对照组(P<0.05);瘘口感染率NPWT组与对照组分别为25.0%和38.1%。结论:在肾盂造瘘拔管后NPWT技术的应用促进了造瘘口愈合并减少了医务人员工作量。Objective：To evaluate the therapeutic effect of negative pressure wound therapy（NPWT）on the remained cavities after removal of nephrostomy tubes.Method：A total of 41 patients receiving pelviostomy in EICU were randomly divided into 2 groups-the NPWT group（n=20） and control group（n=21）.As for the remained cavities after removal of nephrostomy tubes,the NPWT group was treated with negative pressure aspiration equipment,whereas the control group was treated with traditional change dressing.Healing time,infection rate,daily number of changing dressings and daily treatment time of the wounds were observed.Result：In NPWT group,the healing time,daily number of changing dressings and daily treatment time of the wounds were significantly lower than those in the control group（P〈0.05）.The infection rate in the two groups was 25.0% and 38.1% respectively（P=0.368）.Conclusion：As for the remained cavities after removal of nephrostomy tubes,NPWT can improve the healing of the wounds and reduce the workload of medical staff.

关 键 词：负压创面治疗技术 肾盂造瘘 瘘口 

分 类 号：R692[医药卫生—泌尿科学]