不同频率生理盐水冲洗在负压封闭引流创面护理中的应用效果  

Effects of different frequency normal saline flushing in vacuum sealing drainage wound care

作　　者：王采凤 杨志英[1] Wang Caifeng;Yang Zhiying(Department of Orthopedics, Shanghai Ninth People's Hospital, Shanghai Jiaotong University, School of Medicine, Shanghai 200011, China)

机构地区：[1]上海交通大学医学院附属第九人民医院骨科,上海200011

出　　处：《中华现代护理杂志》2019年第25期3276-3279,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨采用不同频率的0.9%氯化钠溶液(生理盐水)冲洗在负压封闭引流(VSD)创面护理中对预防堵管、并发症发生和创面愈合时间的影响。方法采用方便抽样法选取2016年4月—2018年1月在上海交通大学医学院附属第九人民医院骨科住院并应用VSD处理创面的患者125例为研究对象,采用非同期对照试验,将2016年4—10月40例患者作为对照组,接受常规VSD护理;将2016年11月—2017年6月44例患者作为观察组A,接受每日1次50 ml生理盐水冲洗合并常规VSD护理;将2017年7月—2018年1月41例患者作为观察组B,接受每日2次生理盐水冲洗合并VSD常规护理。比较3组患者在堵管次数、创面愈合时间、并发症发生情况等方面的差异。结果观察组整体堵管次数低于对照组,差异具有统计学意义(χ^2=20.048,P<0.05),观察组A和观察组B组间差异无统计学意义(P>0.05)。观察组A创面愈合时间为(14.02±9.71)d,观察组B创面愈合时间为(13.85±7.63)d,均短于对照组的(19.73±12.94)d,差异具有统计学意义(P<0.05),观察组A和观察组B组间差异无统计学意义(P>0.05)。观察组整体并发症发生率低于对照组,差异具有统计学意义(χ^2=9.486,P<0.05),观察组A和观察组B组间差异无统计学意义(P>0.05)。结论每日1次生理盐水冲洗合并VSD常规护理即可有效预防堵管、促进创面愈合、减少并发症,适宜临床推广。Objective To explore the effect of 0.9% sodium chloride solution (normal saline) flushing with different frequencies on the prevention of blockage, complications and wound healing time in vacuum sealing drainage (VSD) wound care. Methods Totally 125 patients hospitalized in the Orthopaedic Department of the Ninth People's Hospital Affiliated to Medical College of Shanghai Jiaotong University and were given VSD would care from April 2016 to January 2018 were selected by convenient sampling method. Non-synchronized controlled trial was used, 40 patients from April to October 2016 were taken as control group and received routine VSD nursing;44 patients from November 2016 to June 2017 were taken as observation group A and received 50 ml normal saline flushing combined with routine VSD nursing once a day;while 41 patients from July 2017 to January 2018 were assigned into observation group B and received normal saline flushing twice a day combined with routine VSD nursing. The differences in the number of tube blockages, wound healing time and complications between the three groups were compared. Results The total number of tube blockage in the observation group was lower than the control group with statistical difference (χ^2=20.048, P< 0.05);there was no significant difference between the observation group A and the observation group B (P>0.05). The wound healing time of observation group A was (14.02±9.71) days, while that of observation group B was (13.85±7.63) days, both shorter than that of control group (19.73±12.94) days. The differences were statistically significant (P<0.05), there was no significant difference between observation group A and observation group B (P>0.05). The overall incidence of complications in the observation group was lower than that in the control group with statistical difference (χ^2=9.486, P<0.05), whereas there was no significant difference between the observation group A and the observation group B (P>0.05). Conclusions Normal saline flushing combined with VSD routine nursing o

关 键 词：负压伤口疗法 伤口护理 负压封闭引流 生理盐水 冲洗 频率 

分 类 号：R473.6[医药卫生—护理学]