负压创面治疗技术与传统换药技术治疗慢性难愈性创面的临床疗效及疼痛指数评分分析  

The Clinical Efficacy and Pain Index Score Analysis of Negative Pressure Wound Treatment Technology and Traditional Dressing Change Technology in the Treatment of Chronic Refractory Wounds

作　　者：吴石兵 孟庆叶[1] 陈婷 WU Shi-bing;MENG Qing-ye;CHEN Ting(Department of Burn Surgery,Lianyungang Traditional Chinese Medicine Hospital,Lianyungang,Jiangsu Province,222004 China)

机构地区：[1]江苏省连云港市中医院烧伤外科,江苏连云港222004

出　　处：《世界复合医学》2020年第10期50-52,共3页World Journal of Complex Medicine

摘　　要：目的探讨负压创面治疗技术治疗慢性难愈性创面的临床疗效及对疼痛的影响。方法择取2016年1月—2020年1月该院收治的96例慢性难愈性创面患者,随机分为两组。治疗组48例,予以患者负压创面技术治疗;对照组48例,予以患者传统换药治疗。比较观察两组基本治疗指标,以McGill量表评估两组治疗疼痛情况,统计治疗满意度。结果治疗组换药次数(5.3±0.7)次,抗感染药物使用时间(18.7±5.3)d,治疗后McGill量表评分下降(11.6±2.2)分,达到II期修复所用时间(20.3±4.7)d,总住院天数(35.1±7.6)d,治疗满意度95.83%,各项指标均优于对照组(t=30.614、6.156、3.497、6.874、6.892,χ2=5.031,P<0.05)。结论负压创面治疗技术可以使复杂创面伤情趋向简单化,以此治疗慢性难愈性创面,在减少换药频率、预防创面感染、加速创面愈合、缩短住院时间、减轻患者疼痛方面更具技术优势,临床效果优于传统换药技术,更具推广价值。Objective To explore the clinical effect of negative pressure wound treatment technology on chronic and refractory wounds and its influence on pain.Methods A total of 96 patients with chronic refractory wounds admitted to the hospital from January 2016 to January 2020 were selected and randomly divided into two groups.48 cases in the treatment group were treated with negative pressure wound technique;48 cases in the control group were treated with traditional dressing change.The basic treatment indicators of the two groups were compared and observed.The McGill scale was used to evaluate the treatment pain of the two groups,and the treatment satisfaction was calculated.Results The number of dressing changes in the treatment group was(5.3±0.7)times,the use time of anti-infective drugs was(18.7±5.3)d,the McGill scale score dropped(11.6±2.2)points after treatment,and the time it took to reach stage II repair(20.3±4.7)d,total hospital stay(35.1±7.6)d,treatment satisfaction rate of 95.83%,all indicators were better than the control group(t=30.614,6.156,3.497,6.874,6.892,χ2=5.031,P<0.05).Conclusion Negative pressure wound treatment technology can simplify complex wounds and treat chronic difficult-to-heal wounds.It is more technical in reducing the frequency of dressing changes,preventing wound infections,accelerating wound healing,shortening hospital stays,and reducing patient pain,clinical effect is better than traditional dressing change technology,with more popularization value.

关 键 词：慢性难愈性创面 负压创面治疗技术 传统换药技术 疗效 疼痛 

分 类 号：R641[医药卫生—外科学]