两种负压创面技术在腹部创伤暂时性关腹术后的护理观察  

Nursing Observation of Two Kinds of Negative Pressure Wound Technique in Temporary Abdominal Closure After Abdominal Trauma

作　　者：刘明霞 曹英娟[1,3] 程晓雪[1,2] LIU Mingxia;CAO Yingjuan;CHENG Xiaoxue(Emergency Surgery Department,Qilu Hospital of Shandong University,Ji’nan Shandong 250012,China;Innovation Research Center,Nursing Theory and Practice of Shandong University,Ji’nan Shandong 250012,China;Nursing Department,Qilu Hospital of Shandong University,Ji’nan Shandong 250012,China)

机构地区：[1]山东大学齐鲁医院急诊外科,山东济南250012 [2]山东大学护理理论与实践创新研究中心,山东济南250012 [3]山东大学齐鲁医院护理部,山东济南250012

出　　处：《中国卫生标准管理》2021年第23期154-157,共4页China Health Standard Management

基　　金：山东省2017年重点研发计划(第四批)(2017GSF218001)。

摘　　要：目的比较分析负压辅助愈合治疗系统(vacumm assistcd closure,VAC)与墙式吸引负压封闭引流技术(vacuum sealing drainage,VSD)在腹部创伤患者暂时性关腹术后的护理观察。方法选取某三甲医院急诊外科2017年1月—2018年5月收治的60例腹部创伤患者,一期关腹前皮下放置负压吸引引流管,根据采用的负压创面治疗技术分为VAC组(n=30)与VSD组(n=30),通过对患者治疗过程中疼痛程度、堵管率、患者舒适度、患者住院天数及患者住院花费进行对比分析。结果VAC组术后1 d、术后5 d疼痛评分均小于VSD组(P<0.001),术后堵管率VAC组(0)低于VSD组(100%),术后患者舒适度评分VAC组3.0(3.0,3.5)分高于VSD组2.0(2.0,2.5)分,VAC组住院天数少于VSD组[(18.33±2.53)d与(23.93±3.29)d],VAC组住院花费高于VSD组[(5.999±1.109)万元与(4.822±0.871)万元]。结论在腹部创伤手术的应用中,VAC在减轻患者疼痛、增加舒适度、降低堵管次数、减少住院时间优于VSD,VSD的应用可减少住院花费。Objective To compare and analyze the nursing observation of vacumm assistcd closure(VAC)and vacuum seeging drainage(VSD)in patients with abdominal trauma after temporary abdominal closure.Methods A total of 60 patients with abdominal trauma admitted to the emergency surgery department of a grade III level A hospital from January 2017 to May 2018 were selected.Before the first stage of abdominal closure,a negative pressure suction drainage tube was placed subcutaneously.According to the negative pressure wound treatment technique,the patients were divided into VAC group(n=30)and VSD group(n=30).The degree of pain,occlusion rate,patient comfort,length of hospital stay and hospitalization cost of the patients during the treatment were compared and analyzed.Results The pain score of the VAC group was lower than that of the VSD group 1 day and 5 days after surgery(P<0.001),the postoperative tube occlusion rate of the VAC group(0)was lower than that of the VSD group(100%),and the postoperative patient comfort score of the VAC group 3.0(3.0,3.5)was higher than that of the VSD group 2.0(2.0,2.5).The length of hospitalization in VAC group was shorter than that in VSD group[(18.33±2.53)d and(23.93±3.29)d],and the hospitalization cost in VAC group was higher than that in VSD group[(5.999±1.109)ten thousand yuan and(4.822±0.871)ten thousand yuan].Conclusion In the application of abdominal trauma surgery,VAC is superior to VSD in alleviating patients’pain,increasing comfort,reducing the frequency of tube blockage and reducing the length of hospital stay.The application of VSD can reduce the hospitalization cost.

关 键 词：负压创面技术 负压封闭引流 负压辅助愈合治疗系统 腹部外伤 腹部创伤 护理 

分 类 号：R656[医药卫生—外科学]