湿性愈合干预法在小面积四肢皮肤撕脱伤的效果观察  

Observation on the effect of wet healing method on small-area skin avulsion injuries of the extremities

作　　者：黄伟斌 薛水兰 HUANG Weibin;XUE Shuilan(Department of Emergency Medicine,Putian Medical District,900 th Hospital of Joint Logistics Support Force of the People’s Liberation Army,Fujian,Putian 351100,China;Department of Nursing,Putian Medical District,900 th Hospital of Joint Logistics Support Force of the People’s Liberation Army,Fujian,Putian 351100,China)

机构地区：[1]联勤保障部队第九〇〇医院莆田医疗区急诊科,福建莆田351100 [2]联勤保障部队第九〇〇医院莆田医疗区护理部,福建莆田351100

出　　处：《中国医药科学》2022年第7期179-183,共5页China Medicine And Pharmacy

基　　金：福建省莆田市科技计划项目(2018SJ3006)。

摘　　要：目的研究小面积四肢皮肤撕脱伤应用湿性愈合干预法的效果。方法选取2018年6月至2020年12月联勤保障部队第九〇〇医院莆田医疗区收治的80例小面积四肢皮肤撕脱伤患者,按随机数字表法分组,每组各40例。对照组行封闭式负压引流术,观察组行湿性愈合干预法,比较两组治疗效果、患者满意度、并发症、恢复情况及治疗前后愈合部位皮肤感觉功能评分。结果观察组治疗总有效率为95.00%,高于对照组的87.50%,但差异无统计学意义(χ^(2)=1.409,P>0.05);观察组患者总满意率为92.50%,高于对照组的62.50%,差异有统计学意义(χ^(2)=10.322,P<0.05);观察组肉芽生长时间、创面愈合时间及住院时间均短于对照组,差异有统计学意义(t=9.338、13.321、9.340,P<0.05);观察组治疗费用低于对照组,差异有统计学意义(t=90.702,P<0.05);观察组并发症总发生率为7.50%,低于对照组的30.00%,差异有统计学意义(χ^(2)=6.646,P<0.05);观察组治疗后触觉、温度觉及痛觉评分均高于对照组,差异有统计学意义(t=7.601、6.211、25.580,P<0.05)。结论小面积四肢皮肤撕脱伤应用湿性愈合干预法,可促进患者创面愈合,改善愈合部位皮肤感觉功能,降低治疗费用,提高患者满意度,且并发症少,可确保治疗安全性。Objective To study the effect of wet healing method on small-area skin avulsion injuries of the extremities.Methods A total of 80 patients with small-area skin avulsion injuries of the extremities admitted to the Putian Medical District of the 900 th Hospital of Joint Logistics Support Force of the People’s Liberation Army from June 2018 to December 2020 were selected and grouped according to the random number table method,with 40 cases in each group.T he control group was treated with clos ed negative pressure drainage,while the observation group was treated with wet healing method.The efficacy,patient satisfaction,complications,recovery and skin sensory function scores of the healing site before and after treatment were compared between the two groups.Results The overall effective rate of treatment in the observation group(95.00%)was higher than that in the control group(87.50%),but with no statistically significant difference(χ^(2)=1.409,P>0.05).The overall satisfaction rate of patients in the observation group(92.50%)was higher than that in the control group(62.50%),with a statistically significant difference(χ^(2)=10.322,P<0.05).The granulation growth time,wound healing time and length of hospital stay in the observation group were shorter than those in the control group,with a statistically significant differences(t=9.338,13.321,9.340,P<0.05).The treatment cost in the observation group was less than that in the control group,with a statistically significant difference(t=90.702,P<0.05).The total incidence of complications in the observation group(7.50%)was lower than that in the control group(30.00%),with s tatistically significant difference(χ^(2)=6.646,P<0.05).The post-treatment tactile,temperature sense and pain scores in the observation group were higher than those in the control group,with statistically significant differences(t=7.601,6.211,25.580,P<0.05).Conclusion In the treatment of smallarea skin avulsion injuries of the extremities,the wet healing method can promote wound healing,improve skin

关 键 词：湿性愈合干预法 小面积四肢皮肤撕脱伤 干预效果 疼痛程度 感染 感觉功能 

分 类 号：R658[医药卫生—外科学]