伤口造口专科小组应用湿性愈合理论在慢性难愈合伤口的临床研究  

Clinical research on chronic refractory wounds treated by the wound ostomy specialist group using the theory of wet healing

作　　者：陈宪 王清燕 刘燕萍 王晓飞 陈飞翔 谢向阳 廖映梅 Chen Xian;Wang Qingyan;Liu Yanping;Wang Xiaofei;Chen Feixiang;Xie Xiangyang;Liao Yingmei(Department of Eye,Ear,Nose and Throat,Luoding People's Hospital,Yunfu 527200,China;Wound and Ostomy Clinic,Luoding People's Hospital,Yunfu 527200,China;Department of Neurology,Luoding People's Hospital,Yunfu 527200,China)

机构地区：[1]罗定市人民医院眼耳鼻喉科,云浮527200 [2]罗定市人民医院伤口造口门诊,云浮527200 [3]罗定市人民医院神经内科,云浮527200

出　　处：《国际医药卫生导报》2022年第14期1997-2000,共4页International Medicine and Health Guidance News

基　　金：云浮市科技局攻关项目(WS201834)。

摘　　要：目的观察伤口造口专科小组应用湿性愈合理论在慢性难愈合伤口(术后或外伤引起感染伤口、压疮、糖尿病足)的应用效果。方法对2018年9月至2020年6月罗定市人民医院伤口造口门诊及住院部收治各种术后或外伤引起感染伤口、压疮、糖尿病足等患者1200例,其中选择符合慢性难愈合伤口条件患者43例进行回顾性研究,男27例、女16例,年龄(43.01±8.75)岁,给予湿性愈合理论对慢性难愈合伤口进行伤口换药处理。比较患者干预前与干预后1、2、4、6、8周的临床护理效果。计量资料采用配对t检验。结果干预后1、2、4、6、8周慢性难愈合伤口患者压疮愈合计分量表(PUSH)、视觉模拟评分法(VAS)评分分别为(7.29±2.54)分、(5.02±1.92)分、(3.12±1.53)分、(0.75±0.32)分、(0.09±0.08)分及(1.51±0.35)分、(1.03±0.29)分、(0.76±0.27)分、(0.39±0.18)分、(0.13±0.12)分,均显著低于干预前[(8.73±2.82)分、(2.35±0.86)分],差异均有统计学意义(均P<0.05)。干预后1、2、4、6、8周慢性难愈合伤口患者伤口面积分别为(12.29±1.18)cm^(2)、(11.75±4.03)cm^(2)、(9.68±3.02)cm^(2)、(5.18±2.04)cm^(2)、(3.76±1.17)cm^(2),均显著低于干预前[(13.98±5.02)cm^(2)],差异均有统计学意义(均P<0.05)。结论伤口造口专科小组应用湿性愈合理论能够有效提高慢性难愈合伤口的护理效果,显著促进患者伤口愈合,改善护理结局。Objective To observe the application effect of wet healing theory applied by the wound stoma specialist group in chronic refractory wounds(infected wounds caused by surgery or trauma,pressure ulcers,and diabetic foot).Methods From September 2018 to June 2020,1200 patients with infected wounds caused by surgery or trauma,pressure ulcers,and diabetic foot were treated in wound ostomy outpatient department and inpatient department of Luoding People's Hospital.Among them,43 patients with chronic refractory wound conditions were selected for the retrospective study,including 27 males and 16 females,with an age of(43.01±8.75)years old,and were given dressing treatment of wound using the theory of wet healing.The clinical nursing effects before intervention and 1,2,4,6,and 8 weeks after intervention were compared.Paired t test was used for the measurement data.Results The Pressure Ulcer Scale for Healing(PUSH)scores in patients with chronic refractory wounds 1,2,4,6,and 8 weeks after intervention were(7.29±2.54)points,(5.02±1.92)points,(3.12±1.53)points,(0.75±0.32)points,and(0.09±0.08)points,which were significantly lower than that before intervention[(8.73±2.82)points],with statistically significant differences(all P<0.05);the Visual Analog Scale(VAS)scores were(1.51±0.35)points,(1.03±0.29)points,(0.76±0.27)points,(0.39±0.18)points,and(0.13±0.12)points,which were significantly lower than that before intervention[(2.35±0.86)points],with statistically significant differences(all P<0.05);the wound areas were(12.29±1.18)cm^(2),(11.75±4.03)cm^(2),(9.68±3.02)cm^(2),(5.18±2.04)cm^(2),and(3.76±1.17)cm^(2),which were significantly lower than that before intervention[(13.98±5.02)cm^(2)],with statistically significant differences(all P<0.05).Conclusion The application of wet healing theory by the wound stoma specialist group can effectively improve the nursing effect of chronic refractory wounds,significantly promote the wound healing,and improve the nursing outcomes.

关 键 词：慢性难愈合伤口 湿性愈合理论 伤口造口专科小组 

分 类 号：R473.6[医药卫生—护理学]