皮肤保护膜对行负压封闭引流治疗的慢性伤口患者潮湿相关性皮肤损伤发生率的影响  

Effect of skin protective film on incidence of moistureassociated skin injury in patients with chronic wound treated by vacuum sealing drainage

作　　者：段冰冉 徐袁丁 董训忠 李娟[1] DUAN Bingran;XU Yuanding;DONG Xunzhong;LI Juan(Department of Burn Orthopaedics,Bozhou People’s Hospital,Bozhou Anhui 236000;Department of Vascular Surgery,Bozhou People’s Hospital,Bozhou Anhui 236000,China)

机构地区：[1]亳州市人民医院烧伤整形科,安徽亳州236000 [2]亳州市人民医院血管外科,安徽亳州236000

出　　处：《临床与病理杂志》2022年第11期2719-2725,共7页Journal of Clinical and Pathological Research

摘　　要：目的:探讨皮肤保护膜对行负压封闭引流(vacuum sealing drainage,VSD)治疗的慢性伤口患者潮湿相关性皮肤损伤(moisture-associated skin damage,MASD)发生率的影响。方法:选取2019年1月至2021年11月亳州市人民医院烧伤整形科收治的行VSD治疗的68例慢性伤口患者,应用随机数字表将患者随机分组为对照组(n=34)与观察组(n=34);对照组予以常规护理,观察组在常规护理基础上加用皮肤保护膜,两组均干预2周;出院时,比较两组MASD发生情况、伤口治疗效果(伤口治愈率等)和护理满意度。结果:与对照组相比,观察组MASD发生率显著降低(P<0.05),MASD发生时间延迟(P<0.05);观察组使用皮肤保护膜后伤口面积缩小率增大(P<0.05),伤口治愈率更高(P<0.05),伤口愈合时间更短。观察组患者对护理满意率显著高于对照组(P<0.05)。结论:皮肤保护膜的使用可有效降低行VSD治疗的慢性伤口患者MASD发生率,促进伤口愈合。Objective:To investigate the effect of skin protective film on the incidence of moisture-associated skin injury(MASD)in patients with chronic wounds treated with vacuum sealing drainage(VSD).Methods:Sixty-eight patients with chronic wounds who were treated with VSD in Burn and Plastic Surgery Department of Bozhou People’s Hospital from January 2019 to November 2021 were selected and randomly divided into a control group(n=34)and an observation group(n=34).The control group was given routine nursing,and the observation group was given skin protective film on the basis of routine nursing.Both groups were intervened for 2 weeks.When discharged,the MASD occurrence,wound treatment effect(wound cure rate,etc.)and nursing satisfaction were compared between the 2 groups.Results:Compared with the control group,the incidence of MASD in the observation group was significantly lower(P<0.05),and the occurrence time of MASD was delayed(P<0.05).Compared with the control group,the wound area reduction rate of the observation group was significantly increased 2 weeks after the intervention(P<0.05),the wound cure rate was significantly increased(P<0.05).The satisfaction rate of patients in the observation group was significantly higher than that in the control group(P<0.05).Conclusion:The use of skin protective film can effectively reduce the incidence of MASD in patients with chronic wounds undergoing VSD and promote wound healing.

关 键 词：慢性伤口 负压封闭引流技术 皮肤保护 皮肤保护膜 伤口护理 潮湿相关性皮肤损伤 

分 类 号：R473.6[医药卫生—护理学]