自制热塑性弹性体引流管在坐骨结节Ⅳ期褥疮治疗中的应用  

Clinical application of self-made TPE drainage tube in minimally invasive treatment of patients with stageⅣbedsore of ischial tuberosity

作　　者：刘兵 曹伟 范春海 LIU Bing;CAO Wei;FAN Chunhai(Department of Plastic Surgery,2 Department of Hand and Foot Surgery,Shangqiu Municipal Hospital of Henan Province,Shangqiu 476000,China)

机构地区：[1]河南省商丘市立医院整形外科,河南省商丘市476000 [2]河南省商丘市立医院手足外科,河南省商丘市476000

出　　处：《组织工程与重建外科》2022年第6期506-509,共4页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的探索自制热塑性弹性体(TPE)引流管在坐骨结节Ⅳ期褥疮治疗中的应用效果。方法选择2020年6月至2021年6月收治的坐骨结节Ⅳ期褥疮患者45例,随机分成观察组(n=23)和对照组(n=22)。对照组采用常规治疗及护理方式,观察组在治疗中采用自制TPE引流管,比较两种方式的治愈率、创面愈合时间、住院时间、医疗费用以及护理满意度。结果观察组的治愈率为86.96%,高于对照组的59.09%,差异有统计学意义(P<0.05);观察组的创面愈合时间、住院时间、医疗费用均低于对照组(P<0.05);观察组的护理满意度高于对照组(P<0.05)。结论自制TPE引流管有助于坐骨结节Ⅳ期褥疮患者创面愈合,能缩短创面愈合时间、住院时间,并降低医疗费用,患者护理满意度高,值得在基层医院临床推广使用。Objective To explore the clinical effect of self-made thermoplastic elastomer(TPE)drainage tube in minimally invasive treatment of patients with stageⅣbedsore of ischial tuberosity.Methods A total of 45 patients with stageⅣbedsore of ischial tuberosity were enrolled between June 2020 and June 2021.According to random number table method,patients were divided into observation group(n=23)and control group(n=22).The control group was given routine treatment and nursing,while observation group was given self-made TPE drainage tube in minimally invasive treatment.The cure rate,wound healing time,hospital stay,medical cost and nursing satisfaction between the two groups were compared.Results The cure rate in observation group was higher than that in control group(86.96%vs 59.09%,P<0.05).The wound healing time,hospital stay and medical cost in observation group were lower than those in control group(P<0.05),and scores of nursing technique and nursing attitude were higher than those in control group(P<0.05).Conclusion The self-made TPE drainage tube is conducive to wound healing in patients with stageⅣbedsore of ischial tuberosity,which can shorten wound healing time and hospital stay,and reduce medical cost,with high nursing satisfaction.It is worthy of clinical promotion in primary hospitals.

关 键 词：TPE引流管 坐骨结节Ⅳ期褥疮 创面 愈合 

分 类 号：R632.1[医药卫生—外科学]