以抗肿瘤治疗为基础对癌性伤口应用新型敷料的效果评价  

Application Evaluation of New Dressing Combined With AntiTumor Therapy in Cancerous Wound

作　　者：许雪芬 陈泽伟[1] 杨晓霞[1] 孙木吟[1] XU Xuefen;CHEN Zewei;YANG Xiaoxia;SUN Muyin(Department of Internal Medicine,Cancer Hospital of Shantou University Medical College,Shantou Guangdong 515000,China)

机构地区：[1]汕头大学医学院附属肿瘤医院内科,广东汕头515000

出　　处：《中国卫生标准管理》2023年第4期174-178,共5页China Health Standard Management

摘　　要：目的探讨以个体化抗肿瘤治疗为基础联合新型敷料在乳腺癌癌性伤口的应用效果评价。方法选取汕头大学医学院附属肿瘤医院乳腺内科2020年7月—2021年3月收治的乳腺癌伴有癌性伤口患者48例为研究对象。在患者个体化抗肿瘤治疗的前提下根据伤口局部溃疡情况应用藻酸盐片状敷料和亲水性纤维含银敷料对癌性伤口进行换药处理,并观察伤口气味、伤口疼痛、创面渗液量、伤口面积、伤口出血的改善情况。结果癌性伤口经过局部换药处理后,伤口恶臭程度、创面渗液量、疼痛值都得到明显改善(P<0.05)。换药15 d后患者伤口气味评分、创面渗液量均比治疗前降低(P<0.05),疼痛值较治疗前改善不明显(P>0.05);换药30 d后患者气味评分、创面渗液量、疼痛值比15 d时有更进一步改善(P<0.05);换药45 d后患者气味评分、创面渗液量、疼痛值较30 d时更进一步改善(P<0.05)。伤口面积缩小,好转率达79.20%;伤口出血情况明显改善,好转率达85.71%。结论在个体化抗肿瘤治疗的基础上根据癌性伤口的不同症状应用新型敷料对伤口进行换药处理,能有效控制癌性伤口气味、伤口疼痛、创面渗液量、伤口出血等症状;从而缓解患者的不适感,保护患者的自尊,减轻家人照护负担,提高患者的生活质量。Objective To explore the application effect of new wound dressing based on individualized anti-tumor therapy in breast cancer wound.Methods A total of 48 cases of breast cancer patients with cancerous wound treated in department of Mammary Internal Medicine,Cancer Hospital of Shantou University Medical College from July 2020 to March 2021 were selected as the research objects.On the premise of individualized anti-tumor treatment,alginate sheet dressing and hydrophilic fiber silver dressing were applied according to the local ulcer of the wound changed the dressing on the cancerous wound and observed its effect.Results After dressing change,the odor,wound exudation and pain were significantly improved(P<0.05).After 15 days of dressing change,the odor score and wound exudation were lower than those before treatment(P<0.05);and the pain value was not significantly improved(P>0.05);After 30 days of dressing change,the patient's odor score,wound exudation volume and pain value were further improved than those at 15 days(P<0.05),and after 45 days of dressing change,the patient's odor score,wound exudation volume and pain value were further improved than those at 30 days(P<0.05).The wound area was reduced,the improvement rate was 79.20%,and the wound bleeding was significantly improved,the improvement rate was 85.71%.Conclusion On the basis of individualized anti-tumor treatment,new dressings are applied to change the wound according to the different symptoms of cancerous wounds.It can effectively control cancerous wound odor,wound pain,wound exudate,wound bleeding and other symptoms.The result is improved patient comfort,patient self-esteem and quality of life.

关 键 词：癌性伤口 乳腺癌 伤口管理 护理 藻酸盐敷料 银离子敷料 

分 类 号：R473[医药卫生—护理学]