流体悬浮床结合专项创面护理对烧伤整形植皮患者术后创面恢复的影响  

Effects of Air-fluidized Bed Combined with Special Wound Nursing on Wound Recovery in Burn Patients after Plastic Skin Grafting

作　　者：蔡志雨 许静[1] 徐振雷 CAI Zhiyu;XU Jing;XU Zhenlei(Department of Burn and Plastic Surgery,Huai'an First People's Hospital,Huai'an 223300,Jiangsu,China)

机构地区：[1]淮安市第一人民医院烧伤整形外科,江苏淮安223300

出　　处：《中国美容医学》2024年第8期169-172,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究流体悬浮床结合专项创面护理对烧伤整形植皮患者术后创面恢复的影响。方法:回顾性分析2020年5月-2022年12月于笔者医院行整形植皮治疗的102例烧伤患者,根据其术后治疗用床和护理方式的不同分为观察组(流体悬浮床+专项创面护理,n=49)和对照组(翻身床+常规护理,n=53)。比较干预后两组术后疼痛、舒适度、创面恢复情况、不良事件发生情况及生活质量变化。结果:术后7 d及14 d时两组视觉模拟量表评分均低于术后1 d,且观察组低于对照组(P<0.05);术后7 d及14 d时两组舒适状况量表评分均高于术后1 d,且观察组高于对照组(P<0.05);观察组创面愈合时间早于对照组,且术后3个月温哥华瘢痕量表评分低于对照组(P<0.05);干预期间观察组不良事件发生率为6.12%,低于对照组的20.75%(P<0.05);术后3个月时两组生活质量量表评分均高于干预前,且观察组高于对照组(P<0.05)。结论:流体悬浮床结合专项创面护理能有效缓解烧伤患者整形植皮修复术后疼痛水平,提高患者舒适度,降低术后不良事件发生风险,同时加快患者创面愈合恢复,改善其生活质量。Objective To explore the effects of air-fluidized bed combined with special wound nursing on wound recovery in burn patients after plastic skin grafting.Methods A total of 102 burn patients undergoing plastic skin grafting in the author's hospital were retrospectively analyzed between May 2020 and December 2022.According to different nursing methods,they were divided into fluidized nursing group(air-fluidized bed combined with special wound nursing,n=49)and routine nursing group(turning bed+routine nursing,n=53).Postoperative pain,comfort level,wound recovery,adverse events and quality of life were compared between the two groups after intervention.Results The scores of visual analogue scale at 7 d and 14 d after surgery were lower than those at 1 d after surgery in both groups,and which were lower in fluidized nursing group than routine nursing group(P<0.05).The scores of general comfort questionnaire at 7 d and 14d after surgery were higher than those at 1 d after surgery in both groups,and which were higher in fluidized nursing group than routine nursing group(P<0.05).The wound healing time in fluidized nursing group was earlier than that in routine nursing group,and score of Vancouver scar scale was lower than that in routine nursing group at 3 months after surgery(P<0.05).During intervention,incidence of adverse nursing events in fluidized nursing group was lower than that in routine nursing group(6.12%vs 20.75%,P<0.05).At 3 months after surgery,scores of quality of life scale were increased in both groups,and which were higher in fluidized nursing group than routine nursing group(P<0.05).Conclusion Air-fluidized bed combined with special wound nursing can effectively relieve pain,improve comfort,reduce the risk of adverse events,accelerate wound healing and recovery,and improve quality of life in burn patients after plastic skin grafting.

关 键 词：流体悬浮床 专项创面护理 烧伤 植皮 创面 

分 类 号：R473[医药卫生—护理学]