21例面部皮肤非结核分枝杆菌感染伴破溃的护理经验和疗效评估  

Nursing experience and effectiveness assessment of the treatment of facial skin infections with ulceration in 21 cases

作　　者：张冬梅 李万同 郭晶东 陈波 彭靓 李国鹿 王鹏 唐颖 ZHANG Dongnei;LI Wanong;GUO Jingdong;CHEN Bo;PENG Liang;LI Guolu;WANG Peng;TANG Ying(Department of PlastiSurgery and Burns,Shenzhen Hospital of Southern Medical University,Shenzhen 518000,China)

机构地区：[1]南方医科大学深圳医院整形美容烧伤科,广东深圳518000 [2]北部战区总医院质量管理科,辽宁沈阳110016

出　　处：《中国美容整形外科杂志》2024年第8期509-511,共3页Chinese Journal of Aesthetic and Plastic Surgery

基　　金：深圳市卫生健康委员会2022年度引进高层次医学团队预立项项目(CZXM-2024-0002)

摘　　要：目的 评估综合护理方案对伴有破溃的面部皮肤非结核分枝杆菌(non-tuberculous mycobacteria,NTM)感染的治疗效果,并对可能发生的影响机制进行探讨.方法 回顾性分析自 2017 年 11 月至 2020 年 12 月,南方医科大学深圳医院整形美容烧伤科收治 21 例面部皮肤NTM感染伴破溃的患者.护理方案包括:创面清创、冲洗及抗生素联合药物治疗的面部扩创、清创手术后的持续负压引流.利用Bates-Jensen伤口评估量表,对 21 例患者的临床数据进行分析,并评估护理效果.结果 综合护理方案使面部红肿、渗出症状明显减轻,患者满意度和生活质量得到提高.根据Bates-Jensen伤口评估量表,治疗后得分[(26.52±5.46)分]较治疗前[(45.62±6.95)分]显著下降,差异具有统计学意义(P<0.05).此外,患者治疗后满意度评分[(8.76±0.89)分]较治疗前[(3.24±1.37)分]明显上升,差异具有统计学意义(P<0.05).结论 综合护理方案对面部皮肤分枝杆菌感染伴破溃的护理具有显著的临床效果.Objective To assess the effectiveness of comprehensive nursing intervention on non-tuberculous mycobacteria(NTM)infections with ulceration of facial skin,and to explore the possible influencing mechanisms.Methods A retrospective analysis was con-ducted on 21 patients with facial skin NTM infections with ulceration admitted to the Department of Plastic Surgery and Burns of Shenzhen Hospital of Southern Medical University from November 2017 to December 2020.The nursing intervention plan included:expanding,flush-ing and antibiotic combination drug therapy for facial dilatation,negative pressure wound therapy(NPWT)after debridement.The clinical data of the 21 patients were retrospectively analyzed using the Bates-Jensen wound assessment tool to evaluate the nursing effect.Results The comprehensive nursing intervention resulted in a significant reduction in reduced the facial redness,swelling and exudate levels,and im-proved the patient's satisfaction and quality of life.According to the Bates-Jensen wound assessment tool,the average score after treatment was[(26.52±5.46)points],which was significantly lower than that before treatment[(45.62±6.95)points],with a statistically significant difference(P<0.05).In addition,the patient satisfaction score after treatment was[(8.76±0.89)points],which was significantly higher than that before treatment[(3.24±1.37)points],with a statistically significant difference(P<0.05).Conclusion The comprehensive nursing intervention has significant clinical effects on the nursing of facial skin NTM infections with ulceration.

关 键 词：面部皮肤感染 非结核分枝杆菌 溃疡 综合护理 有效性评估 

分 类 号：R473.75[医药卫生—护理学]