简易负压吸引联合藻酸盐敷料在腹部术后创口不良愈合中的应用研究  

Application of simple negative pressure suction combined with alginate dressing in poor wound healing after abdominal surgery

作　　者：张燕飞[1] 罗小红[1] 李雷[1] 陆素宁[1] 陈德凤[1] ZHANG Yanfei;LUO Xiaohong;LI Lei;LU Suning;CHEN Defeng(Department of Gastrointestinal·Hernia·Intestinal Fistula Surgery,The People’s Hospital of Guangxi Zhuang Autonomous Region,Nanning,Guangxi 530016,China)

机构地区：[1]广西壮族自治区人民医院胃肠·疝·肠瘘外科,广西南宁530016

出　　处：《现代医药卫生》2025年第2期430-433,共4页Journal of Modern Medicine & Health

基　　金：广西壮族自治区卫生健康委员会自筹经费科研课题(Z20211217,Z20210646)。

摘　　要：目的探讨简易负压吸引技术联合藻酸盐敷料在腹部手术创口愈合不良中的应用效果。方法选取2021年7月至2023年11月该院腹部手术创口愈合不良的90例住院患者为研究对象,按随机数字表法将其分为对照组与干预A组、干预B组,每组30例。干预A组采用简易负压吸引联合藻酸盐敷料治疗,干预B组单独使用藻酸盐敷料治疗,对照组采用凡士林油纱敷料处理创口。比较3组创口愈合率、创口面积、渗液量、渗液pH值及换药次数。结果3组在创口愈合率、创口面积、渗液量、渗液pH值及换药次数方面比较,差异有统计学意义(P<0.05)。干预A组在创口愈合率、创口面积、渗液量、渗液pH值及换药次数方面均优于对照组、干预B组,差异有统计学意义(P<0.05)。干预B组在渗液量及换药次数方面均优于对照组,差异有统计学意义(P<0.05)。结论简易负压吸引技术联合藻酸盐敷料治疗腹部手术创口愈合不良具有显著效果,其能有效提高愈合率,减少换药频率,并显著改善创口愈合质量。Objective To explore the application effect of simple negative pressure suction technique combined with alginate dressing on poor wound healing after abdominal surgery.Methods A total of 90 inpatients with poor wound healing after abdominal surgery in our hospital were selected as the research objects from July 2021 to November 2023.According to the random number table method,they were divided into control group,intervention group A and intervention group B,with 30 cases in each group.The intervention group A was treated with simple negative pressure suction combined with alginate dressing,the intervention group B was treated with alginate dressing alone,and the control group was treated with vaseline gauze dressing.The wound healing rate,wound area,exudate volume,exudate pH value and dressing change times were compared among the three groups.Results There were significant differences in wound healing rate,wound area,exudate volume,exudate pH value and dressing change times among the three groups(P<0.05).The wound healing rate,wound area,exudate volume,exudate pH value and dressing change times in the intervention group A were better than those in the control group and the intervention group B,and the differences were statistically significant(P<0.05).The intervention group B was superior to the control group in the amount of exudate and the number of dressing changes,and the difference was statistically significant(P<0.05).Conclusion Simple negative pressure suction combined with alginate dressing has a significant effect in the treatment of poor wound healing in abdominal surgery.It can effectively improve the healing rate,reduce the frequency of dressing change,and significantly improve the quality of wound healing.

关 键 词：简易负压吸引技术 腹部手术 创口 愈合不良 

分 类 号：R632[医药卫生—外科学]