功能性敷料联合伤口造口专科护理对肛肠病患者术后伤口恢复的影响  

The eff ect of functional dressings combined with specialized wound and stoma nursing on postoperative wound recovery in patients with anal and rectal diseases

作　　者：皇敏 王恩慧 徐梅影 欧阳玲 曾凡英 江静霞 Huang Min;Wang Enhui;Xu Meiying;Ouyang Ling;Zeng Fanying;Jiang Jingxia(Colorectal Surgery Department of Longhua District People’s Hospital,Guangdong Shenzhen 518109,China)

机构地区：[1]深圳市龙华区人民医院肛肠外科,广东深圳518109

出　　处：《临床普外科电子杂志》2025年第1期102-106,共5页Journal of General Surgery for Clinicians(Electronic Version)

摘　　要：目的分析功能性敷料联合伤口造口专科护理对肛肠疾病患者术后伤口恢复的影响。方法选择深圳市龙华区人民医院2023年5月至2024年6月收治的120例肛肠疾病患者,根据随机数字表法分为研究组(功能性敷料联合伤口造口专科护理)和对照组(常规护理),各60例,对比两组护理效果。结果相比对照组,研究组患者的伤口愈合时间更短,换药次数及清创次数住院更少,治疗15d创面病原菌转阴数更高,差异均有显著性(P<0.05)。护理前,两组患者的创面面积、疼痛评分无显著差异。护理后,与对照组相比,研究组的创面面积更小,肉芽生长评分、疼痛评分更低,差异均有显著性(P<0.05)。护理前,两组患者的白细胞计数、白介素-6及C反应蛋白水平无显著差异(P>0.05)。护理后,较对照组,研究组患者的白细胞计数和白介素-6及C反应蛋白更低(P<0.05)。结论功能性敷料联合伤口造口专科护理,可加快肛肠疾病患者术后伤口恢复速度,减轻疼痛负担。Objective To analyze the eff ect of functional dressings combined with specialized wound stoma nursing on postoperative wound recovery in patients with colorectal diseases.Method 120 patients with colorectal diseases admitted to Longhua District People’s Hospital in Shenzhen from May 2023 to June 2024 were select-ed and randomly divided into a study group(functional dressing combined with wound stoma specialty nursing)and a control group(conventional nursing)using a random number table method,with 60 patients in each group.The nursing effects of the two groups were compared.Result Compared with the control group,the patients in the study group had a shorter wound healing time,fewer dressing changes and debridement hospitalizations,and a higher number of wound pathogen seroconversion after 15 days of treatment,with significant differences(P<0.05).Before nursing,there was no signifi cant diff erence in wound area and pain score between the two groups of patients.After nursing,compared with the control group,the study group had a smaller wound area,lower gran-ulation growth score and pain score,and the diff erences were signifi cant(P<0.05).Before nursing,there was no signifi cant diff erence in white blood cell count,interleukin-6,and C-reactive protein levels between the two groups of patients(P>0.05).After nursing,the white blood cell count,interleukin-6,and C-reactive protein of the study group patients were lower than those of the control group(P<0.05).Conclusion The combination of functional dressings and specialized wound and stoma care can accelerate the postoperative wound recovery speed and reduce the pain burden in patients with colorectal diseases.

关 键 词：功能性敷料 伤口造口专科护理 肛肠疾病 伤口恢复 

分 类 号：R473.6[医药卫生—护理学]