[1] 张美娟,林 贝,刘凯明. 改良式简易封闭负压引流技术联合全面护理在断肢再植患者术后创面修复中的应用[J].中国美容医学,2021,(5):162-165.
  ZHANG Mei-juan,LIN Bei,LIU Kai-ming. Application of Modified Simple Vacuum Sealing Drainage Combined withComprehensive Nursing in Wound Repair of Patients with Amputated LimbReplantation[J].Medical Aesthetics and Beauty,2021,(5):162-165.
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 改良式简易封闭负压引流技术联合全面护理在断肢再植患者术后创面修复
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2021年5期
页码:
162-165
栏目:
出版日期:
2021-05-10

文章信息/Info

Title:
 Application of Modified Simple Vacuum Sealing Drainage Combined with
Comprehensive Nursing in Wound Repair of Patients with Amputated Limb
Replantation
文章编号:
1008-6455(2021)05-0162-04
作者:
 张美娟1林 贝2刘凯明3
Author(s):
 ZHANG Mei-juan1LIN Bei2LIU Kai-ming3
关键词:
 [关键词]改良式简易封闭负压引流技术断肢再植手术全面护理创面修复并发症愈合时间
Keywords:
 Key words: modified simple vacuum sealing drainage technology amputated limb replantation comprehensive nursing woundhealing complication healing time
分类号:
R473.6
文献标志码:
B
摘要:
[摘要]目的:探讨改良式简易封闭负压引流技术联合全面护理在断肢再植患者术后创面修复中的应用。方法:选取2018年
1月-2020年6月于笔者医院收治的284例断肢再植手术患者作为研究对象,采用单双号法将284例患者随机分为观察组(142
例)和对照组(142例)。两组均行断肢再植手术治疗,对照组术后采用常规封闭负压引流技术联合全面护理,观察组采用
改良式简单封闭负压引流技术联合全面护理。对比两组创面愈合时间、敷料维持时间、住院时间和住院费用,护理前后疼
痛视觉模拟评分(Visual analogue scale,VAS),护理期间的术后并发症发生率以及患者护理满意度。结果:护理
后,观察组VAS评分、创面愈合时间、住院时间和住院费用均低于对照组,敷料维持时间高于对照组,差异有统计学意
义(P <0.05)。观察组对护理技术、护理态度、护理方式和健康教育方面满意度以及护理总满意度评分均明显高于对
照组,差异有统计学意义(P <0.05)。护理期间,观察组并发症发生率3.52%低于对照组的9.86%,差异有统计学意义
(P <0.05)。结论:改良式简易封闭负压引流技术联合全面护理在断肢再植患者术后创面修复中的应用,可减少术后并发
症的发生,加快创面愈合,并缓解患者疼痛,减少住院时间和费用,提升患者的临床护理满意度。

Abstract:
Abstract: Objective to explore the application of modified simple vacuum sealing drainage combined with comprehensive
nursing in the wound repair of patients with amputated limb replantation. Methods A total of 284 patients who underwent
severed limb re-plantation and were admitted to the hospital from January 2018 to June 2020 were enrolled as the research
objects. They were randomly divide into the observation group (142 cases) and the control group (142 cases) by even-odd
number method. Both groups were treated with replantation, the control group was treated with conventional vacuum sealing
drainage combined with comprehensive nursing, and the observation group was treated with improved simple vacuum sealing
drainage combined with comprehensive nursing. The wound healing time, dressing maintenance time, hospitalization time
and cost, scores of visual analogue scale (VAS) before and after nursing, the incidence of postoperative complications during
nursing and clinical nursing satisfaction after nursing were compared between the two groups. Results After nursing, VAS
score, wound healing time, hospitalization time and cost in the observation group were all lower than those in the control group,
the dressing maintenance time was higher than that of the control group, the differences were statistically significant (P <0.05).
The satisfaction with nursing technology, nursing attitude, nursing methods and health education, and score of total nursing
satisfaction in the observation group were significantly higher than those in the control group (P <0.05). During nursing,
incidence of complications in the observation group was lower than that in the control group (3.52% vs 9.86%, P <0.05).
Conclusion The application of modified simple vacuum sealing drainage combined with comprehensive nursing in the wound
repair of patients with replantation of severed limbs can reduce the occurrence of postoperative complications, accelerate wound
healing, relieve pain, reduce hospitalization time and cost, and improve the clinical nursing satisfaction of patients.
更新日期/Last Update: 2021-06-11