摘要
目的:研究悬浮床联合封闭负压辅助伤口闭合对复合组织损伤患者难愈性创面治疗的疗效。方法:选取医院收治的60例复合组织损伤患者,根据不同治疗方法将其分为观察组和对照组,每组30例。对照组患者予以封闭负压辅助伤口闭合治疗;观察组在对照组治疗的基础上联合悬浮床技术治疗。对比两组治疗的创面愈合时间、抗生素使用时间、换药频次、住院时间、住院费用、生活质量及满意度情况。结果:观察组创面愈合时间、抗生素使用时间和换药频次均低于对照组,两组比较差异有统计学意义(t=5.955,t=6.412,t=4.930;P<0.05);观察组住院时间(22.8±7.3)d,显著少于对照组的(35.5±8.9)d,两组比较差异有统计学意义(t=5.091,P<0.05);观察组患者满意度为83.33%,高于对照组的60.00%,两组比较差异有统计学意义(x^2=4.022,P<0.05);治疗后观察组生理功能、生理职能、躯体疼痛、社会功能、精力、情感职能、精神健康和总体健康评分均高于对照组,两组比较差异均有统计学意义(t=4.045,t=5.044,t=5.187,t=4.394,t=5.500,t=5.917,t=4.344,t=3.721;P<0.05)。结论:悬浮床联合封闭负压辅助伤口闭合治疗复合组织损伤患者难愈性创面的效果显著,有利于促进患者早日康复,提高其满意度及生活质量。
Objective:To study curative effect analysis of suspended bed jointed vacuum-assisted wound closure for refractory wounds of patients with complex tissue injury.Methods:60patients with compound tissue injury were divided into observation group(n=30)and control group(n=30)according to different treatment methods.The patients of control group received the therapy of vacuum-assisted wound closure,and the patients of observation group received suspended bed technique on the basis of the therapy of control group.Series of indicators of the two groups,such as wound healing time,use time of antibiotic,frequency of changing dressings,time of hospital stays,hospitalization expenses,life quality and satisfaction of patients,were compared and analyzed.Results:The wound healing time,use time of antibiotic and frequency of changing dressing of observation group were significantly lower than that of control group(t=5.955,t=6.412,t=4.930,P<0.05).The time of hospital stays of observation group(22.8+7.3)d was significantly lower than that of control group(35.5+8.9)d(t=5.091,P<0.05).And the satisfaction of patients in observation group(83.33%)was significantly higher than that of control group(60.00%)(x2=4.022,P<0.05).After patients of each group received treatment,series of indicators in observation group,including physiological function,physiological role,body pain,social function,vitality,emotion role,mental health and general health,were significantly higher than that of control group(t=4.045,t=5.044,t=5.187,t=5.500,t=4.344,t=5.500,t=5.917,t=4.344,t=3.721,P<0.05).Conclusion:The curative effect of suspended bed jointed vacuum-assisted wound closure for refractory wounds of patients with compound tissue injury is significance,and it is beneficial to promote getting well soon of patients and enhance their satisfaction and life quality.
作者
夏莉玛
李春江
程金梅
王晶
XIA Li-ma;LI Chunjiang;CHENG Jin-mei(Burns Department, Huai'an First People's Hospital Affiliated to Nanjing Medical University, Huai'an 223300, China)
出处
《中国医学装备》
2017年第11期91-94,共4页
China Medical Equipment
