目的分析优质护理在急诊损伤感染创面负压封闭引流术(VSD)围术期中的应用效果。方法回顾性分析2017年1月至2020年5月我院收治的行VSD术的82例急诊损伤感染创面患者的临床资料,根据护理方式不同将患者分为对照组和观察组,各41例。对照组...目的分析优质护理在急诊损伤感染创面负压封闭引流术(VSD)围术期中的应用效果。方法回顾性分析2017年1月至2020年5月我院收治的行VSD术的82例急诊损伤感染创面患者的临床资料,根据护理方式不同将患者分为对照组和观察组,各41例。对照组实施常规护理,观察组实施优质护理。比较两组的护理效果。结果观察组的引流时间、创面愈合时间、住院时间均显著短于对照组,术后3 d VAS评分显著低于对照组(P<0.05)。护理后,两组SAS、SDS及Bates-Jensen评分均降低,且观察组显著低于对照组(P<0.05)。观察组的护理满意度显著高于对照组(P<0.05)。结论优质护理应用于急诊损伤感染创面VSD术围术期,能够有效缩短患者的住院时间,减轻疼痛,改善抑郁、焦虑情绪和创面愈合情况,提高护理满意度。展开更多
Objective： To retrospectively analyze the medical treatment of 332 patients with lower leg fracture in Wenchuan earthquake admitted in West China Hospital. Methods： From May 12, 2008 to June 15, 2008, 332 patients ...Objective： To retrospectively analyze the medical treatment of 332 patients with lower leg fracture in Wenchuan earthquake admitted in West China Hospital. Methods： From May 12, 2008 to June 15, 2008, 332 patients with lower leg fracture injured in Wenchuan earthquake were treated in our hospital. The data on trauma condition and clinical treatment were collected and analyzed. Results： Among the 332 cases of lower leg fracture, there were 179 eases of open fracture, accounting for 53.9%, in which 91% belonged to Gustilo Ⅱ or Ⅲ injury with serious pollution. Many patients had posttraumatic complications, vascular and nerve injury, wound infection or osteofascial compartment syndrome. After medical treatment, blood vessels were reconnected, wound surface was repaired and wound infection was under control. Conclusion： For the patients with lower leg fracture in earthquake, we followed the principle of ＂complete debridement - restoring the continuity of bone bracket - timely recovering blood supply of limbs and repairing nerve damage - repair the wound surface at stage Ⅰ or Ⅱ ＂ so as to reduce the incidence of amputation and infection.展开更多
文摘目的分析优质护理在急诊损伤感染创面负压封闭引流术(VSD)围术期中的应用效果。方法回顾性分析2017年1月至2020年5月我院收治的行VSD术的82例急诊损伤感染创面患者的临床资料,根据护理方式不同将患者分为对照组和观察组,各41例。对照组实施常规护理,观察组实施优质护理。比较两组的护理效果。结果观察组的引流时间、创面愈合时间、住院时间均显著短于对照组,术后3 d VAS评分显著低于对照组(P<0.05)。护理后,两组SAS、SDS及Bates-Jensen评分均降低,且观察组显著低于对照组(P<0.05)。观察组的护理满意度显著高于对照组(P<0.05)。结论优质护理应用于急诊损伤感染创面VSD术围术期,能够有效缩短患者的住院时间,减轻疼痛,改善抑郁、焦虑情绪和创面愈合情况,提高护理满意度。
文摘Objective： To retrospectively analyze the medical treatment of 332 patients with lower leg fracture in Wenchuan earthquake admitted in West China Hospital. Methods： From May 12, 2008 to June 15, 2008, 332 patients with lower leg fracture injured in Wenchuan earthquake were treated in our hospital. The data on trauma condition and clinical treatment were collected and analyzed. Results： Among the 332 cases of lower leg fracture, there were 179 eases of open fracture, accounting for 53.9%, in which 91% belonged to Gustilo Ⅱ or Ⅲ injury with serious pollution. Many patients had posttraumatic complications, vascular and nerve injury, wound infection or osteofascial compartment syndrome. After medical treatment, blood vessels were reconnected, wound surface was repaired and wound infection was under control. Conclusion： For the patients with lower leg fracture in earthquake, we followed the principle of ＂complete debridement - restoring the continuity of bone bracket - timely recovering blood supply of limbs and repairing nerve damage - repair the wound surface at stage Ⅰ or Ⅱ ＂ so as to reduce the incidence of amputation and infection.
