劉靜 喬海珍 余淑敏
【摘要】 目的:探究安爾舒在微插管鞘技術(shù)擴(kuò)皮切口中的應(yīng)用效果。方法:選取2018年1月-2019年11月于本院腫瘤科治療的80例惡性腫瘤合并糖尿病住院患者為研究對(duì)象,以擲硬幣分組方式將其分為參照組和試驗(yàn)組,各40例。參照組使用藻酸鈣敷料,試驗(yàn)組使用安爾舒。比較兩組患者穿刺點(diǎn)滲血、局部感染、切口愈合情況以及患者滿(mǎn)意度。結(jié)果:試驗(yàn)組患者總滲血率為7.5%,明顯低于參照組的27.5%,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。試驗(yàn)組切口局部感染發(fā)生率為12.5%,明顯低于參照組的35.0%,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。試驗(yàn)組切口總愈合率為90.0%,明顯高于參照組的70.0%,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。試驗(yàn)組滿(mǎn)意度為80.0%,明顯高于參照組的57.5%,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。結(jié)論:安爾舒在微插管鞘技術(shù)擴(kuò)皮切口中的應(yīng)用效果顯著,可有效提高切口愈合率以及患者的護(hù)理滿(mǎn)意度,同時(shí)減少穿刺點(diǎn)滲血以及局部感染的發(fā)生,具有一定的臨床價(jià)值。
【關(guān)鍵詞】 安爾舒 微插管鞘技術(shù) 擴(kuò)皮切口 穿刺點(diǎn)滲血 局部感染 切口愈合 護(hù)理滿(mǎn)意度
[Abstract] Objective: To explore the effect of Anershu in the application of microintubation sheath technique in skin expanding incision. Method: A total of 80 hospitalized patients with malignant tumor complicated with diabetes who were treated in the oncology department of our hospital from January 2018 to November 2019 were selected as study subjects. They were divided into control group and experimental group by coin-tossing, 40 cases in each group. The control group was treated with Calcium Alginate Dressing, the experimental group was treated with Anershu. The puncture point oozes blood, local infection, incision healing and patient satisfaction were compared between the two groups. Result: The total oozes blood rate of the experimental group was 7.5%, significantly lower than 27.5% of the control group, with statistically significant difference (P<0.05). The incidence of local incision infection in the experimental group was 12.5%, significantly lower than 35.0% in the control group, with a statistically significant difference (P<0.05). The total incision healing rate of the experimental group was 90.0%, significantly higher than 70.0% of the control group, the difference was statistically significant (P<0.05). The satisfaction degree of the experimental group was 80.0%, significantly higher than 57.5% of the control group, the difference was statistically significant (P<0.05). Conclusion: The application effect of Anershu in microintubation sheath technique skin expansion incision is significant, which can effectively improve the incision healing rate and patients nursing satisfaction, reduce the occurrence of puncture point bleeding and local infection, and has certain clinical value.
[Key words] Anershu Microintubation sheath technique Expansion of skin incision Puncture point oozes blood Local infection Incision healing Nursing satisfaction
First-authors address: Jiangxi Provincial Peoples Hospital, Nanchang 330006, China
本研究對(duì)80例惡性腫瘤合并糖尿病住院患者進(jìn)行對(duì)比研究,結(jié)果顯示試驗(yàn)組患者總滲血率為7.5%,明顯低于參照組的27.5%,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。試驗(yàn)組切口局部感染發(fā)生率為12.5%,明顯低于參照組的35.0%,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。試驗(yàn)組切口總愈合率為90.0%,明顯高于參照組的70.0%,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。試驗(yàn)組滿(mǎn)意度為80.0%,明顯高于參照組的57.5%,差異有統(tǒng)計(jì)學(xué)意義(P<0.05)。說(shuō)明安爾舒可促進(jìn)切口愈合,減少切口感染率和滲血率??蝶愄m[12]研究中,安爾舒用于切口創(chuàng)面的效果較好,可明顯提高患者的創(chuàng)口愈合情況,減少瘢痕。王玉容等[20]對(duì)35例糖尿病足淺表潰瘍患者進(jìn)行研究,患者接受安爾舒治療持續(xù)一個(gè)療程,結(jié)果發(fā)現(xiàn)創(chuàng)口愈合率高達(dá)91.43%,不良反應(yīng)發(fā)生率僅為11.43%,說(shuō)明安爾舒創(chuàng)面修復(fù)生物膠局部應(yīng)用治療糖尿病足淺表潰瘍不良反應(yīng)少、治愈率高,值得在臨床上推廣使用。劉強(qiáng)[21]對(duì)41例典型的鼻中隔糜爛導(dǎo)致鼻出血的患者進(jìn)行對(duì)比研究,分別給予兩組患者安爾舒和紅霉素,比較兩組的黏膜修復(fù)情況及鼻出血情況,結(jié)果顯示安爾舒應(yīng)用者具有明顯優(yōu)勢(shì)。說(shuō)明安爾舒的止血效果更優(yōu)。安爾舒可使創(chuàng)面愈合加快、愈合時(shí)間明顯縮短,可間接減輕患者經(jīng)濟(jì)負(fù)擔(dān)和醫(yī)護(hù)人員工作強(qiáng)度。
綜上所述,安爾舒在微插管鞘技術(shù)擴(kuò)皮切口中的應(yīng)用效果顯著,可有效提高切口愈合率,以及患者的護(hù)理滿(mǎn)意度,同時(shí)減少穿刺點(diǎn)滲血以及局部感染的發(fā)生,具有一定的臨床價(jià)值。
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(收稿日期:2020-02-03) (本文編輯:姬思雨)
中國(guó)醫(yī)學(xué)創(chuàng)新2020年23期