论文部分内容阅读
目的探讨负压封闭引流技术在治疗难愈性创面过程中的护理工作及体会。方法采用负压封闭引流技术对84例难愈性创面患者进行治疗,在治疗期间护理工作主要包括:(1)观察负压封闭的粘贴是否完好,在改变体位后有无脱落漏气;(2)管道连接准确,各接头处有无密封不严的情况,管道是否堵塞,色泽是否变灰或黑色等;(3)吸引瓶内分泌物每日计量并做细菌培养等。结果本组因体位改变导致创面边缘贴膜脱落,皱褶漏气25例38处,补贴1次19例24处,补贴2次以上6例14处;负压吸引管堵塞5例,管道接头处堵塞3例;管道因变黑更换7例。上述问题护士均在第一时间发现并进行处理,必要时报告医师协助处理,使负压封闭治疗过程连续且按计划进行。结论负压封闭引流技术治疗难愈性创面,比传统创面换药治疗省时省力,缩短治疗时间,并且提高了创面愈合的成功率。
Objective To discuss the nursing work and experience in the treatment of refractory wounds with vacuum sealing and drainage technique. Methods 84 cases of patients with refractory wounds were treated by negative pressure drainage technique. The main nursing work during the treatment included: (1) to observe the integrity of the vacuum-tight closure and whether there is shedding or leakage after changing the position; (2) ) Pipe connection is accurate, the joints are sealed without strict conditions, the pipeline is clogged, the color is gray or black, etc .; (3) to attract bottles of daily measurement of endocrine and bacterial culture. Results In this group, there were 38 cases of pleural leakage and 25 cases of pleural leakage in 19 cases, 24 of which were subsidized for once or twice and 14 of 6 cases were subsidized more than twice. There were 5 cases of blockage of vacuum suction tube and blockage of pipe joint 3 cases; tube due to black change in 7 cases. The above nurses were both found and dealt with as soon as possible and the doctors were reported to assist in the treatment as necessary so that the procedure of closed-end negative pressure treatment was continuous and planned. Conclusion The treatment of refractory wound with negative pressure closed drainage technique saves time and labor, shortens the treatment time and improves the success rate of wound healing.