深静脉穿刺后银离子辅料在重度烧伤治疗中的应用及护理研究.docVIP

精品论文 参考文献 深静脉穿刺后银离子辅料在重度烧伤治疗中的应用及护理研究 广东省佛山第一人民医院 烧伤整形科 【摘 要】目的：研究深静脉穿刺后银离子辅料在重度烧伤治疗中的应用及护理。方法：以近两年我院接诊的60例重度烧伤患者为研究对象，分成观察组和对照组。两组采用相同的深静脉穿刺方式。对照组采用透明敷料，观察组采用银离子辅料后加用透明无菌薄膜。均治疗2周。观察穿刺点及其周围的皮肤状况，血液送检培养结果、创面愈合时间、愈合率、渗出量以及换药次数。结果：观察组患者的CVC-RI、皮肤反应阳性率均显著低于对照组、住院时间和创面愈合时间短于对照组、创面愈合时间更短；治疗3天、7天的创面愈合率高于对照组；创面的渗出量与更换次数显著少于对照组，差异均具有统计学意义（Plt;0．05）。结论：深静脉穿刺后银离子辅料在重度烧伤治疗中具有良好的应用效果，为进一步提高治疗的有效性，应强化对患者的护理。 【关键词】深静脉穿刺；银离子辅料；重度烧伤 Abstract：objective： The silver ions after deep vein puncture accessories application and nursing in the treatment of severe burn were.Methods：In nearly two years the hospital accepts the 60 cases of severe burn patients as the research object，is divided into observation group and control group. Two groups of the same deep vein puncture. Control group adopts transparent dressings，observation group after using silver ions accessories used transparent sterile film. Treatment for 2 weeks. Observe the puncture point and the surrounding skin condition，makes the blood culture result，wound healing time and healing rate，seepage quantity and the switching frequency. Results：Observation group of patients with CVC RI，positive skin reaction were significantly lower than the control group，hospitalization time and wound healing time is shorter than the control group，the wound healing time is shorter；Treatment for 3 days，7 days wound healing rate is higher than the control group；Wounds effusion quantity and change frequency is significantly less than the control group，the differences were statistically significant（P lt; 0.05）. Conclusion：Silver ions after deep vein puncture accessories with good application effect in the treatment of severe burn were，in order to further improve the effectiveness of the treatment，should strengthen the nursing care of patients. Key words：Deep vein puncture；Silver ion textiles；Severe burns 重度烧伤患者的体表被严重破坏，能够实施静脉输液的地方较少，若对患者实行反复的静脉穿刺，会在一定程度上延误治疗的时机。本次研究以我院近两年接诊的重度烧伤患者为研究对象，对深静脉穿刺后银离子辅料的应用于护理方式进行分析，现报告如下。 1.资料和方法 1.1一般