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敷料更换过程疼痛对伤口愈合速率的影响
引用本文:刘佳,于瑞英,陈锦,罗梅.敷料更换过程疼痛对伤口愈合速率的影响[J].解放军护理杂志,2011,28(17).
作者姓名:刘佳  于瑞英  陈锦  罗梅
作者单位:第三军医大学大坪医院野战外科研究所,护理部,重庆,400042
摘    要:目的 探讨敷料更换过程疼痛对伤口愈合速率的影响.方法 按入选标准选择慢性伤口患者60例,采用随机数字表法将患者随机分为两组,试验组采用促渗剂水溶性氮酮和盐酸利多卡因湿敷的方法用于局部麻醉,对照组采用生理盐水湿敷.规定观察周期为3周,清创之后均选用湿性愈合敷料覆盖伤口.使用数字化疼痛计分尺及换药时的血压、脉率对两组患者的疼痛程度进行评估,记录两组患者伤口的清创时间和愈合率.结果 试验组疼痛计分、收缩压、脉率、清创时间、伤口愈合率与对照组相比,差异均有统计学意义(均P<0.05).两组间的舒张压差异无统计学意义(P>0.05).结论 促渗剂水溶性氮酮和盐酸利多卡因联合使用可以改善伤口疼痛,缩短清创期,促进伤口愈合.

关 键 词:伤口  敷料  疼痛  愈合  清创

Influence of Dressing-related Pain on Wound Healing Rate
LIU Jia,YU Rui-ying,CHEN Jin,LUO Mei.Influence of Dressing-related Pain on Wound Healing Rate[J].Nursing Journal of Chinese People's Liberation Army,2011,28(17).
Authors:LIU Jia  YU Rui-ying  CHEN Jin  LUO Mei
Institution:LIU Jia,YU Rui-ying,CHEN Jin,LUO Mei(Nursing Department,Institute of Field Surgery,Daping Hospital,Third Military Medical University,Chongqing 400042,China) 4
Abstract:Objective To explore the influence of dressing-related pain on the wound healing rate.Methods According to inclusion criteria,60 patients with chronic wounds were divided into two groups randomly.The experimental group were treated with water-soluble penetration enhancers Azone and lidocaine using for local anesthesia.Then the control group were treated with normal saline.A numeric pain intensity scale,blood pressure and pulse rate were used to assessment the degree of pain.The time of debridement and wound...
Keywords:wound  dressing  pain  healing  debridement  
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