目的 探讨低频超声清创联合功能性敷料在部队官兵训练伤慢性创面门诊治疗中的效果。方法 选取2024-10至2025-10在解放军总医院京南医疗区门诊治疗的训练伤慢性创面官兵患者60例,使用随机数字表法将其分为研究组(低频超声清创联合银离子藻酸盐敷料治疗)和对照组(常规机械清创联合银离子藻酸盐敷料治疗),每组30例,均治疗2周。比较两组治疗效果、清创时间、症状消退时间、治疗前及治疗2周后的创面细菌培养阳性率、创面疼痛评分、不良反应发生率、生活质量及护理满意度。结果 治疗2周后,研究组总有效率为96.67%,生活质量各维度评分及护理满意度均优于对照组,差异有统计学意义(P<0.05);研究组的清创时间[(15.35±2.33)d]、炎症症状消退时间[(5.48±2.33)d],清创后2周的创面细菌培养阳性率(13.89%),疼痛评分[(3.32±1.18)分],均优于对照组,差异有统计学意义(P<0.05)。两组均无不良反应。结论 采用低频超声清创联合银离子藻酸盐敷料治疗能够加快慢性创面的愈合,缩短清创时间和炎症消退时间,减轻清创疼痛,且无创面不良反应发生,同时提升其生活质量和护理满意度,可用于部队官兵训练伤慢性创面门诊治疗。
Abstract
Objective To explore the effect of low-frequency ultrasonic debridement combined with functional dressing in the outpatient treatment of chronic wounds caused by training injuries of military officers and soldiers. Methods A total of 60 military personnel with chronic wounds from the outpatient department of Jingnan Medical District of PLA General Hospital from October 2024 to October 2025 were selected, and randomly divided into a study group (low-frequency ultrasonic debridement combined with silver alginate dressing) and a control group (conventional mechanical debridement with silver alginate dressing), with 30 patients in each group. Both groups received treatment for two weeks. The therapeutic effect, debridement time, symptom resolution time, wound bacterial culture positivity rate before treatment and 2 weeks after treatment, wound pain score, incidence of adverse reactions, quality of life, and nursing satisfaction were compared between the two groups. Results After 2 weeks of treatment, the total effective rate of the study group was 96.67%, and the scores for all dimensions of quality of life and nursing satisfaction were better than those of the control group, with statistically significant differences (P<0.05). The debridement time of the study group [(15.35±2.33) days], the inflammation symptom resolution time [(5.48±2.33) days], the bacterial culture positivity rate in the wound 2 weeks after debridement (13.89%), and the pain score [(3.32±1.18) points], were all better than those of the control group, with statistically significant differences (P<0.05). No adverse reactions were observed in either group. Conclusions The treatment with low-frequency ultrasonic debridement combined with silver alginate dressing can accelerate the healing of chronic wounds, shorten the debridement time and inflammation resolution time, relieve the debridement pain, provide no adverse reactions in the wound, and improve the quality of life and nursing satisfaction, which can be used for outpatient treatment of chronic wounds in military personnel.
关键词
低频超声清创 /
功能性敷料 /
部队官兵 /
训练伤 /
慢性创面 /
门诊治疗
Key words
low-frequency ultrasonic debridement /
functional dressing /
military officers and soldiers /
training injury /
chronic wounds /
outpatient treatment
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基金
军事医学研究院院长基金项目(AMS-KYJJ-2022-001)
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