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Objective The purpose of this study was to compare the effects of different dressings on poor wound healing in patients undergoing surgery via posterior midline approach. Methods A total of 60 patients who underwent surgery via posterior midline approach in the pediatric ward of Neurosurgery Center of Tiantan Hospital were included as research objects. All pediatric patients were divided into control group and intervention group by using random number table method. The pediatric patients in the control group (30 cases) were protected by standard wound dressings starting from the first dressing change after surgery, while the pediatric patients in the intervention group (30 cases) were received intervention (silver alginate ion dressing + hydrocolloid dressing protection) starting from the first dressing change after surgery. The incisions of all pediatric patients were examined daily starting from the first day post-surgery to assess postoperative wound healing, and frequency of dressing changes during the healing process was recorded. Results The healing time of incision grade A in the intervention group was significantly shorter than that in the control group［(12. 02±1. 69) days vs. (15. 90±2. 30) days］, with a statistically significant difference (P＜0. 01). The number of dressing changes in the intervention group was significantly lower than that in the control group ［(2. 13±0. 99) vs. (3. 05±0. 85)］, with a statistically significant difference (P＜0. 05). Conclusion The utilization of silver alginate + hydrocolloid dressing outperformed traditional dressings in safeguarding against impaired wound healing following a posterior median surgical approach. This intervention not only shorten wound healing time but also reduced the frequency of dressing changes, thereby alleviating pain and promoting prompt wound recovery among pediatric patients. (目的 观察不同敷料对后正中手术入路切口愈合不良的影响差异。方法 选取2021年3月—7月于首都医科大学附属北京天坛医院神经外科中心小儿病区住院期间行后正中入路手术的病例60例, 采用随机数字表法分为对照组和干预组。对照组30例, 即患儿从术后第一次换药时开始仅给予普通敷料保护; 干预组30例, 即患儿从术后第一次换药时开始给予切口干预(藻酸盐银离子敷料+水胶体敷料保护)。从术后第1天开始对所有患儿切口进行检查, 明确术后切口愈合情况, 伤口愈合期间的换药次数, 观察不同敷料对后正中手术入路切口愈合不良的影响差异。结果 术后切口甲级愈合时间干预组(12. 02±1. 69) d, 较对照组(15. 90±2. 30) d缩短, 差异有统计学意义(P＜0. 05); 换药次数干预组(2. 13±0. 99)次, 低于对照组的(3. 05±0. 85) 次, 差异具有统计学意义(P＜0. 01)。结果 给予藻酸盐银离子+水胶体敷料保护对后正中手术入路切口愈合不良的效果优于传统敷料保护, 不仅缩短了切口愈合的时间, 还降低了换药频次, 既减轻了患儿的痛苦, 又促进了切口尽快愈合。)

Phlebitis is one of common complications of the intravenous infusion of fluids. This paper summarized the nursing experience of an acute cerebral infarction patient with phlebitis. In addition to the routine methods such as external application of potato slices and 50% magnesium sulfate wet dressing, the Comfeel hydrocolloid dressing was used to treat the phlebitis. Swelling and pain degree were measured. After 8 days after intervention with Comfeel hydrocolloid dressing, clinical symptoms of phlebitis disappeared and pain was relieved. The application of Comfeel hydrocolloid dressing is effective to relieve the irritation symptoms caused by phlebitis, it has advantages of easy-to-use, safe and being relatively painless. (静脉炎是经外周留置针穿刺常见的并发症。本研究总结1例急性脑梗死合并静脉炎患者的护理经验。在常规方法(土豆片、50%硫酸镁外敷)基础上, 给予康惠尔水胶体敷料治疗, 通过红肿面积、疼痛评分等评估护理效果。给予康惠尔水胶体敷料干预后8 d, 患者临床症状消失, 皮肤完好, 无疼痛。使用康惠尔水胶体敷料治疗静脉炎, 能改善血管的刺激症状, 具有操作简单、使用安全、无疼痛的优点。)

Objective To investigate the effect of combination use of stoma powder, skin protective film and hydrocolloid dressing and one-piece ostomy pouch in ICU patients with incontinence-associated dermatitis (IAD). Methods Totally 40 ICU patients with IAD were divided into control group and observation group according to the order of hospitalization. Patients in the control group were given routine nursing management, while patients in the observation group were given a comprehensive nursing using stoma powder, skin protective film, hydrocolloid dressing and one-piece ostomy pouch. The IAD skin healing condition, healing time, time-consuming and frequency of nursing were observed and compared between the two groups. Results The skin healing time of patients in the observation group was significantly lower than that of the control group (3. 27±1. 02 d vs. 5. 41±1. 93 d, P

Objective To explore the application effect of functional dressings in the nursing of pressure injuries, and to provide evidence-based basis for the nursing of pressure injuries. Methods Computer search for randomized controlled trials on the effects of functional dressings in nursing of pressure injury in the Cochrane Library, PubMed, WOS, CNKI, Wanfang Data and VIP databases, screened and included the literature, and the search time limit was from the establishment of the database to June 2020. Two reviewers independently conducted literature screening, data extraction, and quality evaluation in accordance with Cochrane quality evaluation standards, and then used RevMan 5. 3 software for Meta analysis. Results Totally 17 articles were included, with a total of 1206 patients. The results of Meta analysis showed that functional dressings were superior to the control group in terms of nursing satisfaction, healing status, and healing time except for the number of dressing changes (P