APPILICATION OF EXPOSURE COMBINED WITH
LOCAL THERAPY IN NEONATAL PHLEGMONA
Mo
Lin, Hu L-J
Department
of General Surgery, Children's Hospital, Chongqing University of Medical Sciences,
Chongqing, China
Objective: To improve the curing rate of neonatal phlegmona and
explore a new nursing method to accelerate the healing of wound, decrease
the complications and shorten the mean duration in hospital .
Methods: clinical data from 1993-2000 of 53 patients with
neonatal phlegmona were retrospectively analysed, 23 of them were from
1997-2000(group A). All the patients were received multi-incision drainage,
1/5000 bromo-geramine bathing, infrared ray radiation, antibiotic treatment
and nutritional support. In group A 23 patients were exposed on radiational
table at 30~33℃, local
insufflation of antibiotics(Amikacin Liquor) and basic fibroblastic growth
factor alternately, 3~4 times per day; while the 30 patients from
1993-1996( group B), the incision were covered by sterile gauze after
infrared ray radiation.
Results: There is no significant difference in sex, age,
necrotic area and necrotic position between the two groups (P>0.05). The
curing rate in group A(86.9%) is significantly higher than that of group B(40%), P<0.01. the
average time for healing was decreased for 5 days .
Conclusion: The
exposure method combined with local therapy is superior to conventional
nursing method.