Objective: Cancerous wound has been the difficulty of clinical treatment. Due to wound stench, symptoms like a large number of exudate and so on seriously affect the quality of life of patients and self-esteem. Inappropriate treatment of cancerous wounds not only lead to the above-mentioned symptoms aggravating with severe infection, but also affect the treatment plan. In view of the fact that wound treatment is based on well wound bed preparation, debridement is a prerequisite for ensuring a well state of the wound bed. Therefore, exploring the most suitable way for cancer wound debridement methods, can effectively control the wound symptoms, reduce secondary infection rate, reduce complications, improve patient quality of life.
Method: There is a randomized controlled experiment that 22 patients with cancerous wound were nursed with autolysis debridement and mechanical debridement before and after for 2 weeks. The results of culture of secretions, the ratio of malodor, exudate and wound bed decayed tissue before and after debridement were compared.
Result: Through the treatment of the combination of autolysis debridement and mechanical debridement, the rate of negative conversion of secretions is increased, the control time of malodor and exudate is shortened, and the proportion of decayed tissue is reduced. The difference is statistically significant (P < 0.05).
Conclusion: Debridement combining autolysis debridement with mechanical debridement can effectively eliminate a large number of rotting tissue, significantly shorten the time of reducing the degree of wound infection and relieving the symptoms such as malodor and exudate, ensure the treatment of wound bed preparation, advantage to Wound healing, what's more, improve patient comfort level and quality of life.
Keywords: Cancerous wound; autolysis debridement; mechanical debridement.
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