Application of"4P"theory in the treatment of severe infection wounds of perineum
10.3760/cma.j.issn.1008-1372.2019.03.018
- VernacularTitle:“4P”理论在会阴部重度感染创面治疗中的应用体会
- Author:
Tianjian ZHA
1
;
Fuzeng SU
;
Xiaolong LIU
;
Zhizhong WANG
Author Information
1. 新疆维吾尔自治区人民医院烧伤、创面修复外科
- Keywords:
Perineum;
Infection;
Debridement
- From:
Journal of Chinese Physician
2019;21(3):392-395
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the treatment program and experience of " 4P" theory in the treatment of severe infection wounds of perineum.Methods Retrospective analysis of 123 cases of severe infection wounds of perineum in our hospital from March 2016 to February 2018.Following the "4P" theory (T wound debridement-preparation,I prevention and treatment of infection-protection,M dry-wet balanceprogress,E wound edge management-promotion),personalized treatment program was implemented to ensure the normal physiological activities of patients while closing the wound and promoting wound healing.Results There was no death and no serious complications.All the patients were discharged from the hospital after the wound healed well.Wound healing time was (10.37 ±3.25)days.The follow-up time was 2 to 10 months,the median follow-up was 6 months.The recurrence occurred in 3 case and chronic pain in 5 cases during the follow-up.Conclusions According to the main factors affecting wound healing,"4P Theory" can protect the wound to the maximum extent and is safe and effective in the treatment of severe infection of perineal wound.
