Health education on wound nursing

For superficial acute wounds (abrasions, superficial cuts, minor burns, etc.) encountered daily, the optimal treatment logic is "cleaning-moisturizing-anti-infection". Don't apply red liquid and purple liquid, don't sprinkle fragrant ash toothpaste, don't deliberately hang it in the air and wait for scabs, and don't change medicine three times a day.

Last Wednesday, I was sitting in the surgical clinic, and I met a 16-year-old girl who fell on a bike-sharing. When she came home, her grandmother applied purple liquid, saying that it would be better to scab in the air. As a result, the scab was as hard as a shell in three days, and when she bent her leg, she cracked, and the oozing pus was confined under the scab. When she came, the whole knee was swollen. When she cleaned the scab, the girl cried straight and sobbed, and she would have been able to get a small scratch in a week, which was abruptly dragged on.

In fact, the controversy about whether the wound should be dry or wet has existed in the surgical field for many years. Most of the older generation of surgeons would say that the wound should be dry and breathable. This statement was completely fine twenty or thirty years ago. At that time, the disinfection conditions were poor and there was no sterile application. Keeping it dry and crusting was equivalent to covering the wound with a natural protective shield, which could reduce the probability of external bacteria invasion. But now evidence-based medicine has long confirmed that wet healing in sterile environment (confirmed by Dr. Winter through experiments as early as the 1960s) can make epidermal cells crawl 30% faster, and the probability of leaving scars is reduced by at least half. Now, iodophor and sterile dressings are basically available at home, which is fully qualified for wet healing, and there is no need to be punished by the old method. Last time I cooked, I cut my finger to a depth of about 1 mm. After I washed it and put on a hydrocolloid dressing, it grew up in three days, and I didn't even leave any marks. If I left it to dry before, it would hurt for at least a week, and it would be hard to wash the dishes.

Many people's most tangled question is "Can the wound touch the water?" Some people even dare not take a bath after the wound has healed for half a month. They are wrapped up like a zongzi, but it is totally unnecessary-it is completely fine to touch ordinary water during the healing period of superficial wounds. After washing, take a clean cotton towel and gently dip it dry, and then remove the poison and change it into a new dressing. Instead, they don't take a bath for a long time, and the bacteria around the skin accumulate, making it easier to get into the wound. Let me tell you an interesting thing. Two months ago, an aunt came to ask, saying that I heard from the community health class that the wound should be disinfected by ultraviolet rays. After two days of sun exposure, the skin around the wound peeled off, and it was so painful that I couldn't sleep. It was really unnecessary. Normal disinfection and pollution prevention were enough.

I've compiled several common comparison tables of wound treatment in daily life, and I basically won't step on the pit according to them:

Here, I want to mention diabetes patients alone, and don't take the wound care standards of ordinary people as a cover. I have seen a small blister on the foot of a friend who is too polysaccharide and didn't take it seriously. Finally, he developed diabetes and had to be amputated. Sugar friends' peripheral nerves are not sensitive, even if the wound is very small, it may have hurt the deep layer. In addition, bacteria with high blood sugar are easy to reproduce. Even if it is a puncture with a big needle tip, it is best to go to the community hospital to find a nurse to deal with it. Don't mess around at home.

Others asked if they wanted to take anti-inflammatory drugs. Ordinary superficial wounds don't need to be used at all. Oral antibiotics are used to deal with systemic infections, and some parts are a little red and swollen. It is enough to apply mupirocin ointment. Eating antibiotics indiscriminately will mess up your intestinal flora, which is not worth the candle.

In fact, wound care is not that complicated. Don't believe those messy health remedies and don't be overly anxious. Small wounds can basically be smooth and good according to the above methods. If you encounter deep wounds, uncontrollable bleeding, severe swelling and fever, don't hesitate to go directly to the hospital, which is much more useful than checking online for half an hour.