TREATMENT OF NECROTIZING FASCIITIS WOUND POST-OPERATIVE WITH COLD AIR PLASMA, SURGICAL DEPARTMENT, LAMPHUN HOSPITAL

Abstract

Chronic wounds are wounds that are difficult to heal or slow to heal over a period of time because the wound healing process is hampered. Patients with necrotizing fasciitis is a chronic wound that is the most common in the third category of surgery, Lamphun Hospital and classified as important disease groups of the work group. This research is quasi-experimental research. Further development of postoperative necrotizing fasciitis treatment with innovative cold air plasma wound healing using Compact Air plasma Jet model Nightingale. To develop the treatment of patients with necrotizing fasciitis after surgery Surgery Group Lamphun Hospital on the reduction in the number of length of stays, the mortality rate, the amputation rate, cost of treatment, Complications include pain, tissue burns. The data analysis was divided into 2 parts. including personal information, the statistical data was analyzed using descriptive statistics, ie frequency distribution and percentage. including number of days of sleep, mortality rate, amputation rate Complications include pain, tissue burns. cost of treatment Compared to pre-development using Paired t-test statistics.

The results showed that the samples of patients with postoperative necrotizing fasciitis who received additional treatment with cold air plasma. Compared to before development, the number of length of stays decreased from 11 days to 5 days, the mortality rate decreased from 5.09 to 0.13, the amputation rate from 1.19 to 0.3. Treatment costs were reduced by 48% compared to pre-development, using an Paired t-test, a statistically significant reduction in p-value < 0.01. Complications were pain, 0%. Burns were found to be 0%, others were foul-smelling, 25% were found.