银离子抗菌敷料在感染性压疮护理中的应用

Application of silver-coated antimicrobial dressings in pressure ulcer with infection

目的探讨银离子抗菌敷料在感染性压疮护理中的应用效果。方法 42例感染性压疮患者分为试验组和对照组,其中试验组22例,感染性压疮共26处;对照组20例,感染性压疮共23处;试验组采用银离子抗菌敷料治疗护理,而对照组采用传统的纱布敷料护理,比较两组患者伤口感染控制前的治疗时间、换药次数以及换药费用等情况。结果与对照组比较,银离子抗菌敷料对感染的控制率达100%,并能够明显缩短压疮感染控制时间,减少换药次数,而且两组敷料费用差异无统计学意义。结论银离子抗菌敷料护理操作方便,对感染性压疮具有很好的治疗效果。

Objective To assess the antibacterial activity of silver-coated antimicrobial dressings in pressure ulcer with infection.Methods 42 patients with infected pressure ulcers were divided into two groups：the experimental group and the control group.The experimental group,22 patients with 26 pressure ulcers,was treated with silver-coated antimicrobial dressings,while the control group,20 patients with 23 pressure ulcers,received a treatment with traditional care.Dressings＇ effectiveness,days of treatment,frequencies of change dressings and the cost of the treatment were evaluated and compared between two groups.Results Compared with the control group,the infections of all pressure ulcers were under control and there were significant differences in the days to healing and in the number of dressings changes in the experimental group,whereas there was no significant increase in the cost per ulcer of dressings between the two groups.Conclusion The nursing procedure of silver-coated antimicrobial dressings is convenient and the silver dressings is demonstrated beneficial in healing ulcer infection.