凝胶果冻垫预防术中患者压疮的效果观察

Effects of Jelly Gel Pad in Preventing Pressure Ulcers during Operation

目的探讨凝胶果冻垫预防术中患者压疮的效果。方法 2009年3-11月第二军医大学东方肝胆外科医院行肝门部胆管癌手术的患者200例,按随机数字表法分为观察组和对照组各100例。术中观察组患者采用骶尾部放置45cm×45cm×2cm的3M凝胶果冻垫和枕骨结节处放置直径15cm及4cm厚的凝胶果冻圈;对照组患者采用常规海绵床垫。观察并比较两组患者压疮的发生情况。结果观察组术中压疮的发生率明显低于对照组,差异有统计学意义(P<0.05)。结论术中使用凝胶果冻垫及凝胶果冻圈能有效减轻手术患者(尤其是年老体弱、消瘦及手术时间长的手术患者)身体的受压力,改善局部血液循环,避免或减少压疮的发生。

Objective To explore an effective method in preventing high risk group of pressure ulcers during operation. Methods A total of 200 hilar cholangiocarcinoma patients with high risk of pressure ulcers were divided into observation group and control group. The observation group adopted 45 cm × 45 cm×2 cm of 3M jelly gel pad placed under the sacroiliac,while jelly gel ring of 15 cm wide and 4 cm thick were placed under the occipital tubercle. The control group adopted normal sponge pad. The preventive effect of high risk of pressure ulcers was compared between the two groups. Results The incidence of pressure ulcers during operation of the observation group was significantly lower than that of the control group （P〈0.05）. Conclusion Application of jelly gel pad and ring during operation can effectively reduce the local pressure as well as improve blood circulation. Especially for the senile , thin and long operation time patients,the jelly gel pad and ring can significantly reduce the incidence of pressure ulcers during operation with toward results.