湿润烧伤膏在ICU重症腹泻所致肛周皮肤损伤患者中的应用与观察

Application and observation of moist exposed burn ointment in perianal skin lesions caused by severe diarrhea in ICU

目的探索湿润烧伤膏在ICU患者腹泻所致皮肤损伤中的临床应用,解决ICU腹泻患者肛周皮肤护理困难问题。方法将入住ICU的患者按入院先后顺序分为对照组和观察组,两组患者均在每次腹泻后,用温开水清洗肛门、会阴,皮肤有破溃者用生理盐水棉球清洗,PVP碘棉球擦拭。对照组采用传统的红外线照射,观察组采用湿润烧伤膏外涂,观察比较两组疗效。结果观察组在治疗中愈合率明显高于对照组,两组对比有显著性差异。结论湿润烧伤膏局部外涂治疗ICU重症腹泻患者肛周皮肤损伤效果较好,且使用方便,值得临床推广使用。

Objective To explore the application of moist burn ointment in skin injury caused by diarrhea in patients of ICU and solve the problems of perianal skin care in ICU diarrhea patients. Method According to the admission sequence, ICU patients was divided into observation group and control group, The anus, perineum of each patient were cleaned by warm boiling water after diarrhe- a. The patients with skin ulceration were cleaned with saline cotton and PVP iodine cotton ball. The control group was used the tradi- tional infrared irradiation, the observation group was treated with moist burn ointment. Result The healing rate of the observation group was significantly higher than the control group. Conclusion The effect of MEBO in treatment of perianal skin injury patients caused by severe diarrhea was good and convenient, which was worth promoting in clinic.