46例艾滋病合并重度药物性剥脱性皮损的临床护理探讨

The Experience of the Clinical Care of 46 Cases of AIDS Patients with Severe Drug-induced Exfoliative Skin Lesions

目的该研究主要就艾滋病合并重度药物性剥脱性皮损患者的临床护理情况展开分析探讨,以此来为此类患者的临床护理提供参考依据。方法选择该院2006年1月—2012年12月所收治的46例艾滋病合并重度药物性剥脱性皮损患者作为研究对象,对所有患者的护理情况以及转归情况进行回顾性分析。结果本研究的所有患者在发病后均给予静脉给药预防感染、抗过敏药口服、停用之前的药物等常规治疗,并在常规烤灯护架暴露照烤创面的基础上,利用微波治疗仪来对患者的水泡融合成片的相关区域进行照射,对于皮肤脱落的部位,利用酸性氧化电位水来进行冲洗,经过治疗后患者的创面感染情况得到了有效地控制,其液体的渗出量也有所减少,加快了患者的创面愈合。结论在对艾滋病合并重度药物性剥脱性皮损患者进行临床治疗时,酸性氧化电位水和微波治疗仪的应用再加上相应的心理护理,可以使患者的皮损情况得到有效地控制。

Objective The purpose of this study is to analyze and discuss the clinical nursing of AIDS patients with severe drug- induced exfoliative skin lesions, in order to provide a reference for the clinical nursing of such patients. Methods 46 eases of patients with AIDS complicated by severe drug-induced exfoliative skin lesions admitted in our hospital from January, 2006 to December, 2012 were selected as the subjects, and the care and outcomes of all patients were analyzed retrospectively. Results In this study, all the patients after the onset were given the conventional treatment, such as giving drugs intravenously for preventing infection, taking anti- allergy drugs orally, stopping the drugs that the patients took before the treatment; and on the basis of conventional baking lamp cage exposing the wound, microwave therapy apparatus was used to irradiate blister of confluent area; for skin off site, electrolyzed oxidizing water was used to rinse. After the treatment, wound infection occurred in the patients was controlled effectively, and the liquid leakage amount was also reduced, the wound healing of patients was speeded up. Conclusion When treating the AIDS patients with severe drug-induced exfoliative skin lesions in clinical practice, the application of electrolyzed oxidizing water and microwave therapy apparatus plus related psychological nursing, can effectively control the skin lesions of the patients.