藏红花乙醇治疗老年人失禁相关性皮炎效果观察

Effect of saffron ethanol on incontinence-associated dermatitis in elderly

目的：探讨藏红花乙醇涂擦治疗老年人失禁相关性皮炎的疗效。方法将64例失禁相关性皮炎老年患者根据发现失禁相关性皮炎的先后顺序编号，单号32例入选为观察组，双号32例入选为对照组。对照组常规清洗，用0．5％碘伏消毒后，局部涂擦造口护肤粉；观察组常规清洗后，局部涂擦藏红花乙醇。比较两组患者皮炎治疗效果、愈合时间及复发率。结果对照组患者治愈10例，显效16例，无效6例；观察组治愈22例，显效10例，无效0例，两组比较差异有统计学意义（Z＝-2．412，P＜0．05）。对照组患者皮炎复发10例（31．25％），观察组患者无复发，两组比较差异有统计学意义（χ2＝9．357，P＜0．05）。对照组患者治愈时间为（5．5±1．5）d，观察组为（2．5±1．0）d，两组比较差异有统计学意义（ t＝-73．482，P＜0．05）。结论藏红花乙醇治疗老年人失禁相关性皮炎可有效提高治疗效果、缩短治愈时间、降低复发率。

Objective To investigate the effects of saffron ethanol on elderly incontinence-associated dermatitis.Methods Sixty-four elderly patients with incontinence-associated dermatitis were divided into the control group and observation group by the order of the disease founded ,with single number as the observation group while double number as the control group （ 32 patients in each group ） .With conventional cleaning , patients in the control group were applied with ostomy powder after disinfection with the use of 0.5%iodophor, while patients in the observation group were applied with saffron ethanol .Curative effect , healing time and recurrence rate of dermatitis were compared between the two groups .Results In the control group , ten patients were healed;sixteen patients were effective; six patients had no effect .In the observation group , twenty-two patients were healed; ten patients were effective; zero patient had no effect , and the treatment effect was significantly different between two groups （Z=-2.412, P〈0.05）.Ten patients （31.25%） in the control group had recurrent dermatitis and no patient in the observation group had recurrent dermatitis , and the difference was significant （χ2 =9.357, P〈0.05）.The healing time was （5.5 ±1.5） days in the control group and （2.5 ±1.0） days in the observation group （t=-73.482, P〈0.05）.Conclusions Saffron ethanol can not only improve the curative effect and shorten the healing time of the elderly incontinence -associated dermatitis, but also has a good effect on prevention of dermatitis relapse .