远红外线冷暖气流床垫在 ICU压疮高危患者Ⅰ、Ⅱ期压疮防治中的应用效果

Clinical study of XIR （extreme infrared） cold and warm air mattress used for pre-vention and control ofⅠandⅡperiods of pressure ulcers in ICU patients with high risk of pressure ulcers

目的：探讨远红外线冷暖气流床垫预防和治疗ICU压疮高危患者Ⅰ、Ⅱ期压疮的效果。方法将我院ICU 2010年1月至2011年12月收治的356例压疮患者，随机分为观察组186例和对照组170例，给予观察组患者使用远红外线冷暖气流床垫，4 h翻身1次。比较两组防治效果。结果观察组患者压疮发生率为13．4％，低于对照组21．8％，差异有统计学意义（ P＜0．05）；观察组患者Ⅰ、Ⅱ期压疮愈合率为95．8％，高于对照组70．6％，差异有统计学意义（P＜0．05）。结论远红外线冷暖气流床垫防治压疮效果显著，为ICU压疮高危患者有效防治压疮的方法，降低了ICU压疮高危患者的压疮发生率，提高了压疮治愈率。

Objective To explore the effect of XIR cold and warm air mattress used for prevention and control ofⅠandⅡperiods of pressure ulcers in ICU high risk patients of pressure ulcers and provide care references to reduce the incidence of pressure ulcers of the ICU patients with high risk of pressure ulcers and improve pressure ulcer cure rate.Methods 356 cases with high risk of pressure ulcers who were admitted to ICU during January 2010 to December 2011 were selected and randomly divided into observation （ n=186 ） and control （ n=170） groups.XIR cold and warm air mattress was used in observation group and patients in observation group were changed body posi-tion every four hours.The results were compared.Results The pressure ulcer rate of observation group was 13.4%, lower than that of con-trol group （21.8%）, the difference was statistically significant.Conclusion XIR cold and warm air mattress could effectively prevent and control pressure ulcers for the ICU patients with high risk of pressure ulcers, it is an effective way to prevent and control pressure ulcers.