不同换药方式干预压疮的临床疗效分析

Clinical Analysis of Pressure Sore Dressing Way of Different Interventions

目的 探讨压疮患者的护理与治疗在临床应用的新方法。方法 将2012年5月~2013年6月入院的20例压疮患者设为对照组,采用雷夫诺尔纱条外敷于疮面,无菌纱布包扎固定,进行压疮常规护理;将2013年7月~2014年10月入院的24例压疮患者设为观察组,在压疮常规护理与治疗的基础上采用疮面面罩氧疗,联合润烧伤膏、人体表皮重组细胞生长因子进行治疗。结果 干预组总有效率为95.8%,对照组总有效率为80.0%,干预组显著好于对照组（P〈0.05）。对照组平均愈合时间：Ⅰ期30天,Ⅱ期70天,Ⅲ期135天,IV期172天愈合。干预组平均愈合：Ⅰ期7天,Ⅱ期15天,Ⅲ期38天,Ⅳ期52天愈合。干预组愈合时间显著短于对照组,差异有非常显著性意义（P〈0.01）。结论 压疮创面的积极护理及联合用药能提高患者压疮的治愈率并缩短愈合时间。

Objective To evaluate the clinical application of a new method of pressure ulcers in patient care and treatment. Methods May 2012 - June 2013 admitted 20 cases of pressure ulcers in patients as control group, using Ralph Noel gauze topical wound surface, sterile gauze bandage fixed, pressure -sore routine care; the 2013 7 months to October 2014 admitted 24 cases of patients with pressure sores observation group, the use of oxygen masks wound in routine care and treatment of pressure sores on the basis of joint lip burn ointment, recombinant human epidermal growth factor treatment. Results The total effective rate in Intervention group was 95. 8%, the total effective rate in the control group was 80. 0% ,the intervention group was significantly better than the control group （P 〈0. 05）. In the control group, the average healing time ： 1 period of 30 days, Ⅱ of 70 days, Ⅲ of 135 days, Ⅳof 172 days to heal. In the interven- tion group, the average healing： I of seven days, Ⅱ period of 15 days, period Ⅲ 38 days, the period IV 52 days healing. The intervention group healing time was significantly shorter than the control group, the difference was statistically significant （P 〈 0. 01 ）. Conclusions Pressure ulcer wound care and positive combination therapy can improve the cure rate in patients with pressure sores and shorten healing time.