软聚硅酮泡沫吸收敷料在重度颅脑损伤患者头皮压疮预防中的应用

Application of soft silicone foam absorbent dressing in prevention of scalp pressure ulcer of patients with severe craniocerebral injury

目的探讨软聚硅酮泡沫吸收敷料(美皮康)在重度颅脑损伤患者头皮压疮预防中的应用及效果。方法选取因重度颅脑损伤入住重症监护室的患者40例,随机分为对照组和观察组各20例,观察组患者用美皮康泡沫敷料贴于头皮受压部位,对照组患者采用普通无菌纱布垫于受压部位,病情稳定转出监护室前对2组患者头皮受压部位压疮发生情况进行比较。结果观察组头皮受压部位压疮发生率显著低于对照组(P<0.05),且患者舒适度显著高于对照组(P<0.01)。从新医改收费政策经济方面核算,观察组护理成本远低于对照组。结论重度颅脑损伤患者应用美皮康泡沫敷料能有效预防头皮压疮,提高患者舒适度,降低患者经济负担和护理成本,有很高的临床应用价值。

Objective To explore effect of soft silicone foam absorption dressings （Mepilex） in prevention of scalp pressure ulcer of patients with severe cranioeerebral injury. Methods A total of 40 severe head injury patients in our hospital were selected and were randomly divided into control group and observation group, with 20 cases in each group, patients in the observation group applied Mepilex foam dressing on scalp pressure sites, patients in the control group applied ordinary sterile gauze pads on pressure parts. Scalp pressure parts and occurrence of pressure ulcer were compared be- fore discharge from ICU. Results The incidence of pressure sores in the scalp of the observation group was significantly lower than that in the control group （ P 〈 0.05 ） , and comfort degree was signif- icantly higher than that in the control group （ P 〈 0.01 ）. From the perspective of economic costs, nursing cost in the observation group was much lower than that in the control group. Conclusion Mepilex foams for severe craniocerehral injury patients can effectively prevent pressure sores and im- prove comfort degree of patients, reduce the economic burden and the nursing cost, so it is of great value in clinical application.