探讨神经内科压疮患者适宜的清创方法及其效果

To Explore the Appropriate Method and Effect of Debridement for Pressure Ulcer Patients in Department of Neurology

目的探讨神经内科压疮患者适宜的清创方法及其效果。方法选择神经内科压疮患者96例(138处压疮)作为实验对象,依照清创方法不同分为A组、B组和C组,A组采用自溶清创法,B组采用保守性锐器清创法,C组采用联合清创法,对比三组清创时间和愈合时间。结果 A组、B组、C组平均清创时间分别为(15.35±3.67)d、(11.76±2.32)d和(7.67±2.76)d,联合清创法的C组时间少于其它两组,差异有统计学意义(P<0.05);平均愈合时间分别为(53.54±7.45)d、(38.43±5.57)d和(20.31±3.45)d,C组愈合时间少于其余两组,差异有统计学意义(P<0.05)。结论对于神经内科压疮患者采用联合清创法能够有效缩短清创和愈合时间,促进伤口快速愈合,安全有效。

Objective To investigate the appropriate method and the effect of debridement in the patients with pressure ulcer in the Department of internal medicine.Methods 96 patients with 138 pressure ulcers were recruited in the study, in accordance with the debridement method were divided into group A, group B and group C, group A by autolysis debridement, group B with conservative sharp debridement, joint debridement method was applied in group C, compared to group time of debridement and healing time.Results In group A, group B and group C average debridement time respectively （15.35±3.67）d, （11.76±2.32） d, （7.67±2.76）d, joint debridement group C time was lower than the other two groups, the difference is statistically signiifcant （P〈0.05）, the average healing time were （53.54±7.45）d, （38.43±5.57）d, （20.31±3.45） d, group C healing time was signiifcantly less than the other two groups, the difference was statistically significant （P〈0.05）.Conclusion For patients with pressure ulcers in the department of internal medicine, debridement and healing time can be effectively reduced, and the wound healing can be promoted.