75%酒精联合地塞米松液预防手术压疮发生的应用研究

The Research of the Application of 75% Alcohol Combined with Dexamethasone in the Prevention of Pressure Ulcer

目的：探讨术后及时采用75%酒精联合地塞米松液外敷手术受压部位对预防压疮发生的效果。方法：选择术中受压4～6 h手术患者120例,随机抽取其中60例为观察组,60例为对照组。对照组据受压部位更换体位解压并给予10%硫酸镁湿纱布外敷;观察组则取适量75%酒精及地塞米松混合均匀后浸湿纱布约7～8成湿外敷并轻柔,观察两组患者的效果。结果：观察组压力位置的红色消退时间明显短于对照组（P〈0.05）,观察组压疮发生率明显低于对照组（P〈0.05）。结论：术后及时采用75%酒精联合地塞米松液外敷手术受压部位对预防压疮发生的效果显著,有效减少或避免手术压疮的发生。

Objective： To investigate the time after operation with 75% alcohol combined with dexamethasone solution external application surgery to prevent the compression part of pressure ulcer.Method： 120 surgical patients pressured for 4-6 h during operation were enrolled, the patients in control group（n=60） were replaced the ground position in bed and put gauze applying with 10% magnesium sulfate, the patients in observation group（n=60） were put gauze applying with 75% alcohol and dexamethasone and rubbed softly, the effect of the two groups were observed.Result： The red fade time of pressured position in observation grout~ was significantly shorter than tha｜ in control group（P〈O.05）, while the incidence of pressure sore in observation group was significantly lower than that in control group（P〈O.05）.Conelusion： Promptly after the operation with 75% alcohol combined with dexamethasone solutionexternalapplication surgery to prevent the compression part of pressure ulcer effect, effectively reduce or avoid the operation the occurrence of pressure ulcers.