中药压疮膏伤口换药护理对压疮患者创面愈合的影响

Influences of traditional Chinese medicine pressure ulcer cream and nursing care on wound healing in patients with pressure ulcers

目的 探讨中药压疮膏伤口换药护理对压疮患者创面愈合的影响.方法 将压疮患者（126例,212处压疮）按照随机数字表法分为压疮膏创面护理组（63例,107处压疮）、美皮康银离子辅料组（63例,105处压疮）两组,分别于治疗前、治疗后第20天使用压疮愈合评分表（pressure ulcer scale for healing,PUSH）对每处压疮进行评分,观察第20天创面愈合率.结果 两组患者压疮伤口治疗前的PUSH评分的差异无统计学意义（t=-0.59,P〉0.05）,而治疗后第20天,压疮膏创面护理组PUSH评分优于美皮康银离子辅料组,差异有统计学意义（t=-2.65,P〈0.01）.结论 压疮膏伤口护理治疗Ⅱ、Ⅲ、Ⅳ期压疮患者均有显著疗效,其20 d创面PUSH评分优于美皮康银离子辅料.

Objective To explore the influences of traditional Chinese medicine pressure ulcer cream and nursing care on wound healing in patients with pressure ulcers.Methods The patients （126 cases, 212 wounds） were randomly divided into pressure ulcer cream group （63 cases, 107 wounds）and Mepilex Ag group （63 cases, 105 wounds） 2 groups according to the random number table. The pressure ulcer wounds in each group were scored by pressure ulcer scale for healing （PUSH） before the treatment and on day 10 and 20 after treatment to compare the therapeutic effects between the two groups.Results There was no significant difference between 2 groups of patients with pressure ulcer in before the treatment on the PUSH score （t=-0.59, P〉0.05）, and on day 20 after treatment, pressure ulcer cream group was better than that of Mepilex Ag group （t=-2.65,P〈 0.01）.Conclusions Traditional Chinese medicine pressure ulcer cream in the treatment of Ⅱ,Ⅲ and Ⅳ stage of pressure ulcer speeding up wound healing, with superior therapeutic efficacy to that of Mepilex on the 20 day after treatment.