湿性愈合疗法在Ⅲ～Ⅳ期重症压疮中的应用

Effect of moist healing therapy on severe pressure ulcers and nursing measures

目的探讨湿性愈合疗法在Ⅲ~Ⅳ期重症压疮中的应用效果,及总结护理要点。方法将45例Ⅲ~Ⅳ期院内压疮(62处压疮)患者按时间段分为对照组22例(30处压疮)和观察组23例(32处压疮)。对照组患者采用常规压疮护理,观察组患者依据压疮伤口情况采用水凝胶类敷料、藻酸盐敷料、水胶体敷料和重组人表皮生长因子凝胶等进行压疮治疗护理。比较两组患者创面治疗效果。结果观察组患者创面治疗效果总有效率明显高于对照组(P<0.01),差异均具有统计学意义。结论依据Ⅲ~Ⅳ期压疮伤口情况采用藻酸盐敷料、水凝胶类敷料和重组人表皮生长因子凝胶等进行压疮伤口湿性愈合疗法,可提高伤口愈合率。

Objective To explore the effect of moist healing therapy on severe pressure ulcers in stage Ⅲ~Ⅳ and summarize the nursing points. Methods Forty-five patients with stage Ⅲ~Ⅳ pressure ulcers（62 cases） were randomly divided into 23 patients of control group（30 cases） and 23 patients of observation group（32 cases）. The control group was treated with conventional pressure ulcer care. The observation group was treated with alderate dressing, hydrocolloid dressing and recombinant human epidermal growth factor gel. The wound healing time and wound healing effect were compared between the two groups. Result The total effective rate of the observation group was significantly higher than that of the control group（P〈0.01）. Conclusion The clinical effect of moist healing therapy combined with wet dressing in the treatment of severe pressure ulcer wound in stage Ⅲ~Ⅳ is superior to that of traditional pressure sore treatment, for it can shorten the healing time and increase the healing rate.