蒙脱石散与液体敷料治疗老年糖尿病患者腹泻致肛周皮肤损伤效果和成本比较

Comparison of the Effect and Cost of Montmorillonite Powder and Liquid Dressing on Diarrhea-induced Perianal Skin Injury in Elderly Patients with Diabetes

目的探讨蒙脱石散与液体敷料应用于老年糖尿病患者腹泻致肛周皮肤损伤的临床价值。方法该研究选取2017年2月—2018年2月期间该院收治的老年糖尿病患者腹泻致肛周皮肤损伤患者58例,并随机划分为实验组和对照组各29例,实验组予以蒙脱石散方案,对照组予以常规液体敷料方案,对比两组患者采取相应治疗措施3 d后的临床效果。结果实验组采取治疗措施后痊愈率略优于对照组,但差异无统计学意义(P>0.05),实验组和对照组采取的治疗方案所需费用分别为18.7元、175.8元,实验组的总费用显著低于对照组,且差异有统计学意义(P<0.05)。结论蒙脱石散与液体敷料治疗老年糖尿病患者腹泻致肛周皮肤损伤均具有一定的疗效,能够有效改善患者症状,但蒙脱石散方案的药物费用显著下降,降低患者住院治疗的负担,值得临床借鉴。

Objective To investigate the clinical value of montmorillonite powder and liquid dressing in the treatment of perianal skin injury caused by diarrhea in elderly patients with diabetes. Methods A total of 58 patients with senile diabetic patients with diarrhea-induced perianal skin injury were enrolled in the hospital from February 2017 to February 2018.They were randomly divided into experimental group and control group, 29 cases in each group. The experimental group was given montmorillonite. In the scattered plan, the control group was given a routine liquid dressing program, and the clinical effects of the two groups of patients after three days of corresponding treatment measures were compared. Results The cure rate of the experimental group was slightly better than that of the control group, but the difference was not statistically sig nificant（P〈0.05）. The cost of the treatment plan for the experimental group and the control group was 18.7 yuan vs 175.8 yuan, respectively. The cost was significantly lower than the control group and the difference was statistically significant（P〈0.05）. Conclusion Montmorillonite powder and liquid dressing have a certain effect on the treatment of senile diabetic patients with diarrhea-induced perianal skin injury, which can effectively improve the symptoms of patients. However, the cost of montmorillonite powder is significantly reduced, which reduces the burden of hospitalization, with clinical reference.