高位截瘫所致压疮患者使用德莫林治疗效果评价

Evaluation of the Effect of Dermlin on Pressure Sore Patients Caused by high Paraplegia

目的:对高位截瘫合并Ⅲ-Ⅳ期期压疮患者使用德莫林(皮肤创面无机诱导活性敷贴)治疗效果进行评价.方法:将47例高位截瘫合并Ⅲ-Ⅳ期期压疮患者随机数字法分为观察组和对照组,其中观察组25例对照组22例,2组均给予常规清洁消毒压疮周围皮肤,剔除创面坏死组织,使用双氧水冲洗清洁创面,并用无菌生理盐水棉球擦净创面等局部治疗,同时给予补充营养及抗感染治疗等全身综合支持治疗.观察组加用德莫林,对照组在局部使用抗感染药物后纱布敷料覆盖,比较2组治疗效果及治愈时间.结果:观察组在治疗效果及治愈时间比较差异有统计学意义(P<0.05).结论:德莫林治疗高位截瘫所致压疮效果可提高压疮治愈率,缩短愈合时间.

Objective: To evaluate the therapeutic effect of Demlin ( inorganic inductive active application for skin wounds ) on patients with high paraplegia and stage Ⅲ-Ⅳpressure sore. Methods: 47 patients with high paraplegia complicated with stage Ⅲ-Ⅳpressure sore were randomly divided into study group and control group, including 25 patients in study group and 22 patients in control group. Both groups were given routine cleaning and disinfection of skin around pressure sore, removing necrotic tissue from wound surface, washing and cleaning the wound surface with hydrogen peroxide, wiping the wound surface with sterile normal saline cotton ball and other local treatment, as well as general comprehensive support treatment such as nutrition supplement and anti-infection treatment. The study group was added with Dermlin and the control group was covered with gauze dressing after local application of anti -infection drugs. The therapeutic effect and cure time of the two groups were compared. Results丗 The treatment effect and cure time of the study group were significantly different ( p <0. 05 ). Conclusion: Dermlin can improve the healing rate and shorten the healing time of pressure sore caused by high paraplegia.