拜尔坦硅胶泡沫敷料联合清创胶治疗3、4期压力性损伤的效果

Effect of Biatain Silicone Foam Dressing combined with Debridement Glue in the treatment of stage 3 and 4 stress injury

目的探讨拜尔坦硅胶泡沫敷料联合清创胶治疗3、4期压力性损伤患者的临床效果。方法选取2019年1月~2020年1月赣州市人民医院收治的3、4期压力性损伤患者80例作为研究对象,按照随机数字表法分为实验组和对照组,每组各40例。实验组给予拜尔坦硅胶泡沫敷料联合清创胶治疗,对照组给予银离子敷料联合泡沫敷料治疗,两组均连续干预30 d。比较两组的临床治疗效果、肉芽组织覆盖创面时间、直径缩小时间、伤口愈合时间、换药疼痛评分、换药频率及住院患者满意度。结果实验组临床治疗总有效率高于对照组,差异有统计学意义(P<0.05);实验组肉芽组织覆盖创面时间、直径缩小时间、伤口愈合时间短于对照组,差异有统计学意义(P<0.05);实验组换药疼痛评分、换药频率低于对照组,差异有统计学意义(P<0.05);实验组满意度高于对照组,差异有统计学意义(P<0.05)。结论拜尔坦硅胶泡沫敷料联合清创胶治疗3、4期压力性损伤患者的临床效果显著,有利于缩短患者肉芽组织覆盖创面时间、直径缩小时间、伤口愈合时间,促进伤口快速愈合,减轻患者痛苦,提高患者满意度。

Objective To investigate the clinical effect of Biatain Silicone Foam Dressing combined with Debridement Glue in the treatment of stage 3 and 4 stress injury.Methods A total of 80 patients with stage 3 and 4 stress injury admitted to Ganzhou People′s Hospital from January 2019 to January 2020 were selected as the research subjects.According to random number table method,they were divided into experimental group and control group,with 40 cases in each group.The experimental group was treated with Biltan Silicone Foam Dressing combined with Debridement Glue,and the control group with Silver Ion Dressing combined with foam dressing,both groups were treated with continuous intervention for 30 d.Clinical treatment effect,granulation tissue covering time of wound,diameter reduction time,wound healing time,dressing change pain score,dressing change frequency and inpatient satisfaction were compared between the two groups.Results The total effective rate of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05),the granulation tissue covering time,diameter reduction time and wound healing time in the experimental group were shorter than those in the control group,and the differences were statistically significant(P<0.05).The pain score and frequency of dressing change in the experimental group were lower than those in the control group,the differences were statistically significant(P<0.05).The satisfaction of the experimental group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The clinical effect of Biatain Silicone Foam Dressing combined with Debridement Glue in the treatment of patients with stage 3 and 4 pressure injury is remarkable,which is beneficial to shorten the time of granulation tissue covering wound,diameter reduction time,wound healing time,promote wound healing quickly,relieve patient pain and improve patient satisfaction.