脑梗死偏瘫患者院外带入Ⅱ期破溃压疮两种伤口护理方法疗效对比

Comparison of the curative effect of two treatment methods on the wounds of patients with cerebral infarction and hemiplegia taken out of hospital

目的观察评价脑梗死偏瘫患者院外带入Ⅱ期破溃压疮创面两种伤口护理方法的疗效对比。方法选取本院神经内科2017年1月至2020年6月收治的48例梗死偏瘫患者院外带入Ⅱ期破溃压疮患者,按照选用的伤口护理方法不同分为两组,其中以碘伏消毒美皮康外敷处理的24例设为对照组,另外24例以0.9%的氯化钠溶液清理创面后外贴纳米银创伤贴敷料后再加贴聚酯泡沫敷料,设为观察组。运用压疮愈合计分表(PUSH)对两组患者创面愈合情况进行动态评估,对比两组伤口的护理舒适度。结果两组患者均无无效及恶化情况发生,单位时间内,观察组愈合及有效例数明显高于对照组(P<0.05)。观察组伤口护理起效、创面愈合时间及平均住院日明显短于对照组,观察组达创面愈合的平均换药次数明显少于对照组(P<0.05),观察组患者舒适度评价明显优于对照组(P<0.05),但观察组换药费用高于对照组(P<0.05)。结论采用纳米银医用抗菌敷料联合聚氨酯泡沫敷料,用于脑梗死偏瘫患者院外带入Ⅱ期破溃压疮创面伤口护理,能有效促进创面愈合,有效缩短住院时间,患者对换药舒适度评价更高。

Objective:To observe and evaluate the results of comparison of the curative effect of two wound care methods for patients with cerebral infarction hemiplegia brought into the second-stage ulcer pressure ulcer wound outside the hospital.Methods:Selected from the Department of Neurology of our hospital from January 2017 to June 2020,48 patients with infarct hemiplegia who were brought into the hospital with ruptured pressure ulcer patients were divided into two groups according to the selected wound care methods.Among them,iodophor was used to disinfect mepi The 24 cases treated with Kang external application were set as the control group,and the other 24 cases were treated with saline to clean the wounds and then applied with nano-silver wound dressing and then with polyester foam dressing,set as the observation group.The pressure wound healing score(PUSH)was used to dynamically evaluate the wound healing of the two groups of patients,and compare the comfort of wound care in the two groups.Results:There was no invalidity and deterioration in the two groups of patients.The number of healing and effective cases in the observation group per unit time was significantly higher than that in the control group(P<0.05).The onset of wound care,wound healing time,and average hospital stay in the observation group were significantly shorter than those in the control group.The average number of dressing changes in the observation group to reach wound healing was significantly less than that of the control group(P<0.05),and the observation group was significantly better than the control group.The control group(P<0.05),but the cost of dressing change in the observation group was higher than that of the control group(P<0.05).Conclusion:The use of nano-silver medical antibacterial dressing combined with polyurethane foam dressing is used for the wound care of patients with cerebral infarction and hemiplegia who are brought into the second-stage ulcerated pressure sore wounds outside the hospital,which can effectively promote wound healing,effectively shorten the hospital stay,and patients have a higher evaluation of the comfort of dressing change.