水胶体含银敷料和解毒生肌膏对下肢静脉溃疡的应用评价

Application evaluation of hydrocolloid silver-containing dressing and Jiedu Shengji ointment

目的探讨水胶体含银敷料联合解毒生肌膏应用于下肢静脉溃疡的临床效果。方法选取2022年10月至2023年5月上海健康医学院附属嘉定区中心医院伤口造口门诊收治的84例下肢静脉溃疡伤口患者进行研究。根据患者入院单双日随机分为观察组和对照组,每组42例。两组患者均实施“三步换药”法处理伤口,对照组患者使用常规外用敷料,观察组患者采用网状水胶体含银敷料并局部使用解毒生肌膏,比较两组患者的护理效果。结果观察组总有效率高于对照组(P<0.05)。观察组患者的创口愈合时间和治疗时间短于对照组;换药次数少于对照组(P<0.05)。干预后观察组患者的白细胞介素(interleukin,IL)-6、IL-8水平均低于对照组(P<0.05);自觉疼痛评分低于对照组(P<0.05);护理总满意率高于对照组(P<0.05)。结论下肢深静脉溃疡伤口患者的“三步换药”是一种有效的伤口处理方法,配合网状水胶体含银敷料及解毒生肌膏局部使用可进一步加快患者的伤口愈合进程和效果。

Objective To explore the clinical effect of hydrocolloid silver-containing dressing combined with Jiedu Shengji ointment in the nursing of venous ulcer wounds of lower limbs.Methods A total of 84 patients with venous ulcer wounds of lower limbs admitted to the wound ostomy clinic of Jiading Central Hospital,Shanghai University of Medicine&Health Sciences from October 2022 to May 2023.Patients were divided into observation group and control group according to the method of single and double days of admission,with 42 cases in each group.The patients in two groups were treated with“three-step dressing change”,the patients in control group were treated with conventional external dressing,and the patients in observation group were treated with reticular hydrocolloid silver dressing and Jiedu Shengji ointment for local use.The nursing effects of the two groups were compared.Results The total effective rate of observation group was higher than that of the control group(P<0.05).The wound healing time,treatment time and dressing change times in the observation group were lower than those in control group(P<0.05).The levels of interleukin(IL)-6 and IL-8 in observation group were lower than those in control group(P<0.05).The score of self-conscious pain in observation group was lower than that in control group(P<0.05).The total nursing satisfaction rate of observation group was higher than that of control group(P<0.05).Conclusion“Three-step dressing change”is an effective wound treatment method in the nursing care of patients with deep venous ulcer of lower limbs.It can further accelerate the wound healing process and effect with the local use of reticular hydrocolloid silver-containing dressing and Jiedu Shengji ointment.