康复新液联合曲安奈德益康唑乳膏在老年髋部骨折合并失禁性皮炎患者护理中应用的效果评价

Effect evaluation of Kangfuxin Solution combined with triamcinolone and Econazole cream in nursing care of elderly patients with incontinence dermatitis of hip fracture

目的探讨康复新液联合曲安奈德益康唑乳膏在老年髋部骨折合并失禁性皮炎患者中应用的效果,为临床护理提供借鉴。方法采取随机对照试验,以便利抽样法选取2023年2月至2024年3月在中国人民解放军总医院第一医学中心骨科住院的80例老年髋部骨折合并失禁性皮炎患者为研究对象,依据随机数字表法将其分为试验组及对照组各40例。试验组使用康复新液联合曲安奈德益康唑乳膏,对照组使用3M喷剂护理失禁性皮炎患处。干预2周或2周内失禁性皮炎达到临床治愈则停止干预。采用失禁性皮炎皮肤损伤评估量表(IADS)和会阴部皮肤评估工具(PAT)评价2组患者患处皮肤状况,并比较2组的愈合时间及治疗有效率。结果对照组男11例,女29例,年龄(76.53±8.67)岁。试验组男9例,女31例,年龄(76.56±8.69)岁。2组基线资料比较差异均无统计学意义(均P>0.05)。干预后对照组的IADS和PAT评分分别为(27.13±5.22)分和(5.11±0.94)分,均显著高于试验组的(25.43±4.15)分和(3.73±1.21)分,差异均有统计学意义(t=7.22、8.21,均P<0.05)。试验组的治疗有效率为97.5%(39/40),显著高于对照组的72.5%(29/40),差异有统计学意义(χ^(2)=13.25,P<0.05)。试验组的失禁性皮炎愈合时间为(4.57±3.44)d,显著短于对照组的(9.23±4.19)d,差异有统计学意义(t=11.61,P<0.05)。结论康复新液及曲安奈德益康唑乳膏的联合应用,在改善老年髋部骨折患者失禁性皮炎及会阴部健康方面效果显著,能有效减轻症状并加快皮肤愈合,在临床上具有一定的应用价值。

ObjectiveTo explore the effect of Kangfuxin solution combined with triamcinolone and Econazole cream in elderly patients with hip fracture complicated with incontinence dermatitis,and to provide reference for clinical nursing.MethodsA randomized controlled trial was conducted to select 80 elderly patients with hip fracture complicated with incontinence dermatitis who were hospitalized in the Orthopedics Department of the First Medical Center of the PLA General Hospital from February 2023 to March 2024 by convenient sampling method.They were divided into the experimental group and the control group with 40 cases in each group according to random number table method.The experimental group was treated with Kangfuxin solution combined with triamcinolone and econazole cream for incontinence dermatitis.Intervention was stopped after 2 weeks of intervention or the incontinence dermatitis reached the clinical healing standard.In the control group,3M spray was used to care the affected area of incontinence dermatitis,intervention was stopped after 2 weeks or the incontinence dermatitis reached the clinical healing standard.Incontinence dermatitis Skin Injury Assessment Scale(IADS)and perineal skin assessment tool PAT were used to evaluate the skin status of the two groups,and the healing time and treatment effectiveness of the two groups were compared.ResultsIn the control group,there were 11 males and 29 females,with age of(76.53±8.67)years.There were 9 males and 31 females in the experimental group,with age of(76.56±8.69)years,and there was no significant differences in baseline data between the two groups(all P>0.05).After intervention,the IADS and PAT scores of the control group were(27.13±5.22)points and(5.11±0.94)points respectively,which were significantly higher than those of the experimental group(25.43±4.15)points and(3.73±1.21)points,and the differences were statistically significant(t=7.22,8.21,both P<0.05).The effective treatment in the experiment group was 97.5%(39/40),which was significant higher than 72.5%(29/40)in the control group(χ^(2)=13.25,P<0.05).The healing time of experimental group was(4.57±3.44)d,which was significantly shorter than that of control group(9.23±4.19)d,with statistical significance(t=11.61,P<0.05).ConclusionsThe combined application of Kangfuxin solution and triamcinolone and Econazole cream has a significant effect on improving incontinence dermatitis and perineal health in elderly patients with hip fracture,can effectively reduce symptoms and accelerate skin healing,and has certain clinical application value.