养老机构应用湿润烧伤膏治疗压疮效果观察

Observation on the Clinical Effect of MEBO in Treating Pressure Ulcer in an Elderly Care Institution

目的对比观察湿润烧伤膏治疗养老机构压疮患者的临床效果。方法将2015年8月至2018年5月海南省托老院收养的40例Ⅱ期以上老年压疮患者随机分为研究组(20例)和对照组(20例),其中研究组患者采用湿润烧伤膏治疗压疮创面,对照组患者采用阿米卡星喷雾剂治疗压疮创面,对比观察两组患者的创面疼痛程度、临床疗效及创面愈合时间。结果治疗2周后,研究组患者的创面疼痛评分为(2.01±0.02)分、治疗总有效率为100%,明显优于对照组患者的创面疼痛评分(4.57±0.22)分、治疗总有效率60.0%,两组对比,P均<0.01,差异具有统计学意义;最终两组患者创面均完全愈合,其中研究组患者创面愈合时间为(67.25±2.12) d,对照组患者创面愈合时间为(120.45±2.81) d,两组对比,P<0.01,差异具有统计学意义。结论养老机构应用湿润烧伤膏治疗老年患者压疮创面,可有效缓解创面疼痛,促进创面愈合,疗效显著,值得推广应用。

Objective To observe the clinical effect of MEBO in treating pressure ulcer on the aged in an elderly care institution.Methods Forty patients with pressure ulcers of stage Ⅱ and above, admitted to Hainan Provincial Care Home from August 2015 to May 2018, were randomly divided into a study group(20 cases) and a control group(20 cases). Patients in the study group were treated with MEBO while patients in the control group with Amikacin Spray. The wound pain, clinical effect and wound healing time were compared between the two groups.Results After 2 weeks of treatment, the wound pain score was(2. 01 ± 0. 02) points and the total effective rate was 100% in the study group, which were much superior to the corresponding(4. 57 ± 0. 22) points and 60. 0% in the control group, and statistically significant differences were observed between the two groups( bothP< 0. 01). The wounds of the two groups were all completely healed at the end of treatment course. The wound healing time was(67. 25 ± 2. 12) d in the study group and(120. 45 ±2. 81) d in the control group, between which the comparison showed statistically significant difference(P< 0. 01).Conclusion In the treatment of pressure ulcer wounds in the elderly patients, MEBO can effectively relieve the wound pain and promote wound healing, deserving to be promoted in clinical practice due to its good clinical effect.