亲水纤维敷料结合清创在渗出性压力性损伤伤口中的疗效观察

Observation of Curative Effect of Hydrophilic Fiber Dressing Combined with Debridement in Exudative Pressure Injury Wounds

目的:探讨亲水纤维敷料结合清创的疗效。方法:随机选取渗出性(渗出量大于外层敷料1/3的中到大量渗出性伤口)压力性损伤伤口,共47例60处伤口,分为实验组、对照组各30处伤口,实验组给予患者使用亲水纤维敷料结合保守锐性清创,对照组仅给予保守锐性清创,直至失活组织全部去除。结果:实验组清创时间为(15.60 ±6.39),对照组清创期时间为(19.47 ±7.50),2组对比差异有统计学意义(p 【0.05),实验组清创时间短于对照组;2组伤口压疮愈合计分(PUSH值)组间比较差异有统计学意义(p 【0.05),2组伤口压疮愈合计分(PUSH值)都随时间呈下降趋势,且实验组下降的幅度较大,差异有统计学意义(p 【0.001)。结论:亲水纤维敷料可以使失活组织软化,吸附带走伤口上的失活组织,使清创的效果更好。

Objective: To explore the effect of hydrophilic fiber dressing combined with debridement. Methods Randomly selected exudative (medium to large exudative wounds with an exudative amount greater than 1/3 of the outer dressing) pressure injury wounds, a total of 47 cases of 60 wounds, divided into experimental group and control group 30 wounds. In the experimental group, patients were treated with hydrophilic fiber dressing combined with conservative sharp debridement, while in the control group, only conservative sharp debridement was given until all inactivated tissue was removed. Results: The debridement time of the experimental group was (15.60 ±6.39), and the debridement time of the control group was (19.47 ±7.50). The difference between the two groups was statistically significant (p <0.05). The debridement time of the experimental group was shorter than that of the control group;the difference in wound pressure ulcer healing score (PUSH value) between the two groups was statistically significant (p <0.05). The wound pressure ulcer healing score (PUSH value) of both groups showed a downward trend with time, and the experimental group decreased amplitude is large, and the difference is statistically significant (p <0.001). Conclusion: Hydrophilic fiber dressing can soften the inactivated tissue, absorb and remove the inactivated tissue on the wound, and make the debridement effect better.