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《老年患者重度压疮两种治疗方法效果比较.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、第36卷第4期右江民族医学院学报Vo1.36NO.42014年8月JournalofYoujiangMedicalUniversityforNationalitiesAug.2014老年患者重度压疮两种治疗方法效果比较刘月玲。王宜顺①,张立新,崔雪华(南通医科大学附属泰州市人民医院,江苏泰州225300E—mail:ly121q@126.corn)摘要:目的探讨藻酸盐银离子敷料和烧伤湿润膏治疗老年患者重度压疮(1lI、Ⅳ期)的临床效果。方法将33例(39处)llI、Ⅳ期压疮的老年患者随机分为观察组和对照组,观察组17例,压疮疮面2O处;对照组16例,压疮疮
2、面19处。两组均积极治疗原发病,重视支持治疗,加强基础护理,正确评估和清理伤口。观察组采用藻酸盐银离子敷料联合水胶体敷料换药。对照组用烧伤湿润膏涂抹在疮面上外有敷料覆盖。对两组治疗前,治疗后3、7、14、21、28d采用压疮愈合量表评价压疮愈合情况、有效率、疮面分泌物微生物检出结果并比较。结果观察组疗效明显高于对照组,观察组疮面愈合量表评分、疮面细菌检出率明显低于对照组,两组比较差异有统计学意义(P<0.05)。结论藻酸盐银离子敷料能有效治疗老年患者重度压疮,缩短治疗时间,提高治愈率,减轻病人痛苦,提高患者的生活质量。关键词:藻酸盐;银离子敷料;压力性溃疡
3、;治疗结果中图分类号:R632.1文献标识码:B文章编号:1001—5817(2014)04—0561一O3doi:10.3969/j.issn.1001—5817.2014.04.022ComparisonofoutcomesoftwomethodsfortreatmentofelderlypatientswithseverepressureulcersLiuYueling,WangYishun,ZhangLixin,CuiXuehua(TaizhouPeople'sHospitalAffiliatedtoNantongMedicalUniversity
4、,Taizhou225300E—mail:ly121q@126.corn)Abstract:0bjectiveToexploretheclinicalefficacyofsilverionalginatedressingandMoistExposedBurnOintrment(MEBO)intreatmentofelderlypatientswithseverepressureulcers(statesIII,Ⅳ).Meth—odsThirty-three(39wounds)elderlypatientswithstatesIllandIVpressure
5、ulcerswererandomlyassigned.——totwogroups:anobservationgroup(n一17,20pressureUlcers)andacontrolgroup(n一16,19pressureulcers).Theprimarydiseasesinbothgroupswerefirstlytreated,andwepaidattentiontosupporttherapy,strengthenedbasicnursing,evaluatedcorrectivelyandcleanedupthewounds.Theobse
6、rvationgroupreceiveddressingchangingbysilverionalginatedressingcombinedwithhydrocolloiddressing.Inthecontrolgroup,thewoundsweresmearedwithMEBOwithdressingoutside.Pre~treatmentandpost—treatmentonday3,7and14,healingofpressureulcers,responserate,microbialisolatedresultsfromwereevalua
7、tedbyusingPressureUlcerScaleforHealing.ResultsTheobservationgrouphadbetterefficiencythanthecontroIgroup.TherecordsofPressureUlcerScaleforHealingandtheisolatedrateofwoundbacteriaoftheobservationgroupweresignificantlylowerthanthecontrolgroup.Comparedobservationgrouptocontrolgroup,th
8、ereweresta—tisticallysignificantd
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