摘要
目的：探讨改良式湿性疗法用于老年压疮的指征及其疗效。方法：根据老年压疮的难点、特点，改良清创、伤口调理和敷料使用等环节。入选40例≥65岁老年压疮患者，共56处Ⅱ-Ⅳ度压疮，根据评估结果动态调整联合清创方法、伤口调理方法和敷料组合使用。比较不同分期压疮的治愈率、平均愈合时间、清创时间和肉芽组织分级、周围皮肤分级。结果：56处治愈43处，好转11处，治愈好转率96．4％。其中Ⅱ度压疮治愈率95．8％，平均愈合时间为（13．6±0．8）d；Ⅲ度治愈率达77．8％，平均愈合时间为（49．7±8．2）d；Ⅳ度压疮治愈率达50％，平均愈合时间为（136．5±15．8）d。与文献结果比较，各期压疮平均愈合时间显著缩短。结论：改良式湿性疗法适用于老年各期压疮，特别是不能接受手术治疗的深度压疮患者。该疗法可提高治愈好转率，缩短疗程。
Objective ：To discuss the indications and observe the effectiveness of improved moist wound therapy for senior pressure ulcers. Methods： Fouty cases aged over 65 years suffered from 56 sites grade Ⅱ to Ⅳpressure ulcers were cleansed, debrided and covered with moisture healing dressings according to their different colors. The moisture dressings and keeping moisture interventions were regula ted continuously according to the grade of granulation and skin around the wounds, as well as the the amount of wound secretion. The healing rate, the average healing time and debrideded time , the granulation and skin sores were compared between the grade Ⅱ to Ⅳ pressure ulcers. Results：Of 56 sites , 43 sites healed, Ⅱsites improved, the healing and improving rate was 96.4%. Of 24 sites grade Ⅱpressure ulcers,23 sites healed, the healing rate was 95.8% and the mean healing time was （ 13.6 ± 0.8） days. The healing rate of grade Ⅲ pressure ulcers was 77.8% and the mean healing time was （49.7 ± 8.2） days, obviously more than that of grade Ⅱ pressure ulcer. The healing rate of grade Ⅳ was 50% ,and the average healing time was （136.5 ±15.8） days, significantly more than grade Ⅲ pressure ulcers ＇ s. Conclusion ： The moist wound therapy is suitable for grade Ⅱ - Ⅳsenior pressure ulcers, especially for the patients with venerable body, malnutrition and heart and lung dysfunction. The improved moist wound therapy can enhance the healing rate and diminish the healing time.
出处
《医学研究生学报》
CAS
2007年第11期1182-1185,共4页
Journal of Medical Postgraduates
基金
南京军区南京总医院科研基金资助项目(批准号:2003099)
关键词
压疮
老年
伤口处理
湿性疗法
Pressure ulcers
Senior
Wound management
Moist wound therapy
