摘要
目的观察不同创面处理方法对压疮(pressure ulcer,PU)创面疗效的影响,探讨治疗PU的最佳临床处理方法。方法将87个PU创面按分层随机化的方法分为对照组、实验Ⅰ组和实验Ⅱ组。对照组采用常规创面处理及喷洒洁悠神,实验Ⅰ组及实验Ⅱ组在常规创面处理的基础上分别加用新型敷料和改良封闭式负压引流法进行换药。结果3组Ⅲ度、Ⅳ度PU患者清创有效率比较,差异存在统计学意义(P<0.05),实验Ⅱ组的有效率达100.0%,明显高于对照组的11.1%及实验I组42.1%的有效率;3种方法在处理Ⅱ度PU创面上比较,差异无统计学意义(P>0.05)。结论改良封闭式负压引流技术处理Ⅲ度、Ⅳ度PU创面清创效果优于喷洒洁悠神及应用新型敷料法。对于Ⅱ度PU的创面,3种方法治疗效果无差异,故可根据患者的经济状况,适当选用洁悠神或新型敷料。
Objective To study the effect of different treatments on different wound surfaces on pressure ulcer （PU） and screen out the best treatment. Methods 87 PU surfaces stratificedly randomized into control group, experiment group Ⅰ and group Ⅱ. The control group was treated routinely and with sprayed, the experiment group I by adding new addressing, and the experiment group Ⅱ by addition of developed close negative pressure drainage. Results The differences in the effectiveness of the three different methods in treating PU of degree Ⅲ and degree Ⅳ were significant （P 〈 0.05）. The effective rate of experiment group Ⅱ reached 100.0%, higher than those of the other two groups （11.1% and 42.1%, respectively）, but there were no differences between the three methods for treating PU of degree Ⅱ （P 〉 0.05）. Conclusions The developed close negative drainage is more effective in treating PU of degree Ⅲ and degree Ⅳ than sprayed and the new dressing. For PU of degree Ⅱ , the three methods have insignificant differences, so sprayed and the new dressing can be a proper selection according to the financial condition of patients.
出处
《现代临床护理》
2009年第10期52-54,共3页
Modern Clinical Nursing
基金
广东省卫生厅立项课题
项目编号B2009122
关键词
压疮
创面处理
新型敷料
封闭式负压引流法
pressure ulcer
wound treatment
new addressing
close negative pressure drainage
