摘要
目的观察三乙醇胺乳膏湿敷减轻创伤伤口的疼痛和促进愈合效果,探讨愈合计分用于评价创伤伤口疗效评价的可行性。方法入选60例患者按照随机数字表法随机分为观察组和对照组各30例,观察组采用三乙醇胺乳膏涂抹加保湿覆盖,对照组采用藻酸盐敷料覆盖。观察比较治疗后第3、第7、第14、第21天伤口疼痛计分、伤口愈合计分、伤口面积缩小率、治愈率和愈合时间。结果两组治愈率100%,愈合时间比较差异无统计学意义(P>0.05)。两组治疗后21 d内伤口疼痛计分、愈合计分随治疗时间增加均呈明显下降趋势(P<0.05),伤口面积缩小率也增加明显(P<0.05)。结论伤口愈合计分用于创伤伤口疗效评价是客观可行的综合指标,三乙醇胺乳膏湿敷用于创伤伤口,其减轻伤口疼痛、促进伤口缩小和缩短愈合时间的效果优于单用藻酸盐敷料,使用安全便捷。
Objective To explore the effects of trolamine cream infiltration on diminishing wound-related pain and enhancing wound healing,and to study the feasibility of Pressure Ulcer Scale of Healing.Methods Sixty patients were randomly divided into experiment group and control groups equally.Trolamine cream covered by Vaseline and gauze was applied in experiment group and in control group,alginate dressing was utilized.Wound pain score,wound healing score and wound contraction rate,healing rate,healing time 3rd,7th,14th and 21th day after the treatment were compared.Results The healing rate of two groups was 100%.The mean healing time of both groups was not significant（P〉0.05）.The wounds pain and would healing scores of two groups were diminished within 21 days after the treatment（P〈0.05）,and wound contraction rate was raised（P〈0.05）.Conclusion The Pressure Ulcer Scale of Healing is feasible in evaluating the therapeutic effect.Trolamine cream can reduce wound pain and shorten healing time.Trolamine cream,safety and easy to use,performs better than alginate dressing.
出处
《护理学报》
2012年第13期53-57,共5页
Journal of Nursing（China）
基金
南京军区南京总医院科研基金(M2008001)
