摘要
目的探讨链状序贯疗法治疗老年难治性压疮的临床应用效果。方法方便选择2017年1月—2018年6月之间在江滨医院进行治疗的60岁以上III～IV期老年压疮患者90例,根据患者的入院时间顺序,按照随机数字的方法将全部患者分为3个组,A组,B组,C组,每组30例患者,A组患者采用链状序贯疗法治疗,B组患者采用负压封闭引流技术(VSD)进行治疗,C组患者采用原位再生医疗技术进行治疗,对治疗的效果进行分析。结果经过治疗后,A组患者的创面大小从(28.18±7.25)cm2缩小为(2.03±0.81)cm2,B组患者的创面大小从(29.23±6.78)cm2缩小为(10.28±3.88)cm2,C组患者的创面大小从(27.19±7.01)cm2缩小为(10.81±3.76)cm2,经过治疗后,A组患者的创面深度从(2.03±0.28)cm缩小为(0.34±0.08)cm,B组患者的创面深度从(2.04±0.31)cm缩小为(1.07±0.13)cm,C组患者的创面深度从(2.05±0.29)cm缩小为(1.06±0.18)cm,经过治疗后,A组患者的窦道深度从(3.07±0.27)cm缩小为(0.57±0.09)cm,B组患者的窦道深度从(3.05±0.29)cm缩小为(1.58±0.23)cm,C组患者的窦道深度从(3.10±0.31)cm缩小为(1.66±0.28)cm,3个项目均为A组患者减小的程度大于B组和C组,数据差异有统计学意义(F=12.577,15.368,13.331,P<0.05),Ridit分析结果显示,3组患者的治疗效果数据差异有统计学意义(F=4.473,P<0.05),q检验结果 A组疗效优于B组和C组,数据差异有统计学意义(P<0.05)。结论使用链状序贯疗法治疗老年难治性压疮,可以提升创面愈合程度与治疗效果,值得在临床工作中推广。
Objective To investigate the clinical application of chain sequential therapy in the treatment of elderly patients with refractory pressure ulcers. Methods A total of 90 patients with stage III-IV age-old pressure ulcers over the age of 60 who were treated in Jiangbin Hospital from January 2017 to June 2018 were enrolled. According to the order of admission, all patients were randomized according to the random number method. For the three groups, group A, group B, group C, 30 patients in each group, group A patients were treated with chain sequential therapy, group B patients were treated with negative pressure closed drainage (VSD), group C patients were performed with situ regenerative medical technology to analyze the effects of the treatment. Results After treatment, the wound size of group A was reduced from (28.18±7.25)cm^2 to (2.03±0.81)cm^2, and the wound size of group B was reduced from (29.23±6.78)cm^2 to (10.28±3.88)cm^2. The wound size of the group was reduced from(27.19±7.01)cm^2 to (10.81±3.76)cm^2. After treatment, the wound depth of group A was reduced from (2.03±0.28)cm to(0.34±0.08)cm. The depth of the wound was reduced from (2.04±0.31)cm to (1.07±0.13)cm. The wound depth of the C group was reduced from (2.05±0.29)cm to (1.06±0.18)cm. After treatment, the sinus of group A patients depth of the tract was reduced from (3.07±0.27)cm to (0.57±0.09)cm. The depth of sinus in group B was reduced from (3.05±0.29) cm to (1.58±0.23) cm. The depth of sinus in group C was from ( 3.10±0.31) cm was reduced to (1.66±0.28) cm. The reduction of the three items in group A was greater than that in group B and C. The data were statistically significant (F=12.577, 15.368, 13.331, P<0.05), Ridit analysis showed that the difference in treatment effect data of the three groups of patients was statistically significant (F=4.473, P<0.05), q test results in group A were better than group B and group C, the data were statistically significant (P<0.05). Conclusion The use of chain sequential therapy for the treatment of refractory pressure ulcers in the elderly can improve the degree of wound healing and therapeutic effect, and it is worthy of promotion in clinical work.
作者
唐毅
杨建荣
李碧锦
林昌荣
许宇彪
潘颐聪
TANG Yi;YANG Jian-rong;LI Bi-jin;LIN Chang-rong;XU Yu-biao;PAN Yi-cong(Department of General Surgery, Jiangbin Hospital, Guangxi Zhuang Autonomous Region, Nanning, Guangxi, 550021 China;Department of Hepatobiliary Surgery, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, 550021 China)
出处
《中外医疗》
2019年第3期7-9,19,共4页
China & Foreign Medical Treatment
基金
广西壮族自治区卫生和计划生育委员会自筹经费科研项目(Z20170158)
关键词
序贯疗法
老年难治性压疮
愈合
Sequential therapy
Elderly refractory pressure ulcers
Healing
