摘要
目的:观察中西医综合医护措施干预老年失禁相关性皮炎(IAD)患者的疗效。方法:将128例IAD患者按随机数字表法分为观察组和对照组各64例。2组均积极处理失禁,清洗和保护局部皮肤,根据皮损情况应用硫磺软膏、红霉素软膏、曲安奈德益康唑乳膏治疗,并予补充营养、液体摄入管理和适当修复等综合护理措施。观察组结合不同皮损特点给予相应的医护措施。2组疗程均为10 d。治疗前、治疗10 d后评定IAD严重程度评估量表(IADS)评分和IAD皮肤状态评估量表(SCAT)评分。比较2组的临床疗效。结果:治疗后,观察组临床疗效优于对照组(P<0.05)。2组IADS评分及SCAT皮肤破损范围、皮肤发红、糜烂深度评分均较治疗前下降(P<0.01);观察组4项评分均低于对照组(P<0.01)。结论:相较单纯使用现代医学综合医护措施,采用中西医综合医护措施干预老年IAD患者可更好地改善皮炎症状,减轻皮炎严重程度。
Objective:To observe the curative effect of comprehensive Chinese and western medical measures for senile incontinence-associated dermatitis(IAD).Methods:A total of 128 cases of IAD patients were divided into the observation group and the control group according to the random number table method,64 cases in each group.In the two groups,incontinence was actively treated;local skin was cleaned and protected;sulfur ointment,erythromycin ointment,triamcinolone acetonide econazole cream were applied according to the skin lesions;comprehensive nursing measures such as nutrition supplement,fluid intake management and appropriate repair were given.The observation group was given corresponding medical measures according to different skin lesions characteristics.Both groups were treated for ten days.Before treatment and after ten-day treatment,the scores of Incontinence-Associated Dermatitis and Its Severity(IADS)and IAD Skin Condition Assessment Tool(SCAT)were evaluated.The clinical effect in the two groups was compared.Results:After treatment,the clinical effect in the observation group was better than that in the control group(P<0.05);the IADS scores and the scores of skin damage range,skin redness and erosion depth in SCAT in the two groups were decreased when compared with those before treatment(P<0.01);the above four scores in the observation group were lower than those in the control group(P<0.01).Conclusion:Compared with that of modern comprehensive medical measures alone,the intervention of comprehensive Chinese and western medical measures in senile IAD patients can better improve the symptoms of dermatitis and reduce the severity of the disease.
作者
沈凤
余晓英
彭东红
SHEN Feng;YU Xiaoying;PENG Donghong
出处
《新中医》
CAS
2021年第10期163-166,共4页
New Chinese Medicine
关键词
失禁相关性皮炎
老年
中医护理
失禁相关性皮炎严重程度评估量表
失禁相关性皮炎皮肤状态评估量表
Incontinence-associated dermatitis
Senile
Chinese medicine nursing
Incontinence-Associated Dermatitis and Its Severity
Incontinence-Associated Dermatitis Skin Condition Assessment Tool
