康惠尔透明贴预防关节镜下前交叉韧带重建术患者压疮的疗效分析
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摘要
目的观察康惠尔透明贴并配合常规护理在骨科关节镜下前交叉韧带重建术患者存在压疮高危患者中的效果。方法选择在我院治疗的骨科关节镜下前交叉韧带重建术治疗中存在压疮高危患者40例,随机分为对照组(n=20)和治疗组(n=20)。对照组使用常规护理措施,治疗组使用康惠尔透明贴贴配合常规护理。记录两组Braden评分,计算两组患者的压疮发生率。结果对照组患者Braden评分12分以上患者7例,12分以下患者13例,研究组12分以上患者18例,12分以下患者2例,两组压疮高危患者人数比较,差异有统计学意义(P <0.01)。与对照组相比,研究组C反应蛋白、白细胞水平炎症指标均显著降低。对照组压疮发生率30%,与对照组比较,研究组压疮发生率显著降低(P <0.05),此外,两组患者或家属对护理及治疗的满意度无显著差异。结论康惠尔透明贴配合常规护理可有效预防关节镜下前交叉韧带重建术患者的压疮高危性,且改善患者炎症水平,压疮的发生率得到有效地控制,患者满意度较佳。
Objective To observe the clinical effect of comfeel plus transparent dressing and routine nursing in the prevention of pressure ulcers of patients undergoing arthroscopic anterior cruciate ligament reconstruction. Methods 40 patients with high risk of pressure ulcer treated by arthroscopic anterior cruciate ligament reconstruction in our hospital were randomly divided into control group(n=20) and treatment group(n=20).The control group was treated with routine nursing,while the treatment group was treated with Comfeel plus transparent dressing and routine nursing.Braden score was recorded and the incidence of pressure ulcer was calculated. Results In the control group,there were 7 patients with Braden score above 12 and 13 patients with Braden score below 12,in the treatment group,18 patients had more than 12 scores and 2 patients had less than 12 scores,the difference was statistically significant(P< 0.01).Compared with the control group,the levels of C-reactive protein and leukocyte in the treatment group were significantly lower.The incidence of pressure ulcer in the control group was 30%, compared with the control group,the treatment group was significantly lower(P < 0.05).In addition,there was no significant difference in satisfaction with nursing and treatment between the two groups of patients or their families. Conclusion Comfeel plus transparent dressing combined with routine nursing can effectively prevent the high risk of pressure ulcer in patients undergoing arthroscopic anterior cruciate ligament reconstruction,improve the inflammation level,effectively control the incidence of pressure ulcer,and patients' satisfaction is better.
Objective To observe the clinical effect of comfeel plus transparent dressing and routine nursing in the prevention of pressure ulcers of patients undergoing arthroscopic anterior cruciate ligament reconstruction. Methods 40 patients with high risk of pressure ulcer treated by arthroscopic anterior cruciate ligament reconstruction in our hospital were randomly divided into control group(n=20) and treatment group(n=20).The control group was treated with routine nursing,while the treatment group was treated with Comfeel plus transparent dressing and routine nursing.Braden score was recorded and the incidence of pressure ulcer was calculated. Results In the control group,there were 7 patients with Braden score above 12 and 13 patients with Braden score below 12,in the treatment group,18 patients had more than 12 scores and 2 patients had less than 12 scores,the difference was statistically significant(P< 0.01).Compared with the control group,the levels of C-reactive protein and leukocyte in the treatment group were significantly lower.The incidence of pressure ulcer in the control group was 30%, compared with the control group,the treatment group was significantly lower(P < 0.05).In addition,there was no significant difference in satisfaction with nursing and treatment between the two groups of patients or their families. Conclusion Comfeel plus transparent dressing combined with routine nursing can effectively prevent the high risk of pressure ulcer in patients undergoing arthroscopic anterior cruciate ligament reconstruction,improve the inflammation level,effectively control the incidence of pressure ulcer,and patients' satisfaction is better.
引文
[1]朱玉辉.关节镜下膝关节前交叉韧带重建的近中期临床疗效[D].长春:吉林大学,2011:23-26.
[2]Islam MZ,Rahman M,Ali ME,et al.Arthroscopic Anterior Cruciate Ligament Reconstruction with Triplet Autograft of Semitendinosus Tendon[J].Mymensingh Med J,2017,26(3):545-550.
[3]Andrianasolo J,Ferry T,Boucher F,et al.Pressure ulcerrelated pelvic osteomyelitis:evaluation of a two-stage surgical strategy(debridement,negative pressure therapy and flap coverage)with prolonged antimicrobial therapy[J].BMC Infect Dis,2018,18(1):166.
[4]江维,陈霞,黄肖蓉,等.Braden评分在肾内科卧床病人压疮预测中的应用价值[J].现代医学,2017,45(4):522-524.
[5]金新源,谢尔凡.压疮的评估、预防和治疗研究进展[J].中华损伤与修复杂志(电子版),2014,9(2):189-194.
[6]Janowska A,Oranges T,Chiricozzi A,et al.Synergism of Therapies After Postoperative Autograft Failure in a Patient With Melanoma of the Foot Misdiagnosed as a Pressure Ulcer[J].Wounds,2018,30(4):E41-E43.
[7]楚广玉.紫草纱条与康惠尔泡沫敷料贴对晚期癌症患者深度压疮治疗效果的比较[D].天津:天津医科大学,2016:32-37.
[8]Ben MF,Ben JK,Khalfallah M,et al.Prevalence and risk factors of pressure ulcers in a Tunisian hospital[J].Tunis Med,2017,95(7):494-499.
[9]杨学荣.不同敷料预防及治疗Ⅰ期压疮的效果比较[D].青岛:青岛大学,2014.
[10]林淑珍,余峥,孙娟娟.水胶体透明贴预防无创呼吸机压疮护理分析[J].中国卫生标准管理,2017,8(11):156-157.
[11]Ben MF,Ben JK,Khalfallah M,et al.Prevalence and risk factors of pressure ulcers in a Tunisian hospital[J].Tunis Med,2017,95(7):494-499.
[12]樊艳美.穴位按摩对Ⅰ期压疮护理干预的临床效果研究[D].北京:中国中医科学院,2017.
[13]Osborne W.Parastomal hernia:the need for consistency in prevention and management[J].Br J Nurs,2017,26(22):S4.
[14]Dissemond J,Bottrich JG,Braunwarth H,et al.Evidence for silver in wound care-meta-analysis of clinical studies from 2000-2015[J].J Dtsch Dermatol Ges,2017,15(5):524-535.
[15]金伟.激进康复训练联合神经肌肉电刺激对关节镜下前交叉韧带重建术后关节功能恢复的影响[J].中国医药导报,2016,13(36):121-124.
[16]李海涛,张小琼,边东达.康惠尔透明贴对经桡动脉途径冠状动脉介入术后皮肤损伤的疗效观察[J].中国临床医生杂志,2016,44(11):33-34.
[17]陈燕玲,胡冠琼,杜勇.康惠尔透明贴预防小儿静脉留置针压疮的效果观察[J].护理与康复,2017,16(1):45-47.
[2]Islam MZ,Rahman M,Ali ME,et al.Arthroscopic Anterior Cruciate Ligament Reconstruction with Triplet Autograft of Semitendinosus Tendon[J].Mymensingh Med J,2017,26(3):545-550.
[3]Andrianasolo J,Ferry T,Boucher F,et al.Pressure ulcerrelated pelvic osteomyelitis:evaluation of a two-stage surgical strategy(debridement,negative pressure therapy and flap coverage)with prolonged antimicrobial therapy[J].BMC Infect Dis,2018,18(1):166.
[4]江维,陈霞,黄肖蓉,等.Braden评分在肾内科卧床病人压疮预测中的应用价值[J].现代医学,2017,45(4):522-524.
[5]金新源,谢尔凡.压疮的评估、预防和治疗研究进展[J].中华损伤与修复杂志(电子版),2014,9(2):189-194.
[6]Janowska A,Oranges T,Chiricozzi A,et al.Synergism of Therapies After Postoperative Autograft Failure in a Patient With Melanoma of the Foot Misdiagnosed as a Pressure Ulcer[J].Wounds,2018,30(4):E41-E43.
[7]楚广玉.紫草纱条与康惠尔泡沫敷料贴对晚期癌症患者深度压疮治疗效果的比较[D].天津:天津医科大学,2016:32-37.
[8]Ben MF,Ben JK,Khalfallah M,et al.Prevalence and risk factors of pressure ulcers in a Tunisian hospital[J].Tunis Med,2017,95(7):494-499.
[9]杨学荣.不同敷料预防及治疗Ⅰ期压疮的效果比较[D].青岛:青岛大学,2014.
[10]林淑珍,余峥,孙娟娟.水胶体透明贴预防无创呼吸机压疮护理分析[J].中国卫生标准管理,2017,8(11):156-157.
[11]Ben MF,Ben JK,Khalfallah M,et al.Prevalence and risk factors of pressure ulcers in a Tunisian hospital[J].Tunis Med,2017,95(7):494-499.
[12]樊艳美.穴位按摩对Ⅰ期压疮护理干预的临床效果研究[D].北京:中国中医科学院,2017.
[13]Osborne W.Parastomal hernia:the need for consistency in prevention and management[J].Br J Nurs,2017,26(22):S4.
[14]Dissemond J,Bottrich JG,Braunwarth H,et al.Evidence for silver in wound care-meta-analysis of clinical studies from 2000-2015[J].J Dtsch Dermatol Ges,2017,15(5):524-535.
[15]金伟.激进康复训练联合神经肌肉电刺激对关节镜下前交叉韧带重建术后关节功能恢复的影响[J].中国医药导报,2016,13(36):121-124.
[16]李海涛,张小琼,边东达.康惠尔透明贴对经桡动脉途径冠状动脉介入术后皮肤损伤的疗效观察[J].中国临床医生杂志,2016,44(11):33-34.
[17]陈燕玲,胡冠琼,杜勇.康惠尔透明贴预防小儿静脉留置针压疮的效果观察[J].护理与康复,2017,16(1):45-47.