湿性愈合方法治疗脊髓损伤患者Ⅰ、Ⅱ期压疮效果观察
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摘要
目的:观察湿性愈合方法对脊髓损伤患者压疮的疗效。方法:选取脊髓损伤Ⅰ、Ⅱ期压疮患者30例,随机分成试验组和对照组,每组15例。试验组应用湿性愈合方法,对照组应用干性愈合方法。观察两组患者住院期间压疮部位皮肤愈合情况,并进行统计学分析。结果:试验组患者住院期间Ⅰ、Ⅱ期压疮疗效、换药次数及愈合时间均明显优于对照组,两组比较差异均有统计学意义(P<0.05)。结论:湿性愈合方法对脊髓损伤患者Ⅰ、Ⅱ期压疮疗效确切,值得推广。
Objective:To observe the curative effect of wet healing method on the patients with spinal cord injury.Method:30 pressure ulcers patients with spinal cord injury were selected and randomly divided into the experimental group and the control group,15 cases in each group.The patients with stageⅠand stageⅡ pressure sore were applied to the wet healing method in the experimental group,and the control group was used the dry healing method.The skin healing of pressure ulcer in the two groups of patients during hospitalization were observed,and analyzed by statistically.Result:The curative effect,the time of dressing change and the healing time of the patients in the experimental group were significantly better than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The effect of wet healing method on the patients with spinal cord injury is effective and worthy of promotion.
Objective:To observe the curative effect of wet healing method on the patients with spinal cord injury.Method:30 pressure ulcers patients with spinal cord injury were selected and randomly divided into the experimental group and the control group,15 cases in each group.The patients with stageⅠand stageⅡ pressure sore were applied to the wet healing method in the experimental group,and the control group was used the dry healing method.The skin healing of pressure ulcer in the two groups of patients during hospitalization were observed,and analyzed by statistically.Result:The curative effect,the time of dressing change and the healing time of the patients in the experimental group were significantly better than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The effect of wet healing method on the patients with spinal cord injury is effective and worthy of promotion.
引文
[1]高盼,韩玉.脊柱后路手术压疮防护[J].中国脊柱脊髓杂志,2015,25(4):348.
[2]李小寒,尚少梅.基础护理学[M].北京:人民卫生出版社,2008:81-82.
[3]Winter G D.Formation of the scab and the late of epithelialisation of 811perfichd wounds in the skin of the domestic pig[J].Wound Care,1995,4(8):366-367.
[4]姚鸿,陈立红.伤口湿性愈合理论的临床应用进展[J].中华护理杂志,2008,43(11):11-43.
[5]吴琳珊.湿性敷料在不可分期压疮治疗中的应用体会[J].现代诊断与治疗,2015,26(3):600-601.
[6]杨静.湿性愈合治疗压疮患者的疗效观察与护理体会[J].延边医学,2015,3(2):111.
[7]徐丽娟,粱秀环.循证护理在ICU压疮患者中的应用研究[J].临床研究,2015,4(1):155-156.
[8]欧洲压疮顾问小组及美国国家压疮顾问小组.压疮的治疗:快速参考指南[M].华盛顿DC:美国国家压疮顾问小组,2009:10-30.
[9]姚美蓉,兰晓娥,吴雪华,等.全面质量管理在预防压疮中的应用[J].中国实用护理杂志,2012,28(27):87-88.
[10]周素荷.湿性愈合在难免性压疮治疗中的研究进展[J].中华现代护理杂志,2012,18(12):1483-1485.
[11]贾克俭.湿性愈合理论在压疮护理中的应用[J].现代医药卫生,2012,28(22):3467-3468.
[12]余纪岚,程芬,叶丽茹.新型湿性敷料联合洁悠神在伤口护理中的应用[J].中国医学创新,2014,11(36):100-101.
[13]汤志萍,王富云,刘雪梅.协同护理干预对脑卒中后卧床患者照顾者预防压疮自我效能和认知水平的研究[J].中国医学创新,2015,12(5):69-70.
[14]蒋琪霞.伤口护理临床实践指南[M].南京:东南大学出版社,2004:1-50.
[15]杨景玲.应用湿性愈合疗法护理大面积压疮1例的体会[J].中外健康文摘,2014,21(23):261.
[16]周妤,罗宏丹,梁利,等.湿性愈合治疗压疮的护理体会[J].医学信息,2014,29(9):343.
[17]余腾斌.湿性愈合疗法治疗腹部手术切口感染的疗效观察[J].中外医学研究,2015,13(1):145.
[2]李小寒,尚少梅.基础护理学[M].北京:人民卫生出版社,2008:81-82.
[3]Winter G D.Formation of the scab and the late of epithelialisation of 811perfichd wounds in the skin of the domestic pig[J].Wound Care,1995,4(8):366-367.
[4]姚鸿,陈立红.伤口湿性愈合理论的临床应用进展[J].中华护理杂志,2008,43(11):11-43.
[5]吴琳珊.湿性敷料在不可分期压疮治疗中的应用体会[J].现代诊断与治疗,2015,26(3):600-601.
[6]杨静.湿性愈合治疗压疮患者的疗效观察与护理体会[J].延边医学,2015,3(2):111.
[7]徐丽娟,粱秀环.循证护理在ICU压疮患者中的应用研究[J].临床研究,2015,4(1):155-156.
[8]欧洲压疮顾问小组及美国国家压疮顾问小组.压疮的治疗:快速参考指南[M].华盛顿DC:美国国家压疮顾问小组,2009:10-30.
[9]姚美蓉,兰晓娥,吴雪华,等.全面质量管理在预防压疮中的应用[J].中国实用护理杂志,2012,28(27):87-88.
[10]周素荷.湿性愈合在难免性压疮治疗中的研究进展[J].中华现代护理杂志,2012,18(12):1483-1485.
[11]贾克俭.湿性愈合理论在压疮护理中的应用[J].现代医药卫生,2012,28(22):3467-3468.
[12]余纪岚,程芬,叶丽茹.新型湿性敷料联合洁悠神在伤口护理中的应用[J].中国医学创新,2014,11(36):100-101.
[13]汤志萍,王富云,刘雪梅.协同护理干预对脑卒中后卧床患者照顾者预防压疮自我效能和认知水平的研究[J].中国医学创新,2015,12(5):69-70.
[14]蒋琪霞.伤口护理临床实践指南[M].南京:东南大学出版社,2004:1-50.
[15]杨景玲.应用湿性愈合疗法护理大面积压疮1例的体会[J].中外健康文摘,2014,21(23):261.
[16]周妤,罗宏丹,梁利,等.湿性愈合治疗压疮的护理体会[J].医学信息,2014,29(9):343.
[17]余腾斌.湿性愈合疗法治疗腹部手术切口感染的疗效观察[J].中外医学研究,2015,13(1):145.