中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2012年
1期
47-49
,共3页
泡沫敷料%聚氨酯凝胶垫%手术患者%压疮%效果观察
泡沫敷料%聚氨酯凝膠墊%手術患者%壓瘡%效果觀察
포말부료%취안지응효점%수술환자%압창%효과관찰
Foam dressing%Polyurethane gel pad%Surgical patients%Pressure ulcer%Effect observation
目的 观察泡沫敷料和聚氨酯凝胶垫预防手术压疮的效果.方法 将140例神经外科需放置俯卧位和侧卧位的手术患者随机分为对照组和实验组各70例,对照组术中采用常规处理加海绵垫；实验组术中常规压疮处理运用泡沫敷料加聚氨酯凝胶垫.术后即刻和术后30 min共2次,记录皮肤压疮情况,测量红斑最大直径(cm),并进行分期.术后24h对2组患者进行术后回访,记录压疮情况. 比较2组患者的一般状况及皮肤压疮情况和红斑最大直径.结果 实验组术后即刻、术后30 min、术后24h这3个时间点出现Ⅰ期压疮、Ⅱ期压疮的例数均低于对照组,红斑最大径在3个时间点也显著小于对照组.结论 泡沫敷料加聚氨酯凝胶垫的方法能够有效预防或缓解手术压疮,值得临床推广.
目的 觀察泡沫敷料和聚氨酯凝膠墊預防手術壓瘡的效果.方法 將140例神經外科需放置俯臥位和側臥位的手術患者隨機分為對照組和實驗組各70例,對照組術中採用常規處理加海綿墊；實驗組術中常規壓瘡處理運用泡沫敷料加聚氨酯凝膠墊.術後即刻和術後30 min共2次,記錄皮膚壓瘡情況,測量紅斑最大直徑(cm),併進行分期.術後24h對2組患者進行術後迴訪,記錄壓瘡情況. 比較2組患者的一般狀況及皮膚壓瘡情況和紅斑最大直徑.結果 實驗組術後即刻、術後30 min、術後24h這3箇時間點齣現Ⅰ期壓瘡、Ⅱ期壓瘡的例數均低于對照組,紅斑最大徑在3箇時間點也顯著小于對照組.結論 泡沫敷料加聚氨酯凝膠墊的方法能夠有效預防或緩解手術壓瘡,值得臨床推廣.
목적 관찰포말부료화취안지응효점예방수술압창적효과.방법 장140례신경외과수방치부와위화측와위적수술환자수궤분위대조조화실험조각70례,대조조술중채용상규처리가해면점；실험조술중상규압창처리운용포말부료가취안지응효점.술후즉각화술후30 min공2차,기록피부압창정황,측량홍반최대직경(cm),병진행분기.술후24h대2조환자진행술후회방,기록압창정황. 비교2조환자적일반상황급피부압창정황화홍반최대직경.결과 실험조술후즉각、술후30 min、술후24h저3개시간점출현Ⅰ기압창、Ⅱ기압창적례수균저우대조조,홍반최대경재3개시간점야현저소우대조조.결론 포말부료가취안지응효점적방법능구유효예방혹완해수술압창,치득림상추엄.
Objective To observe the effect of foam dressing and polyurethane gel pad in prevention of pressure ulcer for surgical patients.Methods 140 patients in neurosurgery department were randomly divided into the control group and the experimental group with 70 patients in each group.The control group received foam-rubber cushion for conventional nursing,the experimental group used foam dressing and polyurethane gel pad to prevent pressure ulcer.Instantly after the operation and 30 min later,the situation of skin pressure ulcer was recorded respectively,the maximum diameter of erythema was measured and the process was put into phases.24 hours after the operation,patients of the above two groups were visited and the situation of skin pressure ulcer was recorded.The skin pressure ulcer and the maximum diameter of erythema were compared between the two groups.Results Cases with phase Ⅰ and phase Ⅱ pressure ulcer in the experimental group were less than those of the control group at three time points,which were instantly after the operation,30 min and 24 hours later.The diameter of erythema at three time points was also less than the control group.Conclusions Foam dressing and polyurethane gel pad could effectively prevent or alleviate pressure ulcer after operation and therefore is worthy of clinical application.
