国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2009年
11期
94-96
,共3页
糖尿病%褥疮%丁胺卡那霉素%济安舒能%红外线照射%综合护理
糖尿病%褥瘡%丁胺卡那黴素%濟安舒能%紅外線照射%綜閤護理
당뇨병%욕창%정알잡나매소%제안서능%홍외선조사%종합호리
Diabetes%Bedsore%Amikacin%Jianshuneng%Infrared Radiation%Comprehensive Care
目的 探讨Ⅲ、Ⅳ期老年糖尿病褥疮感染的综合护理措施.方法 将100例老年糖尿病褥疮感染患者通过随机数字表法随机分为两组.两组均在常规综合护理的基础上进行换药,实验组50例采用过氧化氢溶液创面冲洗,丁胺卡那霉素消毒,济安舒能喷洒并结合红外线照射创面的方法 ;而对照组50例采用2.5%碘伏溶液消毒,红外线照射创面,0.02%呋喃西林液湿敷创面的常规换药方法 .观察两组的治疗效果和临床愈合时间.结果 实验组总有效率100%,明显高于对照组的82.0%.实验组治愈时间为(14.12±3.27)d,明显短于对照组的(24.37±3.87)d,二者相比均有显著性意义,P<0.05.结论 丁胺卡那霉素消毒,济安舒能喷洒并结合红外线照射创面,同时施行"个性化"结合综合护理治疗老年糖尿病褥疮疗效显著,能缩短治疗时间,对患者无不良反应,是安全、有效,值得推广的合理治疗护理方法 .
目的 探討Ⅲ、Ⅳ期老年糖尿病褥瘡感染的綜閤護理措施.方法 將100例老年糖尿病褥瘡感染患者通過隨機數字錶法隨機分為兩組.兩組均在常規綜閤護理的基礎上進行換藥,實驗組50例採用過氧化氫溶液創麵遲洗,丁胺卡那黴素消毒,濟安舒能噴灑併結閤紅外線照射創麵的方法 ;而對照組50例採用2.5%碘伏溶液消毒,紅外線照射創麵,0.02%呋喃西林液濕敷創麵的常規換藥方法 .觀察兩組的治療效果和臨床愈閤時間.結果 實驗組總有效率100%,明顯高于對照組的82.0%.實驗組治愈時間為(14.12±3.27)d,明顯短于對照組的(24.37±3.87)d,二者相比均有顯著性意義,P<0.05.結論 丁胺卡那黴素消毒,濟安舒能噴灑併結閤紅外線照射創麵,同時施行"箇性化"結閤綜閤護理治療老年糖尿病褥瘡療效顯著,能縮短治療時間,對患者無不良反應,是安全、有效,值得推廣的閤理治療護理方法 .
목적 탐토Ⅲ、Ⅳ기노년당뇨병욕창감염적종합호리조시.방법 장100례노년당뇨병욕창감염환자통과수궤수자표법수궤분위량조.량조균재상규종합호리적기출상진행환약,실험조50례채용과양화경용액창면충세,정알잡나매소소독,제안서능분쇄병결합홍외선조사창면적방법 ;이대조조50례채용2.5%전복용액소독,홍외선조사창면,0.02%부남서림액습부창면적상규환약방법 .관찰량조적치료효과화림상유합시간.결과 실험조총유효솔100%,명현고우대조조적82.0%.실험조치유시간위(14.12±3.27)d,명현단우대조조적(24.37±3.87)d,이자상비균유현저성의의,P<0.05.결론 정알잡나매소소독,제안서능분쇄병결합홍외선조사창면,동시시행"개성화"결합종합호리치료노년당뇨병욕창료효현저,능축단치료시간,대환자무불량반응,시안전、유효,치득추엄적합리치료호리방법 .
Objective To observe the clinical effect of comprehensive care for aged diabetes patients infected the 3rd or 4th period of pressure ulcer.Methods 100 aged patients with diabetes and infected bedsore were divided into two groups randomly. To all the patients, normal series of conventional diabetes care was offered and, hydrogen peroxide solution was used to wash the raw surface while changing dressing. For 50 cases in Control Group, Iodophors and furacillin solution were used as disinfectant. But for the rest 50 cases in Experimental Group, after disinfection with amikacin, Jianshuneng was sprayed on the raw surface Control group(50cases) the introduction of 2.5% Jianshuneng solution disinfection. Infrared radiation was applied in both groups. Clinical effect and clinical healing time were measured. Results The efficient tale of Experimental Group was 100% while that of Control group was 82.0%; Clinical Healing time for the Experimental Group was (14.12+3.27)d, which was obviously shorter thanthat (24.37+3.87)d in Control Group. There was significant difference between two groups in both efficient tare and clinical healing time (P<0.05). Conclusions comprehensive diabetes care for the aged diabetes patients infected bedsore had excellent clinical efficacy, it is safe, effective and worth the clinical practice and should be spreaded.
