CAJ | 학술논문

目的探讨应用盘状表面电极经皮脉冲刺激脊神经根后支,对预防压疮形成的临床作用、效果和机制.方法将81例患者按入院日期奇偶数分为对照组41例和观察组40例.对照组按照基础护理学压疮预防标准进行护理.观察组在常规护理基础上,同时加用盘状表面电极经皮脉冲刺激脊神经根后支进行压疮预防.比较2组的压疮发生率,并进行χ2检验.结果观察组发生Ⅰ度、Ⅱ度压疮各1例,发生率为4.88%;对照组共发生压疮9例,其中Ⅰ度压疮5例,Ⅱ度压疮4例,发生率为22.50%,观察组压疮发生率显著低于对照组.结论使用常规压疮防治护理方法配合经皮脉冲刺激脊神经根后支用于压疮的预防,较单一使用常规压疮防治护理方法能更有效降低危险人群压疮的发生率,该项操作技术简便、无痛、无创,是早期预防压疮,进行护理干预的新的有效方法.
목적 탐토응용반상표면전겁경피맥충자격척신경근후지,대예방압창형성적림상작용、효과화궤제.방법 장81례환자안입원일기기우수분위대조조41례화관찰조40례.대조조안조기출호이학압창예방표준진행호리.관찰조재상규호리기출상,동시가용반상표면전겁경피맥충자격척신경근후지진행압창예방.비교2조적압창발생솔,병진행χ2검험.결과 관찰조발생Ⅰ도、Ⅱ도압창각1례,발생솔위4.88%;대조조공발생압창9례,기중Ⅰ도압창5례,Ⅱ도압창4례,발생솔위22.50%,관찰조압창발생솔현저저우대조조.결론 사용상규압창방치호리방법배합경피맥충자격척신경근후지용우압창적예방,교단일사용상규압창방치호리방법능경유효강저위험인군압창적발생솔,해항조작기술간편、무통、무창,시조기예방압창,진행호리간예적신적유효방법.
Objective To study the function, effect and mechanism of prevention of pressure sore formation with stimulation of the dorsal ramus of spinal nerve root by transcutaneous pulse using plateshape surface electrode. Methods According to the odd number and even number of admission date, 81 patients were divided into the control group (41 cases) and the observation group (40 cases). The control group received standard pressure sore prevention nursing according to Basic Nursing, the observation group received stimulation of the dorsal ramus of spinal nerve root by transcutaneous pulse using plate-shape surface electrode based upon routine nursing. Results 1 case caught grade Ⅰ pressure sere,1 case with grade Ⅱ pressure sere, and the incidence rate was 4.88% in the observation group, while in the control group, 5 cases caught grade Ⅰ pressure sore,4 cases with grade Ⅱ pressure sore, and the incidence rate was 22.50%. Conclusions Combination of routine prevention method with stimulation of the dorsal ramus of spinal nerve root by transcutancous pulse to prevent pressure sore formation can reduce the incidence rate of pressure sore in high risk population. This technique is easy, painless, noninvasive, and is a novel method for early prevention of pressure sore.