CAJ | 학술논문

目的探讨氦氖激光照射联合硼酸湿敷治疗老年患者压疮的效果.方法将52例住院带有压疮的老年患者随机分成对照组和治疗组,对照组常规清洁疮面后用硼酸纱布湿敷；治疗组同样清创后给予氦氖激光照射压疮表面20 min,再用硼酸纱布湿敷,每天1次.两组患者治疗期间均采用压疮综合治疗护理措施.观察30 d压疮愈合情况.结果治疗组有效率为96.2％,对照组有效率为69.2％.两组比较差异有统计学意义(x2=4.837,P＜0.05)；治疗组显效时间也明显较对照组缩短[(12.19 ±6.40)d比(19.36±9.30)d],差异有统计学意义(t=-2.425,P＜0.05).结论氦氖激光照射联合硼酸湿敷治疗老年患者压疮,能够促进伤口愈合,缩短病程.
목적 탐토양내격광조사연합붕산습부치료노년환자압창적효과.방법 장52례주원대유압창적노년환자수궤분성대조조화치료조,대조조상규청길창면후용붕산사포습부；치료조동양청창후급여양내격광조사압창표면20 min,재용붕산사포습부,매천1차.량조환자치료기간균채용압창종합치료호리조시.관찰30 d압창유합정황.결과 치료조유효솔위96.2％,대조조유효솔위69.2％.량조비교차이유통계학의의(x2=4.837,P＜0.05)；치료조현효시간야명현교대조조축단[(12.19 ±6.40)d비(19.36±9.30)d],차이유통계학의의(t=-2.425,P＜0.05).결론 양내격광조사연합붕산습부치료노년환자압창,능구촉진상구유합,축단병정.
Objective To investigate the clinical effect of helium neon laser irradiation combined with boric acid wet packing on elder patients with pressure ulcers.Methods 52 cases of elderly patients with pressure ulcer were randomly divided into treatment group and control group.The control group was treated with boric acid wet packing after the wound debridement.The treatment group was treated with the helium neon laser irradiation on the pressure ulcer surface 20 minutes after the wound debridement and then boric acid wet packing once a day.Both groups received comprehensive treatment and nursing measures of pressure ulcers.Pressure ulcer healing was observed for 30 days.Results The effective rate of the treatment group was 96.2％ and that of the control group was 69.2％.Clinical effect of the treatment group was better than that of the control group,and the difference was statistically significant( x2 =4.837,P ＜0.05 ).The effect initiating time of the treatment group was lower than the control group [ ( 12.19 ± 6.40) d vs ( 19.36 ± 9.30) d],and the difference was statistically significant ( t =- 2.425,P ＜ 0.05 ).Conclusions Helium neon laser irradiation combined with boric acid wet packing can promote wound healing of pressure ulcers in elder patients,shorten course of disease.