国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
11期
1627-1629
,共3页
黄小玲%曾秋莲%陈嫦%梁亮
黃小玲%曾鞦蓮%陳嫦%樑亮
황소령%증추련%진항%량량
清创缝合%TDP照射%Ⅲ-Ⅳ期压疮%治疗
清創縫閤%TDP照射%Ⅲ-Ⅳ期壓瘡%治療
청창봉합%TDP조사%Ⅲ-Ⅳ기압창%치료
Debridement and suturing%TDP irradiation%Phase Ⅲ-Ⅳ bedsore%Treatment
目的 清创缝合应用于Ⅲ-Ⅳ期压疮治疗中的效果观察.方法 将80例Ⅲ～Ⅳ期压疮患者分观察组45例与对照组35例,观察组采用清创缝合配合TDP照射进行换药处理,对照组采用聚维酮碘乳膏外敷进行换药处理,两组同时取分泌物作细菌培养,根据药敏感试验结果使用抗感染治疗,加强全身营养支持及皮肤护理,观察清创缝合应用于Ⅲ-Ⅳ期压疮的治疗效果.结果 愈合时间观察组[(15.52±5.63)d]比对照组[(30.23±6.45)d]明显缩短,住院费用观察组[(6879.50±470.50)元]明显少于对照组[(10790.30±500.40)元],治愈率观察组(93.3％)明显高于对照组(71.4％),两组比较差异有统计学意义(P＜0.05).结论 清创缝合配合TDP照射治疗Ⅲ-Ⅳ期压疮,提高临床治疗效果,缩短住院时间,降低住院费用,可作为首选治疗广泛推广和应用于临床.
目的 清創縫閤應用于Ⅲ-Ⅳ期壓瘡治療中的效果觀察.方法 將80例Ⅲ～Ⅳ期壓瘡患者分觀察組45例與對照組35例,觀察組採用清創縫閤配閤TDP照射進行換藥處理,對照組採用聚維酮碘乳膏外敷進行換藥處理,兩組同時取分泌物作細菌培養,根據藥敏感試驗結果使用抗感染治療,加彊全身營養支持及皮膚護理,觀察清創縫閤應用于Ⅲ-Ⅳ期壓瘡的治療效果.結果 愈閤時間觀察組[(15.52±5.63)d]比對照組[(30.23±6.45)d]明顯縮短,住院費用觀察組[(6879.50±470.50)元]明顯少于對照組[(10790.30±500.40)元],治愈率觀察組(93.3％)明顯高于對照組(71.4％),兩組比較差異有統計學意義(P＜0.05).結論 清創縫閤配閤TDP照射治療Ⅲ-Ⅳ期壓瘡,提高臨床治療效果,縮短住院時間,降低住院費用,可作為首選治療廣汎推廣和應用于臨床.
목적 청창봉합응용우Ⅲ-Ⅳ기압창치료중적효과관찰.방법 장80례Ⅲ～Ⅳ기압창환자분관찰조45례여대조조35례,관찰조채용청창봉합배합TDP조사진행환약처리,대조조채용취유동전유고외부진행환약처리,량조동시취분비물작세균배양,근거약민감시험결과사용항감염치료,가강전신영양지지급피부호리,관찰청창봉합응용우Ⅲ-Ⅳ기압창적치료효과.결과 유합시간관찰조[(15.52±5.63)d]비대조조[(30.23±6.45)d]명현축단,주원비용관찰조[(6879.50±470.50)원]명현소우대조조[(10790.30±500.40)원],치유솔관찰조(93.3％)명현고우대조조(71.4％),량조비교차이유통계학의의(P＜0.05).결론 청창봉합배합TDP조사치료Ⅲ-Ⅳ기압창,제고림상치료효과,축단주원시간,강저주원비용,가작위수선치료엄범추엄화응용우림상.
Objective Debridement and suturing should be used to observe the effect in the treatment of stage Ⅲ-Ⅳ.Methods 80 cases with bedsore were divided into observation group (45 cases) and control group (35 cases).The observation group was treated with debridement and suturing combined with TDP irradiation.The control group was treated with povidone iodine cream topical dressing treatment.We tood discharge for bacterial culture,used anti-infection treatment according to the results of drug sensitive test and strengthened body nutrition support and skin care to observe the treatment effect of debridement and suturing applied to Ⅲ-Ⅳ period in pressure ulcer in the two groups at the same time.Result In the observation group,the wound healing time was (15.52 ± 5.63) days,while the control group was (30.23 ± 6.45) days.The hospitalization expenses cost was ￥~ (6879.50 ± 470.50) in the observation group,much less than that in the control group,￥ (10790.30 ± 500.40).The cure rate in the observation group was 93.3％,and compared with 71.4％ in the control group,showing statistical significant difference (P ＜ 0.05).Conclusion Debridement and suturing combined with TDP irradiation in the treatment of stage Ⅲ-Ⅳ can improve the clinical treatment effect,shorten the hospitalization time and reduce the cost of hospitalization.It can be used as the preferred treatment,worthy for extensive promotion and application in clinical.
