CAJ | 학술논문

目的：比较新型敷料和普通纱布敷料在骶尾部褥疮治疗中的效果差异。方法2010年1月至2012年12月间将32例骨科骶尾部褥疮患者随机分为观察组(17例)和对照组(15例)，分别采用新型银离子敷料德湿银+天然藻酸钙纤维敷料德湿康或普通纱布敷料对骶尾部褥疮进行换药治疗，观察换药后第3、7、15、30天的创面治疗效果及患者疼痛感受。结果换药后第3天，两组创面评分差异无统计学意义(P>0.05)，然而，新型敷料组疼痛评分低于普通敷料组，差异有统计学意义(P<0.05)。到换药后第7天，新型敷料组不仅疼痛评分低于普通敷料组，创面评分也开始高于普通敷料组，差异均有统计学意义(P<0.05)。换药后第15天和第30天，新型敷料组创面评分高于普通敷料组(P<0.05)，但两组疼痛评分差异无统计学意义(P>0.05)。换药后第30天，新型敷料组创面愈合率高于普通敷料组，差异有统计学意义(P<0.05)。结论新型银离子敷料德湿银+天然藻酸钙纤维敷料德湿康治疗骶尾部褥疮疗效好，患者舒适度较高。
목적：비교신형부료화보통사포부료재저미부욕창치료중적효과차이。방법2010년1월지2012년12월간장32례골과저미부욕창환자수궤분위관찰조(17례)화대조조(15례)，분별채용신형은리자부료덕습은+천연조산개섬유부료덕습강혹보통사포부료대저미부욕창진행환약치료，관찰환약후제3、7、15、30천적창면치료효과급환자동통감수。결과환약후제3천，량조창면평분차이무통계학의의(P>0.05)，연이，신형부료조동통평분저우보통부료조，차이유통계학의의(P<0.05)。도환약후제7천，신형부료조불부동통평분저우보통부료조，창면평분야개시고우보통부료조，차이균유통계학의의(P<0.05)。환약후제15천화제30천，신형부료조창면평분고우보통부료조(P<0.05)，단량조동통평분차이무통계학의의(P>0.05)。환약후제30천，신형부료조창면유합솔고우보통부료조，차이유통계학의의(P<0.05)。결론신형은리자부료덕습은+천연조산개섬유부료덕습강치료저미부욕창료효호，환자서괄도교고。
Objective To compare the efficacy of ionic silver dressing plus calcium alginate dressing and tra-ditional gauze dressing on sacrococcygeal bedsore in orthopedic nursing. Methods From January 2010 to December 2012, 32 patients with sacrococcygeal bedsore were recruited from orthopedics department and randomly divided into two groups, 17 patients in trial group which received treatment with ionic silver dressing plus calcium alginate dress-ing, and 15 patients in control group which received traditional gauze dressing. Scores of wound surface and pain were assessed and compared between the two groups at the 3rd, 7th, 15th, 30th day after dressings change, respectively. Results At the 3rd day after dressing change, there was no difference in wound surface score between the two groups, while the pain score in trial group was lower than that in control group with statistical significance. At the 7th day after dressings change, compared with those in control group, wound surface score was higher and pain score was lower in trial group (P<0.05). At 15th and 30th day after dressings change, wound surface score in trial group was high-er than that in control group (P<0.05), but there was no difference in pain score between the two groups (P>0.05). At 30th day after dressings change, healing rate in trial group was significantly higher than that in control group (P<0.05). Conclusion New dressings have good efficacy on sacrococcygeal bedsore in orthopedic nursing, as well as high lev-el of comfort.