现代医药卫生
現代醫藥衛生
현대의약위생
MODERN MEDICINE HEALTH
2014年
16期
2424-2426
,共3页
压力性溃疡/治疗%危重病%治疗结果%3M聚酯泡沫敷料
壓力性潰瘍/治療%危重病%治療結果%3M聚酯泡沫敷料
압력성궤양/치료%위중병%치료결과%3M취지포말부료
Pressure ulcer/therapy%Critical ullness%Treatment outcome%3 M Tegaderm Foam Dressing
目的：探讨3 M聚酯泡沫敷料对危重患者Ⅰ期压疮的治疗效果。方法将2013年1~10月112例带入Ⅰ期压疮的患者按入科顺序排序，奇数号入观察组（56例），偶数号入对照组（56例）。观察组应用3 M聚酯泡沫敷料联合常规压疮治疗方法治疗，对照组仅采用常规压疮治疗方法进行治疗，记录并比较两组Ⅰ期压疮在重症医学科期间不同时间段（入科第3、6天和出科时）压疮的治疗情况以及恶化率和恶化程度。结果两组患者治疗后压疮均有改善，观察组总有效率[94.6%（53/56）]高于对照组[67.9%（38/56）]，差异有统计学意义（P<0.05）；在入科第3、6天及出科时，观察组总有效率分别为50.0%（28/56）、73.2%（41/56）、94.6%（53/56），对照组分别为30.4%（17/56）、51.8%（29/56）、67.9%（38/56），两组比较，差异均有统计学意义（P<0.05）；在重症医学科期间不同时间段观察组压疮的恶化率均低于对照组，恶化程度也更轻。结论采用3M聚酯泡沫敷料对提高Ⅰ期压疮的治愈率和有效率、降低在无效案例中Ⅰ期压疮的恶化率和恶化程度均有很好的效果，值得推广。
目的：探討3 M聚酯泡沫敷料對危重患者Ⅰ期壓瘡的治療效果。方法將2013年1~10月112例帶入Ⅰ期壓瘡的患者按入科順序排序，奇數號入觀察組（56例），偶數號入對照組（56例）。觀察組應用3 M聚酯泡沫敷料聯閤常規壓瘡治療方法治療，對照組僅採用常規壓瘡治療方法進行治療，記錄併比較兩組Ⅰ期壓瘡在重癥醫學科期間不同時間段（入科第3、6天和齣科時）壓瘡的治療情況以及噁化率和噁化程度。結果兩組患者治療後壓瘡均有改善，觀察組總有效率[94.6%（53/56）]高于對照組[67.9%（38/56）]，差異有統計學意義（P<0.05）；在入科第3、6天及齣科時，觀察組總有效率分彆為50.0%（28/56）、73.2%（41/56）、94.6%（53/56），對照組分彆為30.4%（17/56）、51.8%（29/56）、67.9%（38/56），兩組比較，差異均有統計學意義（P<0.05）；在重癥醫學科期間不同時間段觀察組壓瘡的噁化率均低于對照組，噁化程度也更輕。結論採用3M聚酯泡沫敷料對提高Ⅰ期壓瘡的治愈率和有效率、降低在無效案例中Ⅰ期壓瘡的噁化率和噁化程度均有很好的效果，值得推廣。
목적：탐토3 M취지포말부료대위중환자Ⅰ기압창적치료효과。방법장2013년1~10월112례대입Ⅰ기압창적환자안입과순서배서，기수호입관찰조（56례），우수호입대조조（56례）。관찰조응용3 M취지포말부료연합상규압창치료방법치료，대조조부채용상규압창치료방법진행치료，기록병비교량조Ⅰ기압창재중증의학과기간불동시간단（입과제3、6천화출과시）압창적치료정황이급악화솔화악화정도。결과량조환자치료후압창균유개선，관찰조총유효솔[94.6%（53/56）]고우대조조[67.9%（38/56）]，차이유통계학의의（P<0.05）；재입과제3、6천급출과시，관찰조총유효솔분별위50.0%（28/56）、73.2%（41/56）、94.6%（53/56），대조조분별위30.4%（17/56）、51.8%（29/56）、67.9%（38/56），량조비교，차이균유통계학의의（P<0.05）；재중증의학과기간불동시간단관찰조압창적악화솔균저우대조조，악화정도야경경。결론채용3M취지포말부료대제고Ⅰ기압창적치유솔화유효솔、강저재무효안례중Ⅰ기압창적악화솔화악화정도균유흔호적효과，치득추엄。
Objective To explore the therapeutic effect of 3 M Tegaderm Foam Dressing for stage Ⅰpressure ulcer of critical patients. Methods A total of 112 patients with stageⅠpressure ulcer from January to October 2013 were sorted by hos-pital order,the patients with odd number were observation group and patients with even number were control group ,56 cases in each group. The observation group used 3 M Tegaderm Foam Dressing and conventional treatment method to treat stage Ⅰpressure ul-cer,while the control group only adopted conventional method. To record and compare the treatment condition ,exacerbation rate and exacerbation degree of stageⅠpressure ulcer at difference times(3rd,6th day after admission to ICU,and the day of discharge from ICU ) between the two groups. Results The pressure ulcers of two groups were both improved. The total effective rate was 94.6%%(53/56) in the observation group and 67.9%(38/56) in the control group,and the difference between the two groups was statistically significant(P<0.05);at 3rd,6th day after admission to ICU and the day of discharge,the total effective rates in the observation group were 50.0%(28/56),73.2%(41/56) and 94.6%(53/56) respectively,and which in the control group were 30.3%(17/56),51.8%(29/56) and 67.9%(38/56) respectively,the differences between the two groups all had statistical significance (P<0.05);the exacerbation rate of pressure ulcer at difference times in ICU in observation group was lower than that in the control group,with light exacerbation degree. Conclusions 3 M Tegaderm Foam Dressing has good effect to improve the cure rate and effective rate of stageⅠpressure ulcer,and reduce the exacerbation rate and exacerbation degree in valid cases of stageⅠpres-sure ulcers,so it is worthy promoting.
