中华航海医学与高气压医学杂志
中華航海醫學與高氣壓醫學雜誌
중화항해의학여고기압의학잡지
CHINESE JOURNAL OF NAUTICAL MEDICINE AND HYPERBARIC MEDICINE
2013年
6期
402-404
,共3页
顾群%官正茂%王智巍%张林曼
顧群%官正茂%王智巍%張林曼
고군%관정무%왕지외%장림만
深度褥疮%创必复%高压氧%护理
深度褥瘡%創必複%高壓氧%護理
심도욕창%창필복%고압양%호리
Deep bedsore%Chuangbifu%Hyperbaric oxygen%Nursing
目的 探讨高压氧联合创必复(成纤维细胞生长因子生物蛋白海绵)治疗深度褥疮的临床疗效.方法 患者及家属知情同意,并经医院伦理委员会同意,将67例深度褥疮患者按治疗方法不同分为对照组16例、创必复组16例、高压氧组15例和高压氧联合创必复组(高压氧联合组)20例,观察并比较各组患者深度褥疮愈合情况和护理时间.结果 在相同观察时间内患者治愈率比较,创必复组(62.5％)、高压氧组(46.7％)和高压氧联合组(80.0％)均优于对照组(31.2％),差异有统计学意义(P＜0.01),高压氧联合组优于创必复组、高压氧组(P＜0.05);护理时间比较,高压氧组、创必复组、高压氧联合组间接护理时间均较对照组明显缩短(P＜0.01),高压氧联合组问接护理时间较创必复组、高压氧组明显缩短(P＜0.05).结论 高压氧联合创必复治疗深度褥疮明显提高了疗效,降低了医院护理工作量.
目的 探討高壓氧聯閤創必複(成纖維細胞生長因子生物蛋白海綿)治療深度褥瘡的臨床療效.方法 患者及傢屬知情同意,併經醫院倫理委員會同意,將67例深度褥瘡患者按治療方法不同分為對照組16例、創必複組16例、高壓氧組15例和高壓氧聯閤創必複組(高壓氧聯閤組)20例,觀察併比較各組患者深度褥瘡愈閤情況和護理時間.結果 在相同觀察時間內患者治愈率比較,創必複組(62.5％)、高壓氧組(46.7％)和高壓氧聯閤組(80.0％)均優于對照組(31.2％),差異有統計學意義(P＜0.01),高壓氧聯閤組優于創必複組、高壓氧組(P＜0.05);護理時間比較,高壓氧組、創必複組、高壓氧聯閤組間接護理時間均較對照組明顯縮短(P＜0.01),高壓氧聯閤組問接護理時間較創必複組、高壓氧組明顯縮短(P＜0.05).結論 高壓氧聯閤創必複治療深度褥瘡明顯提高瞭療效,降低瞭醫院護理工作量.
목적 탐토고압양연합창필복(성섬유세포생장인자생물단백해면)치료심도욕창적림상료효.방법 환자급가속지정동의,병경의원윤리위원회동의,장67례심도욕창환자안치료방법불동분위대조조16례、창필복조16례、고압양조15례화고압양연합창필복조(고압양연합조)20례,관찰병비교각조환자심도욕창유합정황화호리시간.결과 재상동관찰시간내환자치유솔비교,창필복조(62.5％)、고압양조(46.7％)화고압양연합조(80.0％)균우우대조조(31.2％),차이유통계학의의(P＜0.01),고압양연합조우우창필복조、고압양조(P＜0.05);호리시간비교,고압양조、창필복조、고압양연합조간접호리시간균교대조조명현축단(P＜0.01),고압양연합조문접호리시간교창필복조、고압양조명현축단(P＜0.05).결론 고압양연합창필복치료심도욕창명현제고료료효,강저료의원호리공작량.
Objective To investigate the clinical effects of hyperbaric oxygen (HBO) combined with Chuangbifu (an FGF biologic protein sponge dressing) on deep bedsore.Methods A total of 67 patients were randomly divided into 4 groups:the control group (n =16),the Chuangbifu group (n =16),the HBO group (n =15) and the HBO combined with Chuangbifu group (n =20).Then,healing progress and nursing time were observed and compared between the 4 groups.Results Cure rates of the Chuangbifu group(62％),the HBO group(46.7％)and the HBO combined with Chuangbifu group(80％)in the same observation periods were all superior to those of the control group (P ＜ 0.01),and statistical significance could be seen between them (P ＜ 0.05).Cure rate of the HBO combined with Chuangbifu group was superior to those of the Chuangbifu groupand the HBO group (P ＜ 0.05).With regard to nursing time in the four groups,the nursing time for the HBOgroup,the Chuangbifu group and the HBO combined with Chuangbifu group was all significantly shorter than thatof the control group (P ＜ 0.01),and indirect nursing time for the HBO combined with Chuangbifu group wassignificantly shorter than that of the Chuangbifu group and the HBO group (P ＜ 0.05).Conclusions HBOtherapy combined with Chuangbifu could significantly increase the therapeutic effect on patients with deepbedsore,and at the same time,it could decrease nursing load on the medical personnel.
