CAJ | 학술논문

目的观察短波紫外线联合毫米波治疗压疮的疗效.方法共选取压疮患者53例(87个压疮伤口),将其随机分为3组,A组17例(28个压疮伤口),B组18例(29个压疮伤口),C组18例(29个压疮伤口).3组患者均给予常规护理,B组在此基础上给予单纯短波紫外线照射治疗,C组在常规护理基础上先给予毫米波治疗,再予以短波紫外线照射.治疗前采用Braden量表对患者皮肤的完整性进行评估,治疗前、后利用压疮状况量表(PSST)对患者的创面渗出及表皮增长状况等指标进行疗效评价.结果治疗前,3组患者的Braden评分及PSST评分差异均无统计学意义(P＞0.05).治疗后,A组PSST各指标(渗出类型、渗出量、大小、深度、上皮再生情况)评分分别为(2.57±1.20)分、(2.79±1.03)分、(3.04±1.10)分、(2.82±0.89)分、(3.07±1.01)分,B组渗出类型、渗出量、大小、深度、上皮再生情况评分分别为(2.13±1.11)分、(2.00±0.05)分、(2.83±1.23)分、(2.47 ±0.86)分、(2.67±0.92)分,C组渗出类型、渗出量、大小、深度、上皮再生情况评分分别为(1.72 ±0.70)分、(1.79 ±0.72)分、(2.45 ±0.78)分、(2.03±0.73)分、(2.48 ±1.02)分.A组PSST各指标变化与治疗前相比无统计学意义(P＞0.05),B组和C组的PSST各指标评分均较治疗前明显下降(P＜0.05),并与A组之间的差异有统计学意义(P＜0.05),同时C组各指标疗效优于B组(P＜0.05).治疗后,3组患者的有效率分别为75.0％、96.7％和100.0％,优良率分别为3.4％、16.7％和44.8％,B组、C组的治疗有效率明显高于A组(P＜0.05),但B组与C组间的有效率差异无统计学意义(P＞0.05),C组的优良率高于A组和B组(P＜0.05),但A组与B组间的优良率无显著性差异(P＞0.05).结论短波紫外线联合毫米波治疗对压疮的渗出及创面愈合具有显著疗效.
목적 관찰단파자외선연합호미파치료압창적료효.방법 공선취압창환자53례(87개압창상구),장기수궤분위3조,A조17례(28개압창상구),B조18례(29개압창상구),C조18례(29개압창상구).3조환자균급여상규호리,B조재차기출상급여단순단파자외선조사치료,C조재상규호리기출상선급여호미파치료,재여이단파자외선조사.치료전채용Braden량표대환자피부적완정성진행평고,치료전、후이용압창상황량표(PSST)대환자적창면삼출급표피증장상황등지표진행료효평개.결과 치료전,3조환자적Braden평분급PSST평분차이균무통계학의의(P＞0.05).치료후,A조PSST각지표(삼출류형、삼출량、대소、심도、상피재생정황)평분분별위(2.57±1.20)분、(2.79±1.03)분、(3.04±1.10)분、(2.82±0.89)분、(3.07±1.01)분,B조삼출류형、삼출량、대소、심도、상피재생정황평분분별위(2.13±1.11)분、(2.00±0.05)분、(2.83±1.23)분、(2.47 ±0.86)분、(2.67±0.92)분,C조삼출류형、삼출량、대소、심도、상피재생정황평분분별위(1.72 ±0.70)분、(1.79 ±0.72)분、(2.45 ±0.78)분、(2.03±0.73)분、(2.48 ±1.02)분.A조PSST각지표변화여치료전상비무통계학의의(P＞0.05),B조화C조적PSST각지표평분균교치료전명현하강(P＜0.05),병여A조지간적차이유통계학의의(P＜0.05),동시C조각지표료효우우B조(P＜0.05).치료후,3조환자적유효솔분별위75.0％、96.7％화100.0％,우량솔분별위3.4％、16.7％화44.8％,B조、C조적치료유효솔명현고우A조(P＜0.05),단B조여C조간적유효솔차이무통계학의의(P＞0.05),C조적우량솔고우A조화B조(P＜0.05),단A조여B조간적우량솔무현저성차이(P＞0.05).결론 단파자외선연합호미파치료대압창적삼출급창면유합구유현저료효.
Objective To evaluate the effect of short-wave ultraviolet combined with millimeter-wave irradiation on pressure ulcers.Methods Fifty-three patients with 87 pressure ulcer wounds were randomly divided into 3 groups.Group A consisted of 17 patients with 28 pressure ulcers,group B had 18 patients with 29 ulcers and group C had 18 patients with 29 pressure ulcers.All the patients in the 3 groups accepted routine care.Group B was treated with short-wave ultraviolet radiation in addition,and group C received millimeter-wave combined with short-wave ultraviolet radiation.Braden's scale was used to evaluate the integrity of the patients' skin before treatment,and the pressure sore status tool (PSST) was used to evaluate exudation and skin recovery before and after treatment.Results Before treatment the patients demographics and pressure sores of the three groups had no significant differences.In group A there was no significant difference in the average PSST-5 score between before and after treatment.Compared with the scores before therapy,the average scores of groups B and C decreased significantly.They were also significantly lower than in group A after treatment.The effect in group C was better than in group B.With regard to improvement rate,the improvement percentages of groups B and C were significantly higher than that of group A,while there was no statistically significant difference between groups B and C.The rate of excellent recovery of group C was better than that of group A or B,but there was no significant difference between groups A and B.Conclusions Combining short-wave ultraviolet irradiation with millimeter-wave irradiation has remarkable effects on exudation from and the recovery of pressure ulcers.