CAJ | 학술논문

目的：探讨压疮联合清创法的效果。方法：按入选标准选择入住我院神经内科54例74处Ⅱ－Ⅳ期压疮患者，按照入院顺序随机分为3组各18例，即自溶清创组（24处）、单纯锐器清创组（24处）和联合蚕食清创组（26处），入院后按操作流程进行压疮评估和清创，清创后均给予美清佳涂抹、保湿敷料等覆盖至愈合。记录3组的压疮愈合计分、黑黄红期演进需要的清创时间，使用单因素方差分析比较3组的结果。结果：自溶清创、单纯锐器清创和联合蚕食法清创3种清创方法的清创期时间分别为（34.29±17.99）d、（20.99±10.31）d和（17.81±8.56）d，差异有统计学意义（P＜0.01），联合清创法的清创期时间短于其他2种方法的清创期时间。结论：联合清创法采用清创胶将坏死组织软化水解后分次剪除，安全有效，缩短清创期，是Ⅱ－Ⅳ期压疮患者理想的清创方法。
목적：탐토압창연합청창법적효과。방법：안입선표준선택입주아원신경내과54례74처Ⅱ－Ⅳ기압창환자，안조입원순서수궤분위3조각18례，즉자용청창조（24처）、단순예기청창조（24처）화연합잠식청창조（26처），입원후안조작류정진행압창평고화청창，청창후균급여미청가도말、보습부료등복개지유합。기록3조적압창유합계분、흑황홍기연진수요적청창시간，사용단인소방차분석비교3조적결과。결과：자용청창、단순예기청창화연합잠식법청창3충청창방법적청창기시간분별위（34.29±17.99）d、（20.99±10.31）d화（17.81±8.56）d，차이유통계학의의（P＜0.01），연합청창법적청창기시간단우기타2충방법적청창기시간。결론：연합청창법채용청창효장배사조직연화수해후분차전제，안전유효，축단청창기，시Ⅱ－Ⅳ기압창환자이상적청창방법。
Objective Discuss the effect of pressure sores in combination with nibble debridement method.Methods Choose our hospital neurology 54 cases (74) Ⅱ - Ⅳperiod in patients with pressure ulcers, were randomly divided into 3 groups, all 18 cases. Autolyzed debridement group (24), pure sharps debridement group (24), joint nibble debridement group (26). Record score of the three groups,for pressure ulcer healing, the debridement time that From black to yellow, analyzing and comparing the results of the three groups.Results Autolyzed debridement group, pure sharps debridement group, joint nibble debridement group, of debridement time respectively (34.29 + 17.99) d, (20.99-10.31) d and (17.81 + 8.56) d. Method of joint nibble debridement period time shorter than the other two methods. The difference was statistically significant (P < 0.01).Conclusions Joint nibble debridement method is safe and effective, can shorten the debridement, is idealmethodsof debridement for patients withⅡ-Ⅳperiod pressure ulcers.