中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
13期
1522-1524
,共3页
糖尿病足%伤口愈合%疼痛%换药
糖尿病足%傷口愈閤%疼痛%換藥
당뇨병족%상구유합%동통%환약
Diabetic foot%Wound recovery%Pain%Dressing
目的 探讨糖尿病足患者切口换药过程产生的疼痛对创面愈合轨迹的影响.方法 选取2013年3月-2014年4月就诊的39例患者作为观察组,将2012年1月-2013年2月就诊的39例患者作为对照组.观察组换药前采用芒硝和盐酸利多卡因湿敷切口,对照组采用常规水凝胶敷料覆盖切口.评估换药时患者的疼痛程度,记录切口愈合情况和愈合率.结果 观察组患者清创第1,4,7天疼痛强度得分分别为(2.71±1.11),(2.43±0.98),(1.79±0.65)分,均低于对照组,差异有统计学意义(t值分别为-3.012,-2.191,-3.062;P ＜0.05).观察组患者清创第4,7天切口愈合程度得分分别为(5.82±1.95),(4.25±1.17)分,均优于对照组,差异有统计学意义(t值分别为-2.952,-2.903;P＜0.05).观察组创面愈合率为89.74％,治愈率为74.36％,均优于对照组,差异有统计学意义(x2值分别为4.044,3.926;P ＜0.05).对照组患者切口平均治愈时间(16.40±7.83)d,短于对照组,差异有统计学意义(t=-4.222,P＜0.05).结论 换药前行芒硝和盐酸利多卡因联合纱布湿敷有利于缓解糖尿病足患者换药过程中的疼痛,可加快创面愈合速度,提高切口愈合率.
目的 探討糖尿病足患者切口換藥過程產生的疼痛對創麵愈閤軌跡的影響.方法 選取2013年3月-2014年4月就診的39例患者作為觀察組,將2012年1月-2013年2月就診的39例患者作為對照組.觀察組換藥前採用芒硝和鹽痠利多卡因濕敷切口,對照組採用常規水凝膠敷料覆蓋切口.評估換藥時患者的疼痛程度,記錄切口愈閤情況和愈閤率.結果 觀察組患者清創第1,4,7天疼痛彊度得分分彆為(2.71±1.11),(2.43±0.98),(1.79±0.65)分,均低于對照組,差異有統計學意義(t值分彆為-3.012,-2.191,-3.062;P ＜0.05).觀察組患者清創第4,7天切口愈閤程度得分分彆為(5.82±1.95),(4.25±1.17)分,均優于對照組,差異有統計學意義(t值分彆為-2.952,-2.903;P＜0.05).觀察組創麵愈閤率為89.74％,治愈率為74.36％,均優于對照組,差異有統計學意義(x2值分彆為4.044,3.926;P ＜0.05).對照組患者切口平均治愈時間(16.40±7.83)d,短于對照組,差異有統計學意義(t=-4.222,P＜0.05).結論 換藥前行芒硝和鹽痠利多卡因聯閤紗佈濕敷有利于緩解糖尿病足患者換藥過程中的疼痛,可加快創麵愈閤速度,提高切口愈閤率.
목적 탐토당뇨병족환자절구환약과정산생적동통대창면유합궤적적영향.방법 선취2013년3월-2014년4월취진적39례환자작위관찰조,장2012년1월-2013년2월취진적39례환자작위대조조.관찰조환약전채용망초화염산리다잡인습부절구,대조조채용상규수응효부료복개절구.평고환약시환자적동통정도,기록절구유합정황화유합솔.결과 관찰조환자청창제1,4,7천동통강도득분분별위(2.71±1.11),(2.43±0.98),(1.79±0.65)분,균저우대조조,차이유통계학의의(t치분별위-3.012,-2.191,-3.062;P ＜0.05).관찰조환자청창제4,7천절구유합정도득분분별위(5.82±1.95),(4.25±1.17)분,균우우대조조,차이유통계학의의(t치분별위-2.952,-2.903;P＜0.05).관찰조창면유합솔위89.74％,치유솔위74.36％,균우우대조조,차이유통계학의의(x2치분별위4.044,3.926;P ＜0.05).대조조환자절구평균치유시간(16.40±7.83)d,단우대조조,차이유통계학의의(t=-4.222,P＜0.05).결론 환약전행망초화염산리다잡인연합사포습부유리우완해당뇨병족환자환약과정중적동통,가가쾌창면유합속도,제고절구유합솔.
Objective To explore the influence of dressing-related pain on diabetic foot wounds healing trajectory.Methods According to the criteria,39 patients from March 2013 to April 2014 with diabetic foot were selected and divided into the observation group,39 cases from January 2012 to February 2013 with diabetic foot were selected as the control group.The observation group were treated with mirabilite and lidocaine hydrochloride before dressing.The control group were treated with hydrogel dressing the wound.The degree of pain and wound healing rate were compared.Results The scores of pain at the first,forth and seventh day in the observation group were (2.71 ± 1.11),(2.43 ± 0.98) and (1.79 ± 0.65),respectively,which were significantly lower those of the control group (t =-3.012,-2.191,-3.062,respectively;P ＜ 0.05).The scores of recovery at the forth and seventh day of the observation group were (5.82 ± 1.95) and (4.25 ± 1.17),respectively,which were significantly higher those of the control group (t =-2.952,-2.903,respectively;P ＜0.05).The rate of recovery and healing in the observation group were 89.74％ and 74.36％,which were significantly higher those of the control group (x2 =4.044,3.926,respectively;P ＜ 0.05).The mean healing time of the observation group was (16.40 ±7.83) days,which was significantly shorter than that of the control group (t =-4.222,P ＜ 0.05).Conclusions The compress with mirabilite and hdocaine hydrochloride before dressing can relieve the pain,promote the wound healing and increase the recovery rate.
