当代医学
噹代醫學
당대의학
Contemporary Medicine
2015年
31期
11-12
,共2页
疮疡灵%水胶体敷料%患儿%术中压疮
瘡瘍靈%水膠體敷料%患兒%術中壓瘡
창양령%수효체부료%환인%술중압창
Ulcers spirit%Hydrocolloid dressings%Children%Art medium pressure sores
目的：探讨联合应用疮疡灵及水胶体敷料预防压疮高危手术患儿术中压疮的治疗及护理效果，为预防高危手术患儿术中发生压疮提供临床依据。方法选取收治的Norton评分低于20分的压疮高危患儿124例，将其随机均分为1个实验组和3个对照组（n=31）。对照Ⅰ组：采用传统的预防压疮方法，即在患儿易受压处垫衬医用脱脂棉垫；对照Ⅱ组：患儿采用传统方法的基础上，在患儿易受压部位贴附水胶体敷料进行局部减压的方法；对照Ⅲ组：患儿采用传统方法的基础上在患儿易受压部位预防性涂抹疮疡灵软膏；实验组：患儿采用传统的压疮预防方法的基础上，先在患儿易受压部位涂抹疮疡灵软膏，待干后贴附水胶体敷料。观察实验组和对照组的压疮发生情况。结果实验组1例发生压疮，对照组共计发生15例，实验组和各个对照组压疮发生率对比差异均具有统计学意义（P<0.05）。结论联合应用疮疡灵及水胶体敷料能充分改善局部皮肤组织的微循环，减轻受压皮肤压力，预防患儿术中压疮，临床效果显著，方便易行，且对患儿皮肤无不良刺激，适宜在预防压疮高危手术患儿术中压疮时采用。
目的：探討聯閤應用瘡瘍靈及水膠體敷料預防壓瘡高危手術患兒術中壓瘡的治療及護理效果，為預防高危手術患兒術中髮生壓瘡提供臨床依據。方法選取收治的Norton評分低于20分的壓瘡高危患兒124例，將其隨機均分為1箇實驗組和3箇對照組（n=31）。對照Ⅰ組：採用傳統的預防壓瘡方法，即在患兒易受壓處墊襯醫用脫脂棉墊；對照Ⅱ組：患兒採用傳統方法的基礎上，在患兒易受壓部位貼附水膠體敷料進行跼部減壓的方法；對照Ⅲ組：患兒採用傳統方法的基礎上在患兒易受壓部位預防性塗抹瘡瘍靈軟膏；實驗組：患兒採用傳統的壓瘡預防方法的基礎上，先在患兒易受壓部位塗抹瘡瘍靈軟膏，待榦後貼附水膠體敷料。觀察實驗組和對照組的壓瘡髮生情況。結果實驗組1例髮生壓瘡，對照組共計髮生15例，實驗組和各箇對照組壓瘡髮生率對比差異均具有統計學意義（P<0.05）。結論聯閤應用瘡瘍靈及水膠體敷料能充分改善跼部皮膚組織的微循環，減輕受壓皮膚壓力，預防患兒術中壓瘡，臨床效果顯著，方便易行，且對患兒皮膚無不良刺激，適宜在預防壓瘡高危手術患兒術中壓瘡時採用。
목적：탐토연합응용창양령급수효체부료예방압창고위수술환인술중압창적치료급호리효과，위예방고위수술환인술중발생압창제공림상의거。방법선취수치적Norton평분저우20분적압창고위환인124례，장기수궤균분위1개실험조화3개대조조（n=31）。대조Ⅰ조：채용전통적예방압창방법，즉재환인역수압처점츤의용탈지면점；대조Ⅱ조：환인채용전통방법적기출상，재환인역수압부위첩부수효체부료진행국부감압적방법；대조Ⅲ조：환인채용전통방법적기출상재환인역수압부위예방성도말창양령연고；실험조：환인채용전통적압창예방방법적기출상，선재환인역수압부위도말창양령연고，대간후첩부수효체부료。관찰실험조화대조조적압창발생정황。결과실험조1례발생압창，대조조공계발생15례，실험조화각개대조조압창발생솔대비차이균구유통계학의의（P<0.05）。결론연합응용창양령급수효체부료능충분개선국부피부조직적미순배，감경수압피부압력，예방환인술중압창，림상효과현저，방편역행，차대환인피부무불량자격，괄의재예방압창고위수술환인술중압창시채용。
Objective To explore the combined use of ulcers spirit and hydrocolloid dressings, preventing pressure ulcers of children undergoing high-risk surgery treatment and nursing effect of medium pressure ulcers, to prevent children with high-risk operation pressure sores in to provide clinical basis.Methods Elect Norton pressure ulcer risk score below 20 points on 124 cases of children, will be randomly divided into experimental group 1 and 3 control group, experimental group 31 cases, 3 control group 93 cases, 31 cases in each group. ContrastⅠ group: the traditional method of prevention of pressure ulcers in children with easy compression line a medical absorbent pads; ContrastⅡ groups: children, on the basis of the traditional method in children with easy compression parts attached with a hydrocolloid dressing method for partial stress; ContrastⅢ group: children adopted on the basis of traditional method in children with easy compression parts preventive ulcers spirit daub ointment; Experimental group:children in traditional methods of prevention of pressure ulcers, on the basis of ifrst in children with easy compression part daub ointment ulcers spirit, after being dry stick add hydrocolloid dressings. Observe the developed situation of the experimental group and the control group.Results Only one group took place the pressure sores, control group a total of 15 cases, the experimental group and the control group in the incidence of pressure ulcers compared signiifcant difference(P<0.05).Conclusion Combined use of ulcers spirit and hydrocolloid dressings, fully improve the microcirculation of partial skin tissue, compression of fully relieve skin pressure, prevent children with the clinical effect of medium pressure ulcers signiifcantly, this method is convenient and feasible, and no bad stimulation for children with skin, suitable to prevent pressure sores of children undergoing high-risk surgery is used when intermediate pressure sores.
