Phenytoin and insulin for comparative efficacy of bedsore dressing.doc

 PAGE \* MERGEFORMAT 8 Phenytoin and insulin for comparative efficacy of bedsore dressing [Keywords:] bedsores Pressure ulcers is a serious disease affecting people’s health, multi-occurred in poor general condition, physical activity limitation in patients. In nearly a year of clinical nursing work, we have adopted the implementation of the 20 cases of pressure ulcers in patients with insulin compared phenytoin medication therapy, to achieve a good therapeutic effect, and accumulated a certain amount of clinical experience. Now report our treatment experience is as follows. 1 Data and methods 1.1 General information from the May 2006 ~ May 2007, our hospital were treated outside the hospital into 20 cases of patients with bedsores. Primary disease, followed by cerebrovascular accident in 8 cases, 7 cases of spinal fractures, 3 cases of heart failure, diabetes mellitus in 2 cases. The shortest duration of 10 days, up to 30 days, an average of 15.37 days. The smallest wound 3cm2, the largest 10cm2, the average 8.43cm2. The patients were randomly divided into treatment group and insulin medication phenytoin medication control group. 1.2 Treatment in both groups after conventional iodophor disinfection, wash the wound with saline, and then treatment instrument with multi-source exposure to 30min. Treatment group: Apply with phenytoin flour after the saline gauze covering the wound. Dosage of 2 ~ 4mg / (ml * cm2), and then face towards the powder surface patching, together with gauze bag cover. Control group: use of insulin-2U / (ml * cm2) after the saline gauze cover the direct smear. Then all patients were positive to remove the pressure, shear force, friction and changes in humidity-prone factors, while enhancing nutrition, control of systemic blood glucose levels. 1.3 Efficacy (1) Wound clean and tidy: clean (), no exudation (), a small amount of exudation (), a large number of exudation (); (2) the growth of granulation: granulation fresh (), there are