洁悠神长效抗菌剂治疗小腿郁积性溃疡护理体会.docVIP

洁悠神长效抗菌剂治疗小腿郁积性溃疡护理体会【摘要】 目的 探索应用洁悠神长效抗菌剂治疗小腿郁积性溃疡的临床护理经验。方法 将64例小腿郁积性溃疡,随机分组,治疗组清洁创面直接喷洒洁悠神长效抗菌剂,待干燥形成一层透明薄膜后,外加无菌纱布,每日换药2次。对照组给予凡士林油纱条,再外用无菌纱布,每日换药2次。观察12周对比创面愈合面积及疼痛等情况。结果 治疗组痊愈15例(46.88%),显效11例(34.37%),有效6例(18.75%),无效0例(0.00%),总有效率81.25%;对照组痊愈5例(15.62%),显效6例(18.75%),有效12例(37.50%),无效9例(28.13%),总有效率37.37%。结论 洁悠神长效抑菌剂在治疗小腿溃疡可以隔离创面、促创面愈合的作用,患者耐受性好、使用方便值得临床推广使用。? 【关键词】 郁积性溃疡;长效抑菌剂;治疗 ?? Nursing experience of application of Jieyoushen Long-effective Bacteriostasis in ulcer cruris ZHAN Chun-yu,WANG hai-jun. Shijiazhuang Medicine College Level Specialty School, Shijiazhuang, Hebei Province,Shijiazhuang 050081,China 【Abstract】 Objective To investigate the practical values of the treatment of Jieyoushen Long-effective Bacteriostasis in ulcer cruris. Methods 64 cases of ulcer cruris patient were treated with Jieyoushen and Fanshilin by random experiments. Each case was treated twice every day and was observed 12 weeks. Results 15cases of them were healed completely well and 11 cases improved. The total effective rate was 81.25% in group with Jieyoushen and was 37.37% in group with Fanshilin. Conclusion The treatment was safe and effective with Jieyoushen Long-effective Bacteriostasis in ulcer cruris. It could also improve the restoration of a wound and utmost in convenience.? 【Key words】Ulcer cruris;Long- effective Bacteriostasis;Treatment DOI:10.3760/cma.j.issn 1673-8799.2010.11.176? 作者单位:050081石家庄医学高等专科学校(战春雨); 吉林省梅河口爱民医院(王海君) 小腿郁积性溃疡, 多见于中老年人,是皮肤科常见的皮肤病,常规的清洁换药治疗效果不理想、病程比较长,自2008年3月以来采用洁悠神长效抑菌剂对小腿溃疡进行换药,取得了明显的效果。? 1 资料与方法? 1.1 一般资料 纳入临床观察病例为门诊患者,入选病例64例,其中男58例,女6例,年龄48～72岁,病程6～28个月。所有病例诊断符合标准[1]。入选病例随机分治疗组、对照组,两组患者年龄、性别、病情等无显著性(P0.05),具有可比性。试验前所有患者签署知情同意书。? 1.2 治疗方法 64例小腿郁积性溃疡患者,局部消毒盐水清洁后,治疗组在创面直接喷洒洁悠神长效抗菌剂,待干燥形成一层透明薄膜后,外加无菌纱布,每次换药前生理盐水清洁创面再喷洒洁悠神长效抗菌剂,每日自行换药2次。对照组给予凡士林油纱条,再外用无菌纱布,每次换药前生理盐水清洁创面换新凡士林油纱条,每日自行换药2次。加强营养护理与心理护理,提高机体抵抗力。? 1.3 疗效观察 每次换药前测量创面直径,记录创面直径大小、疼痛情况。每周复诊一次,连续观察12周。? 1.4 疗效判定标准 以创面愈合程度计算疗效,愈合程度=(治疗前创面直径-治疗后