湿性愈合理论对治疗压疮创面的临床价值评价.docVIP

精品论文 参考文献 湿性愈合理论对治疗压疮创面的临床价值评价 李 涛 　　解放军总医院第一附属医院 北京 100048 　　【摘 要】目的：对湿性愈合理论对治疗压疮创面的临床价值进行探索，为临床医学实践提供参考。方法：选取我院于2013年2月至2014年11月间收治的被诊断为Ⅱ-Ⅲ度压疮患者40例作为研究对象，将其随机分为观察组和对照组，其中每组由20例患者组成。其中给予对照组患者传统治疗方法，如普通无菌敷料治疗压疮创面，给予观察组患者湿润疗法，如湿性敷料治疗压疮创面，对两组患者的压疮创面水肿消退时间、创面愈合时间、感染率、以及换药次数和治愈率等进行对比分析。结果：经过治疗后，观察组的治愈率和治愈及显效率分别达到75％、90％，明显优于对照组的治愈率（55.0％）和治愈及显效率（75％）。此外，观察组患者的创面水肿消退时间为（3.1plusmn;0.4）d，创面愈合时间为（9.5plusmn;0.6）d，而换药次数仅为（7plusmn;0.6）次，上述三个评价标准均优于对照组患者创面水肿消退时间（5.6plusmn;0.3）d，创面愈合时间（13.4plusmn;0.5）d，换药次数（11plusmn;0.8）次。两组上述差异明显（P＜0.05），具有统计学意义.结论：湿润疗法对于Ⅱ-Ⅲ度压疮创面具有良好的治疗效果。 　　【关键词】湿性愈合理论；Ⅱ-Ⅲ度压疮；湿性敷料；临床疗效 　　【中图分类号】R75 【文献标识码】B 【文章编号】1674-8999（2015）8-0085-01 　　Moist healing theory to evaluate the clinical value of treatment of pressure ulcers 　　Li Tao 　　(The First Affiliated Hospital of PLA General Hospital, Beijing 100048) 　　【Abstract】Objective: the clinical value of moist healing theory on the treatment of pressure ulcers to explore,to provide reference for clinical practice.Methods: selected in our hospital from 2013 February to 2014 November in the diagnosed II -III ulcers in 40 patients as the research object,then they were randomly divided into observation group and control group, each group consisting of 20 patients by the. The control group of patients given traditional treatment methods, such as ordinary sterile dressing for treating pressure ulcers,given the observation group patients moist therapy,such as wet dressing treating pressure ulcers, pressure ulcers of the two groups of patients with edema regression time, wound healing time, infection rate,and the exchange administration times and the cure rate were compared and analyzed.Results:after treatment, the observation group cure rate and cure and significant efficiency reached 75%, 90% respectively, significantly better than the control group,the cure rate (55%)and cure and significant efficiency(75%).In addition,the observation group patients with edema wounds regression time for(3.1 +0.4)d,wound healing