水胶体敷贴配合聚氨酯凝胶垫在俯卧全麻患者面部压疮预防中应用.docVIP

水胶体敷贴配合聚氨酯凝胶垫在俯卧全麻患者面部压疮预防中应用 　　[摘要]目的 探?水胶体敷贴配合聚氨酯凝胶垫在俯卧全身麻醉患者面部压疮预防中的应用。方法 选取2016年4月23日～2017年4月23日我院收治的50例俯卧全身麻醉患者，根据抽签化分组方法分为对照组和观察组，各25例。对照组采用棉垫预防，观察组采用水胶体敷贴联合聚氨酯凝胶垫预防。比较两组患者的皮肤受损程度、压疮发生率、满意度、压疮愈合时间、压红皮肤完全消退时间。结果 观察组的明显肤红发生率（4.00%）、破溃或水疱发生率（0.00%）、压疮发生率（24.00%）均低于对照组（24.00%、20.00%、60.00%），压疮愈合时间、压红皮肤完全消退时间短于对照组，满意度（96.00%）高于对照组（64.00%），差异有统计学意义（P0.05）。结论 对俯卧全身麻醉患者实施水胶体敷贴联合聚氨酯凝胶垫预防，能够降低面部压疮发生率。 　　[关键词]水胶体敷贴；聚氨酯凝胶垫；全麻；面部压疮；预防 　　[中图分类号] R632.9 [文献标识码] A [文章编号] 1674-4721（2017）11（c）-0024-03 　　Application of hydrocolloid patch and polyurethane gel pad in the prevention of facial pressure ulcer in patients with prone general anesthesia 　　XIE Hong-qiong YU Li-min YE Hua-li ZHOU Xia 　　Operation Room，Hospital of Traditional Chinese Medicine of Pingxiang City in Jiangxi Province，Pingxiang 337000，China 　　[Abstract]Objective To explore the application of hydrocolloid patch combined with polyurethane gel pad in the prevention of facial pressure ulcer in patients with prone general anesthesia.Methods From April 23 in 2016 to April 23 in 2017，50 patients with prone general anesthesia in our hospital were selected and divided into the control group and the observation group according to the grouping method，25 cases in each group.The control group was given cotton pad，and the observation group was treated with hydrocolloid patch combined with polyurethane gel pad.The degree of skin damage，the incidence rate of pressure ulcers，satisfaction degree，pressure ulcer healing time，press the time of red skin completely subsided were compared between the two groups.Results The incidence rate of apparent skin redness （4.00%），the incidence rate of rupture or blister （0.00%） and the incidence rate of pressure ulcer （24.00%） in the observation group were significantly lower than that in the control group （24.00%，20.00%，60.00%），the healing time of pressure ulcer and the time of red skin completely subsided in the observation group were shorter than those in the control group，the degree