优拓治疗巨大褥疮的临床应用分析.docVIP

优拓治疗巨大褥疮的临床应用分析 【摘要】口的：探讨优拓在治疗巨人褥疮中的临床应用价值和护 理经验。方法：268例巨大111期重度褥疮合并感染的患者分为对照组 和实验组两组，每组134例，对照组给予常规治疗，实验组在常规治 疗的基础上采用新型系列水胶体敷料优拓进行治疗，对两组进行相应 的护理，并对两组的疗效进行比较。结果：在采取相应治疗、抗感染、 褥疮护理等措施后，患者一般情况好转，褥疮伤口愈合，全身皮肤完 好，生活自理。实验组痊愈96例(71.64%),有效33例(24. 63%),无 效5例，总有效率为96. 27%;对照组痊愈76例(56. 72%),有效32例 (23. 88%),无效26例(19. 40%)，总有效率为80. 60%,实验组总有效率 及痊愈率均优于对照组(Plt;0. 05) o结论：优拓治疗患者褥疮，具有 促进伤口愈合、使用方便、安全、减少患者痛苦、无毒性等特点，提 高了患者的生活质量，值得在临床推广应用。 【关键词】优拓；巨大褥疮;临床应用 [ABSTRACT] Objective: To explore the clinic value of Youtuo and nursing experience in treating giant bedsore? Methods: Separated 286 cases with severe giant bedsore at stage III into control group and experiment group, with 134 cases per group? Employed regular treatment and corresponding nursing to two groups, and applied a new hydrocolloid dressing Youtuo to experiment group? Compared the effect of two groups? Results: After corresponding therapy, anti infection therapies, nursing for bedsore, all conditions of patients were improved, with wounds healing, fine skin and well self care ability? 96 cases were in cure (71. 64%), 33 cases were effective (24. 63%) and 5 cases were ineffective, with efficacy as 96.27% in experiment group; while 76 cases were in cure (56? 72%), 32 cases were effective (23.88%) and 26 cases were ineffective (19. 40%) in control group? Total efficacy and cure rate of experiment group was significantly higher than these of control group (PIt;0.05)? Conclusion: With convenience and security, Youtuo can promote wounds healing, alleviate patients suffering, and boost patients， life quality. It is valuable in clinic application. [KEY WORDS] Youtuo; Giant bedsore; Clinic; Application 优拓为法国公司生产的水胶体敷料产品，采用先进的脂质水 胶技术，为伤口提供最佳的湿性愈合环境，从而促进伤口愈合，兼有 使用方便、安全、减少患者痛苦、无毒性等特点，我院自2004年采用 优拓成功治疗和护理134例巨大III期重度褥疮合并感染的患者，现将 其临床应用和护理体会报道如下。 1临床资料 1.1 一般资料 木组268例巨大III期重度褥疮合并感染的患者，男性200例, 女性68例，年龄30?87岁，平均70岁，病程1?4个月。疾病种类: 脑血管疾病120例，糖尿病24例，慢性心功能不全124例，褥疮范围 最大15. 0 cmX 10. 0 cm,最小5. 0 cmX6. 0 cm。268例褥疮患者分为 对照组和实验组两组，每组134例，两组患者的年龄、性别、病