短波紫外线联合毫米波治疗压疮的疗效观察  

Effectiveness of combined shortwave ultraviolet and millimeter-wave irradiation in the treatment of pressure ulcers

作　　者：吴春薇[1] 方贤成 吴坚[1] 鲁杰[1] 

机构地区：[1]北京友谊医院康复科,北京100050 [2]武警海南总队医院门诊部

出　　处：《中华物理医学与康复杂志》2013年第1期60-63,共4页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的观察短波紫外线联合毫米波治疗压疮的疗效。方法共选取压疮患者53例（87个压疮伤口），将其随机分为3组，A组17例（28个压疮伤口），B组18例（29个压疮伤口），c组18例（29个压疮伤口）。3组患者均给予常规护理，B组在此基础上给予单纯短波紫外线照射治疗，C组在常规护理基础上先给予毫米波治疗，再予以短波紫外线照射。治疗前采用Braden量表对患者皮肤的完整性进行评估，治疗前、后利用压疮状况量表（PSST）对患者的创面渗出及表皮增长状况等指标进行疗效评价。结果治疗前，3组患者的Braden评分及PSST评分差异均无统计学意义（P〉0．05）。治疗后，A组PSST各指标（渗出类型、渗出量、大小、深度、上皮再生情况）评分分别为（2．57±1．20）分、（2．79±1．03）分、（3．04±1．10）分、（2．82±0．89）分、（3．07±1．01）分，B组渗出类型、渗出量、大小、深度、上皮再生情况评分分别为（2．13±1．11）分、（2．00±0．05）分、（2．83±1．23）分、（2．47±0．86）分、（2．67±0．92）分，C组渗出类型、渗出量、大小、深度、上皮再生情况评分分别为（1．72±0．70）分、（1．79±0．72）分、（2．45±0．78）分、（2．03±0．73）分、（2．48±1．02）分。A组PSST各指标变化与治疗前相比无统计学意义（P〉0．05），B组和C组的PSST各指标评分均较治疗前明显下降（P〈0．05），并与A组之间的差异有统计学意义（P〈0．05），同时C组各指标疗效优于B组（P〈0．05）。治疗后，3组患者的有效率分别为75．O％、96．7％和100．0％，优良率分别为3．4％、16．7％和44．8％，B组、C组的治疗有效率明显高于A组（P〈0．05），但B组与C组问的有效率差异无统计学意义（P〉0．05），C组的优良率高于A组和B组（P〈0．05），但A组与B组间的优良率无显著性差异（P〉0Objective To evaluate the effect of short-wave ultraviolet combined with millimeter-wave irra- diation on pressure ulcers. Methods Fifty-three patients with 87 pressure ulcer wounds were randomly divided into 3 groups. Group A consisted of 17 patients with 28 pressure ulcers, group B had 18 patients with 29 ulcers and group C had 18 patients with 29 pressure ulcers. All the patients in the 3 groups accepted routine care. Group B was treated with short-wave ultraviolet radiation in addition, and group C received millimeter-wave combined with short-wave ultraviolet radiation. Braden＇s scale was used to evaluate the integrity of the patients＇ skin before treat- ment, and the pressure sore status tool （PSST） was used to evaluate exudation and skin recovery before and after treatment. Results Before treatment the patients demographics and pressure sores of the three groups had no sig- nificant differences. In group A there was no significant difference in the average PSST-5 score between before and after treatment. Compared with the scores before therapy, the average scores of groups B and C decreased signifi- cantly. They were also significantly lower than in group A after treatment. The effect in group C was better than in group B. With regard to improvement rate, the improvement percentages of groups B and C were significantly higher than that of group A, while there was no statistically significant difference between groups B and C. The rate of ex- cellent recovery of group C was better than that of group A or B, but there was no significant difference between groups A and B. Conclusions Combining short-wave ultraviolet irradiation with millimeter-wave irradiation has remarkable effects on exudation from and the recovery of pressure ulcers.

关 键 词：短波紫外线 毫米波 压疮 

分 类 号：R473[医药卫生—护理学]