痊愈妥预防重症急性胰腺炎无创通气患者面部压疮的效果观察  

Effect of Quanyutuo on preventing the facial pressure sores in severe acute pancreatitis patients with noninvasive ventilation

作　　者：胡翠蓉[1] 赵秀[1] 黎贵湘[1] 程桂兰[1] 

机构地区：[1]四川大学华西医院中西医结合科,成都610041

出　　处：《中华现代护理杂志》2014年第2期228-230,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨痊愈妥在预防重症急性胰腺炎无创通气患者面部压疮中的疗效。方法将90例重症急性胰腺炎使用无创通气患者按计算机随机数字表法分为对照组和观察组各45例，对照组采用康惠尔溃疡贴保护面部受压皮肤，观察组采用痊愈妥保护面部受压皮肤，比较两组患者面部受压皮肤压疮发生情况及敷料更换时间的差异。结果对照组有13例发生面部压疮，其中I期压疮11例，Ⅱ期压疮2例，观察组仅有4例患者发生I期压疮，两组患者比较，差异有统计学意义（X^2=5．874，P〈0．05）；观察组患者面部受压部位更换敷料时间为（72．53±6．48）h，长于对照组的（24．36±5．78）h，差异有统计学意义（t=37．214，P〈0．01）。结论痊愈妥预防重症急性胰腺炎无创通气患者面部压疮效果明显。Objective To explore the effect of Quanyutuo on preventing the facial pressure sores in severe acute pancreatitis patients with noninvasive ventilation. Methods Ninety severe acute pancreatitis patients with noninvasive ventilation were divided into the control group and the observation group according to the random number table, each with 45 cases. The control group received the Kanghuier ulcer stick to protect facial skin, and the observation group received the Quanyutuo, and the incidence of the facial pressure sores and the time of dressing exchange were compared in two groups. Results The cases of emergence of facial pressure sores were 13 cases including 11 cases with stage I and 2 cases with stage II in the control group, and were 4 cases with stage I in the observation group, and the difference was statistically significant （ X^2 = 5. 874, P 〈 0.05）. The time of dressing exchange in the location of facial compression was （ 72.53 ± 6.48 ） h in the observation group, and was longer than （24. 36 ± 5.78 ） h in the control group, and the difference was statistically significant （ t = 37. 214, P 〈 0.01 ）. Conclusions Quanyutuo can significantly reduce the incidence of the facial pressure sores in severe acute pancreatitis patients with noninvasive ventilation.

关 键 词：痊愈妥 重症急性胰腺炎 无创通气 压疮 疗效 

分 类 号：R473.6[医药卫生—护理学]