泡沫敷料加凝胶垫预防脊柱后路手术压疮的效果观察  

To observe the effect of foam dressing and gel pad for the prevention of pressure ulcer in posterior spinal operation

作　　者：王雪琴[1] 

机构地区：[1]石台县人民医院手术室,池州245100

出　　处：《安徽卫生职业技术学院学报》2014年第4期94-95,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨泡沫敷料加凝胶垫预防脊柱后路手术患者发生压疮的效果。方法:选择脊柱后路手术患者72例,随机分为观察组和对照组。对照组采用凝胶垫垫于患者压疮易发部位;观察组采用泡沫敷料和凝胶垫垫于患者压疮易发部位。术后0h、24h、72h对患者进行压疮评估,比较两组患者的不舒适感和支撑点皮肤受压状态(包括皮肤压痕、红斑、破损、溃烂和坏死等不良反应)。结果:观察组1例发生压疮,对照组5例发生压疮,观察组压疮发生率低于对照组(P<0.05),两组不舒适感比较差异无统计学意义(P>0.05)。结论:泡沫敷料加凝胶垫能够有效减少脊柱后路手术术中压疮的发生。Objective： To study the effect of using foam dressing preventing pressure ulcer.Methods： 72 patients with spinal operation, and gel pad in the posterior spinal operation were randomly divided into observation group and control group. The control group using gel pad in patients prone position; the observation group was treated with foam dressing and gel pad in patients prone position. After 0, 24, 72 hours for patients with pressure sore assessment, compared two groups of patients feel uncomfortable and supporting point skin compression（including skin indentation, erythema, damage and other adverse reactions）. Results： The observation group occurred in 1 cases of pressure sore, the control group 5 cases of pressure sore. The rate of pressure ulcer in observation group is lower than the control group （ P〈 0.05 ）.The discomfort had no significant different between the two groups （P〉0.05）.Conclusion： Foam dressing and gel pad can effectively reduce the incidence of pressure ulcer in patients with posterior spinal operation.

关 键 词：泡沫敷料 凝胶垫 脊柱后路手术 压疮 

分 类 号：R473.6[医药卫生—护理学]