10%氯化钠在Ⅲ期压疮清创期的应用研究  

Research on the Application of 10% Sodium Chloride for Stage-Ⅲ Pressure Ulcer Debridement

作　　者：陈冰[1] 罗娜[1] 孙伟龙[1] 杨洁[1] 阮小玲[1] 

机构地区：[1]乐山市人民医院门诊部,四川乐山614000

出　　处：《华西医学》2015年第10期1818-1821,共4页West China Medical Journal

摘　　要：目的探索10%氯化钠在Ⅲ期压疮清创期的作用。方法将2011年1月-2014年12月门诊和住院部收治的院外压疮和难免性压疮,按照压疮分期为Ⅲ期、表面黄期、细菌学培养阳性提示感染的压疮伤口患者68例。将其随机分对照组和试验组,对照组使用传统换药法进行处理,试验组选用10%氯化钠进行处理。直至肉芽新鲜,培养细菌学阴性,提示清创结束,进入肉芽生长期和爬皮期。在清创换药时间、伤口渗液、伤口异味、肉芽生长情况、疼痛评分、费用情况等方面收集数据进行比较。结果对照组清创时间为18～32 d,平均（22.4±10.8）d,试验组清创时间5～13 d,平均（11.6±4.0）d,差异有统计学意义（P〈0.05）;伤口渗液方面对照组平均（6.70±2.87）分,试验组平均（3.65±1.23）分,差异有统计学意义（P〈0.05）;异味情况方面对照组平均（2.74±1.62）分,试验组平均（1.26±0.51）分,差异有统计学意义（P〈0.05）。对照组平均费用支出（975.00±10.29）元,试验组平均费用支出（626.00±8.18）元,差异有统计学意义（P〈0.05）。疼痛评分差异性不明显。结论 10%浓氯化钠应用于Ⅲ期压疮的清创,可缩短清创时间,促进肉芽生长、效果明显。同时可减轻患者经济负担,值得临床推广。Objective To explore the application of 10% sodium chloride for stage-Ⅲ pressure ulcer debridement. Methods According to the standard, 68 stage-Ⅲ pressure ulcer cases were selected from January 2011 to December 2014. All the patients had yellow surface and positive bacterium cultivation suggesting wound infection. They were randomly divided into control group and trial group. The control group used traditional treatment for debridement, while the trial group used 10% sodium chloride, until the end of debridement where the granulation became fresh and bacterium cultivation negative. Then we compared these two groups in terms of debridement time, wound drainage, wound smell, granulation growth, pain score and cost. Results The control group debridement time was 18-32 days, averaging（22.4±10.8） days, and the trial group debridement time was 5-13 days, averaging（11.6±4.0） days（P〈0.05）. The control group wound drainage ratings score was 6.70±2.87, while the trial group wound drainage ratings score was 3.65±1.23（P〈0.05）. In terms of the wound smell, the control group had a score of 2.74±1.62, and the score for the experimental group was 1.26±0.51（P〈0.05）. The average cost of the control group was（975.00±10.29） yuan, while the experimental group was（626.00±8.18） yuan（P〈0.05）. Conclusion The application of 10% sodium chloride for stage-Ⅲ pressure ulcer debridement can shorten debridement time, promote the growth of granulation and reduce the economic burden, which is worth clinical promotion.

关 键 词：压疮 10%氯化钠 清创 

分 类 号：R473.6[医药卫生—护理学]