湿润烧伤膏联合远红外线治疗Ⅲ期压疮疗效观察  

Observation on the Therapeutic Effects of MEBO Ointment in Combination with Far Infrared Ray in the Treatment of Stage Ⅲ Pressure Ulcer

作　　者：刘菊珍[1] 粟世红 梁雨红 杨捷[1] 赖媛婷 李碧锦[1] 杨建荣[1] 许宇彪[1] 唐毅[1] 林昌荣[1] 

机构地区：[1]广西壮族自治区江滨医院普外科,广西南宁530021

出　　处：《中国烧伤创疡杂志》2016年第6期450-453,共4页The Chinese Journal of Burns Wounds & Surface Ulcers

基　　金：2015年广西医疗卫生适宜技术研究与开发项目(项目编号:S201557)

摘　　要：目的观察湿润烧伤膏(Moist Exposed Bum Ointment,MEBO)联合远红外线治疗Ⅲ期压疮的临床疗效。方法将2014年1月-2015年12月广西壮族自治区江滨医院普外科收治的20例(49处压疮创面)Ⅲ期压疮患者随机分为治疗组(10例患者,26处压疮创面)与对照组(10例患者,23处压疮创面),在常规压疮护理及全身治疗的基础上,治疗组患者压疮创面采用MEBO联合远红外线治疗,对照组患者压疮创面采用壳聚糖抗菌成膜喷剂联合远红外线治疗,对比观察两组患者压疮创面愈合效果。结果治疗2个月后,治疗组患者的治愈率为88.5%,总有效率为100%,明显高于对照组52.2%的治愈率和82.6%的总有效率;治疗组患者压疮创面平均愈合时间为(30.5±1.4)d,明显短于对照组的(35.6±2.1)d。结论 MEBO联合远红外线治疗Ⅲ期压疮,可缩短创面愈合时间,提高治疗效果;做好翻身、清洁等日常护理也是防治压疮的有效手段。Objective To observe the clinical therapeutic effect of Moist Exposed Burn Ointment （MEBO） combined with far infrared ray in the treatment of stage m pressure ulcers. Methods Twenty patients with stage m pressure ulcer （49 wounds） admitted to the General Surgery Department of Jiangbin Hospital （Guangxi Zhuang Autonomous Region） between January 2014 and December 2015 were randomly divided into treatment group （ 10 patients with 26 wounds） and control group （ 10 patients with 23 wounds）. In combination with routine nursing and systemic treatments for pressure ulcer, the wounds in the treatment group were managed with MEBO Ointment combined with far infrared ray while the wounds in the control group were managed with chitosan antibacterial film spray plus far infrared ray. The healing effect of pressure ulcer wounds was observed and compared between the two groups. Results Two months after the interventions, the healing rate and the total effective rate in the treatment group were 88.5% and 100% respectively, being significantly higher than the corresponding rates of 52. 2% and 82. 6% in the control group; the average wound healing time was （30. 5 ± 1.4） d in the treatment group, being remarkably shorter than （35.6 ± 2. 1 ） d in the control group. Conclusion MEBO Ointment combined with far infrared ray can shorten the wound healing time and improve the clinical efficacy in the treatment of stage m pressure ulcer. Daily nursing cares including body turning-over and cleansing, etc. are also effective in the prevention and control of pressure ulcer.

关 键 词：湿润烧伤膏 远红外线 压疮 疗效 

分 类 号：R632.1[医药卫生—外科学]