自制负压引流联合新型水胶敷料治疗重度压力性损伤的临床效果观察  

Observation about the treatment effect with home-made suction drainage and algoplaque on severe pressure sore

作　　者：胡碧花 何玉珍[1] 李慧[2] 危香莲 黄志红[2] 吴强[3] 罗冠雏[4] 

机构地区：[1]广东省韶关市粤北人民医院护理部,512026 [2]广东省韶关市粤北人民医院老年病科,512026 [3]广东省韶关市粤北人民医院骨科四区,512026 [4]广东省韶关市粤北人民医院烧伤科,512026

出　　处：《中国实用护理杂志》2017年第11期810-814,共5页Chinese Journal of Practical Nursing

基　　金：2016年度广东省医学科研基金立项项目（B2016116）;2016年韶关市科技计划（医学类）项目（2016ws005）

摘　　要：目的 探讨自制负压引流联合新型水胶敷料（安普贴）对重度压力性损伤的治疗效果.方法 选取2016年1-8月韶关市粤北人民医院在院的重度压力性损伤患者90例,采用随机数字表法分为观察组、对照组A和对照组B各30例,观察组采用自制负压引流联合安普贴治疗,对照组A单纯采用安普贴治疗,对照组B单纯采用负压封闭引流技术治疗,比较3组重度压力性损伤患者治疗过程中的换药次数、创面愈合时间、换药总费用.结果 观察组、对照组A、对照组B的创伤愈合时间分别为（24.10±2.12）、（33.26±1.71）、（27.87±1.95）d,换药次数分别为（5.52±0.96）、（35.84±1.81）、（7.23±1.09）次,换药费用分别为（629.95±28.10）、（1354.29±301.63）、（10825.38±1678.21）元,3组比较差异有统计学意义（F=175.961、5017.527、1029.377,均PP〈0.01）,观察组创面愈合时间、换药次数、换药费用均低于对照组A和对照组B.结论 自制负压引流联合安普贴治疗重度压力性损伤能明显减少换药次数,缩短创面愈合时间,减轻患者经济负担,值得在临床推广使用.Objective Observation and discussion about the treatment effect with home-made vacuum drainage and Algoplaque on severe pressure ulcers. Methods The patients with severe pressure ulcers selected from Yuebei Peole′s Hospital of Shaoguan city from January to December 2016 were randomly divided into three groups：experimental group, control group A and group B （30 cases in each）. The patients were treated with home-made vacuum drainage and Algoplaque in the experimental group, meanwhile a simple use of Algoplaque treatment in control group A and VSD technology in control group B only. Observed and compared the effect in the three groups on the time of dressing change, wound healing time and the total cost. Results The wound healing time of experimental group.contral group A and group B were （24.10 ± 2.12）, （33.26 ± 1.71）, （27.87 ± 1.95） days, the times of dressing change were 5.52 ± 0.96, 35.84 ± 1.81, 7.23 ± 1.09, dressing costs were （629.95 ± 28.10） yuan, （1354.29 ± 301.63） yuan, （10825.38±1678.21） yuan, and the differences were statistically significant （F=175.961, 5017.527, 1029.377, all PP〈0.01）, and the wound healing time, dressing times, dressing costs were lower than the control group A and B in the observation group. Conclusion The treatment of home-made vacuum drainage and Algoplaque on patients with severe pressure ulcers can obviously reduce the time of dressing change and wound recovery, and the cost also. It is worthy to promote in clinic.

关 键 词：自制负压引流 安普贴 负压封闭引流技术 压力性损伤 

分 类 号：R473.6[医药卫生—护理学]