自溶性清创联合焦痂划痕法在不可分期压疮患者中的应用  

The Application of Self Melting Debridement and Scab Scratches in Patients With Non-stage Pressure Sore

作　　者：杨闪闪 席芳[1] YANG Shanshan;XI Fang(Department of Respiratory Medicine,He’nan Provincial People's Hospital,Zhengzhou He’nan 450003,China)

机构地区：[1]河南省人民医院呼吸内科,河南郑州450003

出　　处：《中国继续医学教育》2018年第34期167-169,共3页China Continuing Medical Education

基　　金：河南省科技攻关计划项目(172102310598)

摘　　要：目的探讨自溶性清创联合焦痂划痕法在不可分期压疮患者中的应用效果。方法选取2017年1—12月我院呼吸科92例不可分期压疮住院患者作为研究对象,将其分为观察组(n=44)和对照组(n=48)。对照组给予自溶性清创,观察组在自溶性清创的基础上,在形成焦痂处应用头皮针在焦痂上均匀多处画网格式方法划破焦痂。结果观察组清创有效率高于对照组,差异有统计学意义(P <0.05);观察组患者清创期时间、焦痂溶开时间、伤口愈合时间均短于对照组,PUSH评分低于对照组,组间各数据比较,差异均具有统计学意义(P <0.05)。结论对不可分期的压疮患者采用自溶性清创联合焦痂划痕法可以安全、有效地缩短焦痂时间,促进伤口愈合以及提升护理质量。Objective To explore the application effect of autolytic debridement and scab scratches in patients with non-stage pressure sore.Methods 92 patients in respiratory department of our hospital raging from January 2017 to December 2017 were selected as the study objects and they were divided into experimental group(n=44)and control group(n=48).The control group was treated with self melting debridement,while the experimental group,on the basis of self melting debridement,the scab was scratched with scalp needle through even grid around scab.Results The debridement efficiency in experimental group was higher than that of control group(P<0.05).The debridement time,eschar dissolution time and wound healing time of the observation group were shorter than those of the control group,and the PUSH score was lower than that of the control group.There were significant differences in the data between the two groups(P<0.05).Conclusion It is safe to shorten the scab time,promote wound healing and improve nursing quality with the application of autolytic debridement and scab scratches in patients with non-stage pressure sore.

关 键 词：压疮 不可分期 自溶性清创 焦痂 网格式 划痕 

分 类 号：R473[医药卫生—护理学]