珍珠粉联合氧化锌防治术后压疮的效果  

Effect of preventing pressure sores after operation by pearl powder unite zinc oxide

作　　者：蔡海云[1] 卜娜分[1] 李文霞[1] 邱菲菲[1] 吕德智[1] 潘桂秋 李治敏 CAI Haiyun;BU Nafen;LI Wenxia;QIU Feifei;LYU Dezhi;PAN Guiqiu;LI Zhimin(Department of Anesthesiology,Guangdong Provincial Hospital of Chinese Medicine,Guangdong Province,Guangzhou510000,China)

机构地区：[1]广东省中医院麻醉科,广东广州510000

出　　处：《中国医药导报》2021年第2期164-167,共4页China Medical Herald

基　　金：广东省中医药局项目(20192036)。

摘　　要：目的探讨珍珠粉联合氧化锌在防止术后压疮的效果情况。方法选取2020年2月-5月广东省中医院接受手术治疗患者70例作为研究对象,采用随机数字表法分为氧化锌组35例和观察组(珍珠粉联合氧化锌)35例,观察两组患者干预前后手术受压部位的皮肤血流灌注量、皮肤温度和血氧饱和度,观察两组压疮分期和满意度情况。结果干预后两组皮肤血流灌注量、血氧饱和度较治疗前升高,皮肤温度较治疗前降低(P<0.05),且观察组皮肤血流灌注量、血氧饱和度高于对照组,皮肤温度低于对照组(P<0.05)。观察组压疮发生率和压疮不同分期发生率均低于对照组(P<0.05),观察组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论珍珠粉联合氧化锌手术患者应用,改善了皮肤血流灌注量、血氧饱和度,降低了皮肤温度和压疮发生率,提高了护理满意度,值得推广应用。Objective To discuss the result of preventing pressure sores after operation by pearl powder unite zinc oxide.Methods A total of 70 patients receiving surgical treatment from February to May 2020 in Guangdong Hospital of Traditional Chinese Medicine were selected as the study subjects,35 cases in zono oxide group and 35 cases in observation group(pearl powder combined with zinc oxide)were divided by random number table method,the amount of blood perfusion,skin temperature and oxygen saturation of the skin under pressure before and after intervention were observed,the stage and satisfaction degree of pressure ulcer were observed in the two groups.Results After intervention,the amount of blood perfusion and oxygen saturation of the skin of the two groups increased compared with that before treatment,and the skin temperature decreased compared with that before treatment(P<0.05).Moreover,the amount of blood perfusion and oxygen saturation of the skin of the observation group was higher than that of the control group,and the skin temperature was lower than that of the control group(P<0.05).The incidence of pressure ulcers and different stages of pressure ulcers in the observation group were lower than those in the control group(P<0.05).The nursing satisfaction of patients in the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The application of pearl powder combined with zinc oxide surgery can improve the amount of skin blood perfusion and blood oxygen saturation,reduce the skin temperature and the incidence of pressure ulcers,and improve the nursing satisfaction,which is worthy of popularization and application.

关 键 词：珍珠粉 氧化锌 压疮 皮肤血流灌注量 皮肤温度 血氧饱和度 压疮分期 满意度 

分 类 号：R632.1[医药卫生—外科学]