龙珠软膏联合压疮三级疗法对老年脑卒中压疮高危患者压疮防治的影响  

Effects of Longzhu Ointment Combined with Tertiary Therapy of Pressure Ulcer on the Prevention and Treatment of Pressure Ulcer in Elderly Patients at High Risk of Stroke Pressure Ulcer

作　　者：华芳 刘继红[1] 赵立伟 HUA Fang;LIU Jihong;ZHAO Liwei(Dept.of Neurology,Department of Neurology,Beijing Luhe Hospital,Capital Medical University,Beijing 101100,China)

机构地区：[1]首都医科大学附属北京潞河医院神经内科,北京101100

出　　处：《中国医院用药评价与分析》2021年第11期1355-1357,共3页Evaluation and Analysis of Drug-use in Hospitals of China

基　　金：北京市通州区科技计划项目(No.KJ2019CX003-03)。

摘　　要：目的:探讨龙珠软膏联合压疮三级疗法的使用对>60岁脑卒中压疮高危患者的压疮防治疗效。方法:选取2017年6月至2020年6月首都医科大学附属北京潞河医院收治的脑卒中并发院外压疮患者82例,以随机数字表法分为分为对照组和观察组,每组41例。在不影响患者诊治的前提下,对照组由责任护士根据压疮分期及评估进行治疗干预;观察组采用院内压疮三级诊疗程序的同时,在患者创伤面给予龙珠软膏处理。比较两组患者压疮临床治疗效果、治疗后不同分期压疮的分布情况、治疗前后压疮面直径、出院6个月内压疮复发率以及满意度。结果:观察组患者压疮治疗的总有效率为97.56%(40/41),明显高于对照组的85.37%(35/41),差异有统计学意义(P<0.05)。治疗后,观察者患者压疮分期分布明显优于对照组,差异有统计学意义(P<0.05)。治疗7、14、21和30 d后,观察者患者的压疮面直径明显小于对照组,差异有统计学意义(P<0.05)。出院6个月内,观察者患者压疮复发率为9.76%(4/41),明显低于对照组的26.83%(11/41),差异有统计学意义(P<0.05)。观察者患者的总满意度为100%(41/41),明显高于对照组的78.05%(32/41),差异有统计学意义(P<0.05)。结论:龙珠软膏联合压疮三级疗法的使用有利于老年脑卒中长期卧床患者的压疮防治,干预效果明显,临床应用价值较高。OBJECTIVE:To explore the efficacy of Longzhu ointment combined with three-level pressure ulcer therapy in the prevention and treatment of pressure ulcers in patients with a high risk of stroke and pressure ulcers>60 years old.METHODS:Totally 82 patients with stroke complicated with out-of-hospital pressure ulcer admitted into Beijing Luhe Hospital Affiliated to Capital Medical University from Jun.2017 to Jun.2020 were selected and divided into control group and observation group by random number table method,with 41 cases in each group.With no intervention on the treatment of patients,the control group was treated and intervened by the charge nurse according to pressure ulcer staging and assessment;while the observation group received Longzhu ointment on the traumatic surface with the procedure of tertiary therapy of pressure ulcer.The clinical efficacy of pressure ulcer,the distribution of pressure ulcers in different grades after treatment,the diameter of pressure ulcer surface before and after treatment,the recurrence rate of pressure ulcer within 6 months of discharge and the satisfaction rate were compared between two groups.RESULTS:The total effective rate of pressure ulcer treatment in the observation group was 97.56%(40/41),which was higher than 85.37%(35/41)in the control group,and the difference was statistically significant(P<0.05).After treatment,the distribution of pressure ulcers in the observers was better than that in the control group,and the difference was statistically significant(P<0.05).After 7,14,21 and 30 days of treatment,the diameter of the pressure sore of the observer patients was significantly smaller than that of the control group,and the difference was statistically significant(P<0.05).Within 6 months of discharge,the recurrence rate of pressure ulcers in the observer patients was 9.76%(4/41),which was lower than 26.83%(11/41)in the control group,and the difference was statistically significant(P<0.05).The total satisfaction of the observer patients was 100%(41/41),which was higher t

关 键 词：压疮 老年患者 卧床 龙珠软膏 压疮分级 

分 类 号：R932[医药卫生—生药学]