长效抗菌材料联合蒙脱石散治疗老年卧床失禁性皮炎的效果  

Effect of long acting antibacterial material combined with Montmorillonite Powder in the treatment of bedridden incontinence dermatitis in the elderly

作　　者：廖霞[1] 陈龙海 刘玉玲 罗文华[1] 黄海燕[1] 江罗筠 LIAO Xia;CHEN Longhai;LIU Yuling;LUO Wenhua;HUANG Haiyan;JIANG Luoyun(Department of Cardiology,the First Affiliated Hospital of Gannan Medical College,Jiangxi Province,Ganzhou341000,China;Department of Geriatrics,the Third People′s Hospital of Ganzhou City,Jiangxi Province,Ganzhou341000,China)

机构地区：[1]赣南医学院第一附属医院心血管内科,江西赣州341000 [2]江西省赣州市第三人民医院老年科,江西赣州341000

出　　处：《中国当代医药》2022年第4期68-71,共4页China Modern Medicine

基　　金：江西省赣州市指导性科技计划项目(GZ2020ZSF 050)。

摘　　要：目的探讨长效抗菌材料联合蒙脱石散治疗老年卧床失禁性皮炎的效果。方法选取2019年2月至2020年12月江西省赣南医学院第一附属医院心血管内科收治的66例老年卧床失禁性皮炎患者作为研究对象,采用摸球法分为常规组和观察组,各33例。常规组采用蒙脱石散治疗,观察组采用蒙脱石散联合长效抗菌材料治疗,比较两组患者的临床指标、疗效、生活质量及皮肤愈合情况。结果治疗前两组患者生活质量评分比较,差异无统计学意义(P>0.05);治疗后观察组生活质量评分高于常规组,差异有统计学意义(P<0.05)。观察组治疗时间及愈合时间均短于常规组,差异有统计学意义(P<0.05)。观察组的皮肤损伤情况优于常规组,差异有统计学意义(P<0.05)。观察组治疗总有效率高于常规组,差异有统计学意义(P<0.05)。结论长效抗菌材料联合蒙脱石散用于老年卧床失禁性皮炎患者的治疗效果显著,能有效改善患者生活质量,提升临床效果,同时减少皮肤损伤,进而缩短患者治疗时间,值得推广。Objective To investigate the effect of long acting antibacterial material combined with Montmorillonite Powder in treating elderly bed incontinence dermatitis.Methods A total of 66 elderly patients with bed incontinence dermatitis admitted to the First Affiliated Hospital of Gannan Medical College from February 2019 to December 2020 were selected as research objects.The patients were divided into conventional group and observation group by touch ball method,with 33 cases in each group.The conventional group was treated with Montmorillonite Powder,and the observation group was treated with Montmorillonite Powder combined with long acting antibacterial material.The clinical index,efficacy,quality of life and skin healing of the two groups were compared.Results There were no statistical significances in SF-36 scores between the two groups before treatment(P>0.05).After treatment,the SF-36 scores in the observation group were higher than those in the conventional group,the differences were statistically significant(P<0.05).The treatment time and healing time of the observation group were shorter than those of the conventional group,the differences were statistically significant(P<0.05).The skin damage rate in the observation group was lower than that in the conventional group,the difference was statistically significant(P<0.05).The total effective rate of the observation group was higher than that of the conventional group,the difference was statistically significant(P<0.05).Conclusion Long acting antibacterial material combined with Montmorillonite Powder has a significant therapeutic effect on elderly patients with bed incontinence dermatitis.It can effectively improve the quality of life of patients,improve the clinical effect,reduce skin damage and shorten the treatment time of patients.It is worth popularizing.

关 键 词：老年卧床失禁性皮炎 长效抗菌材料 蒙脱石散 治疗效果 

分 类 号：R758.22[医药卫生—皮肤病学与性病学]