蜂蜜联合无损伤包扎法对新生儿枕部压力性损伤的疗效  

Effect of honey combined with non-invasive bandage on neonatal occipital pressure injury

作　　者：陈月燕[1] 王秀玲[1] 许勇[1] CHEN Yue-yan;WANG Xiu-ling;XU Yong(Department of Neonatology,the First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China)

机构地区：[1]福建医科大学附属第一医院新生儿科,福建福州350005

出　　处：《吉林医学》2022年第3期843-846,共4页Jilin Medical Journal

摘　　要：目的:观察蜂蜜联合无损伤包扎法对新生儿枕部压力性损伤的治疗效果。方法:选取南部非洲国家博茨瓦纳的仰加圭转诊医院新生儿科2018年4月~2020年2月期间98例新生儿共116处枕部压力性损伤,采用随机分组进入常规治疗组(48例)和观察组(50例),操作流程为:常规清创后采用0.5%碘伏溶液消毒创面,待干,再无菌生理盐水擦洗创面,待干,后随机进入常规治疗组给予Betadine软膏(含10%聚维酮+1%有效碘)敷料盖于创面;或进入观察组给予蜂蜜涂于创面,然后用无损伤包扎法。两组治疗期间均结合全身综合护理,治疗3周后比较两组患儿的压力性损伤愈合量表(PUSH)评分、临床总有效率、愈合时间。结果:观察组的前7次换药疼痛评分平均均值[(2.52±0.735)分]低于常规治疗组[(3.04±1.010)分];两组PUSH量表评分均较治疗前下降,但观察组下降比常规治疗组明显;观察组临床总有效率(48/50,96.0%)高于常规治疗组(37/48,77.1%),愈合时间观察组[(13.86±2.499)d]较常规治疗组[(17.58±3.712)d]明显缩短,差异均有统计学意义(P<0.05)。结论:蜂蜜联合无损伤包扎法治疗新生儿枕部压力性损伤有效,能促进创面愈合;相比常规Betadine软膏治疗的临床有效率更高,有效缩短压力性损伤的愈合时间,且经济效益大。Objective To observe the therapeutic effect of honey combined with non-damagedbandaging on pressure injuries(PI)in the occipitaof neonates.Method A total of 116 cases of occipital pressure injuries in 98 neonates from April 2018 to February 2020 were selected from the neonatal department of Nyanggabgwe Referral Hospital in southern African countries,and were randomly divided into the conventiona ltreatment group(48 cases)and the experimental treatment group(50 cases).The operation procedure was as follows:the wounds were disinfected with 0.5%iodophor after routine debridement,Swabbed with normal saline after drying,and then in the conventional treatment group the wounds were given Betadine(antispetic ointment,Contains 10%povidone+1%available iodine)dressing after drying;In the experimental treatment group the wounds were applied with honey after drying,and then wrapped with non-damaged bandaging.Both groups were combined with systemic comprehensive care during treatment,After 3 weeks of treatment,we collected the index of PUSH,the rate of total clinical effect and the wound healing time from the two groups.Results The average pain score of first 7 times of dressing changes in the experimental treatment group[(2.52±0.735)points]was lower than[(3.04±1.010)points]of the conventional treatment group,PUSH scores in both groups decreased over the time,but the decrease was much more obvious in the experimental treatment group than in the conventional treatment group,the rate of total clinical effective in the experimental treatment group(48/50,96.0%)was higher than that in the conventional treatment group(37/48,77.1%),the healing time in the experimental treatment group[(13.86±2.499)days]was significantshorter than that in the conventional treatment group[(17.58±3.712)days],all comparison showed significant difference(P<0.05).Conclusion Honey combined with non-damaged bandaging is effective in treating occipital PI in neonates,promoting healing wound,and the clinical efficiency was higher than that of conventional B

关 键 词：蜂蜜 无损伤包扎法 新生儿 压力性损伤 愈合时间 疼痛 

分 类 号：R473.72[医药卫生—护理学]