中药溻渍结合红外线照射干预对老年重症患者失禁性皮炎的效果观察  

Observation on the effect of traditional Chinese medicine wet compress combined with infrared irradiation intervention on elderly patients with severe incontinence-associated dermatitis

作　　者：魏静 吴莹 尚华 刘庆 张威 WEI Jing;WU Ying;SHANG Hua;LIU Qing;ZHANG Wei(The Third Hospital of Nanchang,Nanchang 330000,China)

机构地区：[1]南昌市第三医院,江西省南昌市330000

出　　处：《护理实践与研究》2024年第5期640-645,共6页Nursing Practice and Research

基　　金：江西省中医药管理局科技计划项目(编号:2023B0551)。

摘　　要：目的探讨中药溻渍结合红外线照射干预在老年重症失禁性皮炎(IAD)患者中的临床应用效果。方法选取南昌市第三医院2022年6月—2023年6月收治的90例老年重症IAD患者为研究对象,按照组间基本特征具有可比性的原则分为观察组和对照组,每组45例。对照组采用常规护理,并使用造口粉+3M液体敷料干预;观察组在对照组的基础上加用中药溻渍结合红外线照射干预。比较两组患者IAD严重程度评分(ILDS)、炎症因子、临床症状体征评分、一般指标评价及复发率。结果护理干预前,两组患者ILDS量表中破损范围、皮肤颜色、糜烂程度评分比较差异无统计学意义(P>0.05);护理干预2个月后,观察组患者破损范围、皮肤颜色、糜烂程度评分低于对照组,差异有统计学意义(P<0.05)。护理干预前,两组患者hs-CRP、IL-6水平比较差异无统计学意义(P>0.05);护理干预2个月后,观察组患者hs-CRP、IL-6水平低于对照组,差异有统计学意义(P<0.05)。护理干预前,两组患者症状和体征评分比较差异无统计学意义(P>0.05),护理干预2个月后,观察组患者症状和体征评分低于对照组,差异有统计学意义(P<0.05)。护理干预后,观察组患者平均愈合时间短于对照组,舒适状况量表(GCQ)评分、治疗费用高于对照组,总复发率低于对照组,差异均有统计学意义(P<0.05)。结论中药溻渍结合红外线照射干预治疗老年重症患者IAD能有效降低IADS评分和hs-CRP、IL-6水平,改善患者临床症状体征,加快康复进程,提高患者治疗舒适度,降低疾病复发率,但治疗费用高。Objective To investigate the clinical application eff ect of traditional Chinese medicine wet compress combined with infrared irradiation intervention on elderly patients with severe incontinence-associated dermatitis(IAD).Methods A total of 90 elderly patients with severe IAD admitted to The Third Hospital of Nanchang from June 2022 to June 2023 were selected.According to the principle of comparability in basic characteristics between groups,they were divided into a control group and an observation group with 45 cases each.The control group implemented routine nursing care and used stoma powder+3M liquid dressing,while the observation group implemented traditional Chinese medicine wet compress with infrared irradiation intervention on the basis of the control group.The diff erences in IAD severity score(ILDS),infl ammatory factors,clinical symptom and sign scores,general index assessment and recurrence rate between the two groups of patients were compared.Results Before nursing intervention,there was no statistically signifi cant diff erence in the damage range,skin color,and erosion degree scores between the two groups of patients on the ILDS scale(P>0.05).After 2 months of nursing intervention,the damage range,skin color,and erosion degree scores of patients in the observation group were lower than those in the control group,the diff erences were statistically signifi cant(P<0.05).Before nursing intervention,there was no statistically significant difference in the hs-CRP and IL-6 levels between the two groups of patients(P>0.05).After 2 months of nursing intervention,the hs-CRP and IL-6 levels of patients in the observation group were lower than those in the control group,the diff erences were statistically signifi cant(P<0.05).Before nursing intervention,there was no statistically signifi cant diff erence in the symptom and sign scores between the two groups of patients(P>0.05).After 2 months of nursing intervention,the symptom and sign scores of patients in the observation group were lower than those in the

关 键 词：老年患者 失禁性皮炎 中药溻渍 红外线照射 应用效果 

分 类 号：R472[医药卫生—护理学]