新型敷料结合传统方法在老年压力性损伤治疗中的效果研究  

Study on the effect of new dressings combined with traditional methods based on the concept of wet healing in the treatment of stress injuries in the elderly

作　　者：安果仙 宋丽娟[3] 刘娜[4] 刘盼玉 李杰 An Guoxian;Song Lijuan;Liu Na;Liu Panyu;LI Jie(Wound stomy Clinic,Shanxi Children's Hospital(Shanxi Maternal and Child Health Care Hospital),Taiyuan 030025;Shanxi Gerontology Society Wound,Incontinence,Gastroenterostomy Precision Care Professional Committee,Taiyuan 030001;Department of Colorectal Surgery,Shanxi Cancer Hospital,Taiyuan 030013;Department of Orthopedics and Cosmetology,The First Hospital of Shanxi Medical University,Taiyuan 030001;School of Nursing,Shanxi Medical University,Taiyuan 030001;Department of Orthopedics,Shanxi Children's Hospital(Shanxi Maternal and Child Health Hospital),Taiyuan 030002,China)

机构地区：[1]山西省儿童医院(山西省妇幼保健院)伤口造口门诊,太原030025 [2]山西省老年学学会伤口、失禁、胃肠造口精准疗护专业委员会,太原030001 [3]山西省肿瘤医院结直肠外科,太原030013 [4]山西医科大学第一医院整形美容烧伤科,太原030001 [5]山西医科大学护理学院,太原030001 [6]山西省儿童医院(山西省妇幼保健院)骨科,太原030002

出　　处：《中华老年医学杂志》2024年第10期1310-1314,共5页Chinese Journal of Geriatrics

基　　金：山西省儿童医院(山西省妇幼保健院)院级基金(202042)。

摘　　要：目的观察新型敷料结合传统方法在老年压力性损伤患者中的治疗效果,进而为临床优化老年压力性损伤治疗提供依据。方法选取2021年3月至2023年2月居家的120例老年压力性损伤患者,随机分为观察组(n=60)和对照组(n=60)。对照组患者给予传统方法治疗,观察组患者在传统方法的基础上结合湿性愈合理论采用新型敷料进行治疗,比较两组患者的临床疗效,包括14 d伤口愈合率、14 d总有效率、愈合时间及患者满意度。结果治疗后,观察组患者14 d愈合率为63.3%(38/60),对照组14 d愈合率为41.7%(25/60),观察组愈合率高于对照组(χ^(2)=5.647,P<0.05);观察组患者14 d总有效率为98.3%(59/60),对照组14 d总有效率为86.7%(52/60),观察组总有效率高于对照组(χ^(2)=4.342,P<0.05);1期压力性损伤患者的伤口愈合时间在两组间的差异无统计学意义(P>0.05);2期压力性损伤患者观察组伤口愈合时间为(13.75±1.71)d,对照组伤口愈合时间为(22.16±2.59)d,观察组患者的伤口愈合时间明显低于对照组(t=-12.024,P<0.05);3、4期压力性损伤患者观察组伤口愈合时间为(16.17±1.47)d,对照组伤口愈合时间为(25.12±2.91)d,观察组患者的伤口愈合时间明显低于对照组(t=-11.382,P<0.05);治疗后观察组满意度评分两组比较差异无统计学意义(P>0.05)。结论基于湿性愈合理念下的传统方法结合新型敷料的治疗方法应用于老年压力性损伤患者,具有较好的临床疗效,有效缩短了伤口愈合时间,减轻了压力性损伤患者的痛苦,值得临床全面推广。Objective To evaluate the therapeutic effects of new dressings in conjunction with traditional methods for treating stress injuries in elderly patients.The goal is to provide a foundation for the clinical optimization of treatment strategies for this demographic.Methods A total of 120 elderly patients with stress injuries sustained at home between March 2021 and February 2023 were randomly assigned to an observation group(n=60)and a control group(n=60).Patients in the control group received traditional treatment methods,while those in the observation group were treated with new dressings in conjunction with wet healing theory,building upon the traditional methods.The clinical efficacy of both groups was compared,focusing on the 14-day wound healing rate,14-day total effective rate,healing time,and patient satisfaction.Results After treatment,the 14-day healing rate for the observation group was 63.3%(38/60),compared to 41.7%(25/60)for the control group.This indicates that the healing rate in the observation group was significantly higher than that of the control group(χ^(2)=5.647,P<0.05).The total effective rate for the observation group was 98.3%(59/60)at 14 days,while the control group had a rate of 86.7%(52/60).Again,the total effective rate in the observation group surpassed that of the control group(χ^(2)=4.342,P<0.05).No significant difference was observed in wound healing time between the two groups for patients with stage 1 stress injuries(P>0.05).For patients with stage 2 stress injuries,the wound healing time was(13.75±1.71)days in the observation group and(22.16±2.59)days in the control group,with the observation group demonstrating a significantly shorter healing time(t=-12.024,P<0.05).In patients with stage 3 and stage 4 stress injuries,the healing time was(16.17±1.47)days for the observation group and(25.12±2.91)days for the control group,also showing a significantly shorter duration in the observation group(t=-11.382,P<0.05).However,there was no significant difference in satisfaction scores b

关 键 词：传统方法 湿性愈合理论 新型敷料 老年压力性损伤 

分 类 号：R641[医药卫生—外科学]