自粘性吸水纤维敷料在2期压力性损伤浅层溃疡患者中的应用效果观察  

Observation on application effect of self-adhesive absorbent fiber dressing in patients with stage 2 pressure injury superficial ulcer

作　　者：邵琼洁 张俊叶 屈妍 张秋爽 王小宁 吕欣谕 景肖 王艳 SHAO Qiongjie;ZHANG Junye;QU Yan;ZHANG Qiushuang;WANG Xiaoning;LYU Xinyu;JING Xiao;WANG Yan(Department of Thoracic Surgery,Second Affiliated Hospital of Air Force Military Medical University,Xi'an,Shaanxi 710038,China)

机构地区：[1]空军军医大学第二附属医院胸腔外科,西安710038

出　　处：《重庆医学》2024年第22期3454-3457,共4页Chongqing Medical Journal

基　　金：空军军医大学第二附属医院2022年度临床创新救治能力提升项目(2022TDLCTS08)。

摘　　要：目的分析自粘性吸水纤维敷料在2期压力性损伤浅层溃疡创面的治疗效果。方法选取2020年10月至2023年10月该院胸腔外科ICU收治的2期压力性损伤浅层溃疡患者60例(71处)为研究对象。按随机数字表法分为对照组30例(36处),试验组30例(35处)。对照组在常规压力性损伤治疗基础上加用渗液吸收敷料进行治疗,试验组在常规压力性损伤治疗方法基础上加用自粘性吸水纤维进行治疗。3周后观察比较试验组和对照组患者的临床疗效、愈合时间、换药次数和疼痛评分。结果试验组患者临床治疗总有效率为100.0%(30/30),显著高于对照组90.0%的有效率(27/30);试验组患者治愈时间为(17.35±4.17)d,明显短于对照组[(30.58±4.65)d];试验组患者换药次数为(15.43±1.21)次,明显少于对照组[(53.24±3.43)次];试验组患者疼痛评分为(2.33±1.45)分,明显低于对照组[(8.71±0.52)分]。以上各项指标两组间比较差异均有统计学意义(P<0.05)。结论自粘性吸水纤维治疗2期压力性损伤浅层溃疡患者效果明显,可以提高临床疗效,缩短愈合时间,减少换药次数,减轻患者疼痛,具有较好的临床应用价值。Objective To analyze the therapeutic effect of self-adhesive absorbent fiber dressing on superficial ulcer of stage 2 pressure injury.Methods Sixty patients with stage 2 pressure injury superficial ulcers(71 sites)in the thoracic surgery ICU of this hospital from October 2020 to October 2023 were selected and divided into the control group(30 cases,36 sites)and experimental group(30 cases,35 sites)according to the random number table method.The control group was added with the exudation absorption dressing on the basis of conventional pressure injury therapy,while the experimental group was added the self-adhesive absorbent fiber on the basis of conventional pressure injury therapy.After 3 weeks,the clinical efficacy,healing time,dressing change times and pain score were observed and compared between the two groups.Results The total effective rate of clinical treatment in the experimental group was 100.0%(30/30),which was significantly higher than 90.0%(27/30)in the control group.The cure time of the experimental group was(17.35±4.17)d,which was significantly shorter than(30.58±4.65)d of the control group.The number of dressing changes in the experimental group was(15.43±1.21)times,which was significantly lower than(53.24±3.43)times in the control group.The pain score of the experimental group was(2.33±1.45)points,which was significantly lower than(8.71±0.52)points of the control group.The above indicators had statistical differences between the two groups(P<0.05).Conclusion The effect of self-adhesive absorbent fiber in the treatment of stage 2 pressure injury superficial ulcer is obvious,which could increase the clinical curative effect,shorten the healing time,reduce the times of dressing change and relieve the pain of the patients,it has good clinical application value.

关 键 词：压力性损伤 自粘性吸水纤维敷料 治疗效果 疼痛评分 浅层溃疡 

分 类 号：R473.75[医药卫生—护理学]