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1、探討康惠爾系列護(hù)理敷料治療慢性傷口及I?III期壓瘡的臨床療效[摘要]目的探討康惠爾系列護(hù)理敷料治療慢性傷口及I?II【期壓瘡的臨床效果。方法隨機(jī)選取該院2011年1月一2014年8月收治的100例慢性傷口及I?III期壓瘡患者作為研究對(duì)象,隨機(jī)分為對(duì)照組(48例),予傳統(tǒng)換藥護(hù)理,觀察組(52例),予康惠爾系列護(hù)理敷料,比較兩組的臨床療效。結(jié)果觀察組的總有效率為96.15%,優(yōu)于對(duì)照組的62.50%,差異有統(tǒng)計(jì)學(xué)意義(卩〈0.05)。相較于對(duì)照組,觀察組治愈時(shí)間明顯縮短,換藥費(fèi)用明顯減少,差異有統(tǒng)計(jì)學(xué)意義(P〈0?05)。結(jié)論康惠爾系列護(hù)理敷料能有效快速促進(jìn)創(chuàng)面愈合,
2、減少換藥次數(shù),節(jié)約換藥費(fèi)用,臨床價(jià)值JLfe.宀冃疋。[關(guān)鍵詞]康惠爾敷料;慢性傷口;壓瘡;臨床療效[中圖分類號(hào)]R4[文獻(xiàn)標(biāo)識(shí)碼]A[文章編號(hào)]1674-0742(2016)01(a)-0158-03ClinicalCurativeEffectofComfeelNursingDressingintheTreatment,ofChronicWoundandI~IIIPressureUlcerMAHuil,WANGJu-tingl,TANXiao-1i21.NursingDepartment,QinzhouFirstPeople'sHospital,Qinzhou,Gua
3、ngxiZhuangAutonomousRegion,535099China;2.IntensiveCareUnit,QinzhouFirst卩eople,sHospital,Qinzhou,GuangxiZhuangAutonomousRegion,535099China[Abstract]ObjectiveToinvestigatetheclinicalefficacyofCoinfeeldressingnursinginthetreatment,ofchronicwoundandI?TITpressureulcer.Methods100patientswithch
4、ronicwound且ndT?IIIpressureulcertreatedinourhospitalfromJanuary2011toAugust2014wereselectedandrandomlydividedintocontrolgroup(48cases)andtheobservationgroup(52cases)?Thecontrolgroupweretreatedbythetraditionaldressingnursing,andthoseintheobservationgroupweretreatedbytheComfeelnursingdressi
5、ngs?Theclinicalefficaciesofthetwogroupswerecompared?ResultsThetotaleffectiverateoftheobservationgroupwashigherthanthatofthecontrolgroup(96.15%vs62.50%),thedifferencewasstatisticallysignificant(P<0.05)?Comparedwiththecontrolgroup,theobservationgrouphadmuchshortercuretimeand1essdressingcos
6、t,thedifferenceswerestatisticallysignificant(P<0.05)?ConclusionComfeeldressingcanacceleratethewoundhealingandreducethetimesofchangingdressingsandsavedressingcostwithgreatclinicalvalue.[Keywords]Comfeeldressing;Chronicwound;卩ressureulcer;Clinicalcurativeeffect慢性傷口(Chronicwounds)是不能按照正常的愈合
7、序列修復(fù),接受治療超過(guò)8周仍未愈合的傷口[1]。臨床上存在多種慢性難治性傷口,如壓瘡、糖尿病足、下肢動(dòng)靜脈潰瘍及外科術(shù)后出現(xiàn)的傷口脂肪液化和感染,其中壓瘡常常發(fā)生在長(zhǎng)期臥床病人,增加患者的身心痛苦,降低患者的生活質(zhì)量,嚴(yán)重會(huì)繼發(fā)感染,導(dǎo)致敗血癥,危及生命。戸前壓瘡的預(yù)防與治療在護(hù)理領(lǐng)域仍較為棘手,其發(fā)生率和治療有效率是國(guó)內(nèi)外評(píng)價(jià)護(hù)理質(zhì)量的重要指標(biāo)之一。傳統(tǒng)觀念認(rèn)為創(chuàng)面愈合需干燥的環(huán)境和充足的氧氣,故常采用無(wú)菌紗布覆蓋,用以保持創(chuàng)面周?chē)母稍锱c清潔,近些年來(lái)“濕性愈合理論”己受到臨床的廣泛認(rèn)可,康惠爾系列護(hù)理敷料作為一種支持濕性愈合理論的活