摘要
目的探讨1例坏疽性脓皮病溃疡伤口的处理方法及效果。方法复习相关文献,分析本例坏疽性脓皮病溃疡伤口的难点和特点,分别给予银离子敷料联合红外线照射治疗伤口、28%高渗盐敷料联合红外线照射治疗、28%高渗盐敷料联合超短波治疗和蜂蜜敷料局部治疗结合药物治疗。观察指标:于每次处理伤口前评估测量伤口面积、疼痛和愈合计分。结果不同方法处理伤口后疼痛计分持续下降,但伤口出现变形和扩展,愈合计分随之增加。动态调整方法后,2处溃疡伤口均治愈,愈合时间分别为105d和172d,随访2个月无复发。结论整体干预结合局部动态调整是有效处理坏疽性脓皮病溃疡伤口的方法。
Objective To explore the effects and methods of wound care complicated to pyoderma gangrenosum. Methods Based on the results of literature review and analysis on the difficulties and characteristics of the leg ulcer complicated to pyoderma gangrenosum,the patient was treated by silver dressing combined with infrared ways,28% hypertonic saline dressing combined with infrared ways,28% hypertonic saline dressing combined with electro chemotherapy and honey dressing combined with drug treatment for pyoderma gangrenosum,respectively. The ulcer size,pain and healing score was assessed before and af- ter wound care. Results The score of pain was continuously decreased after the treatment with different methods. But the healing score was increased and the wound became deformed and larger continuously. Two ulcers were cured at 105 and 172 days after the adjusted treatment,respectively. It has not reoccurred within two months. Conclusion The methods of holistic care and regulated wound care are proved to be effective for the treatment of leg ulcer complicated to pyoderma gangrenosum.
出处
《中华护理杂志》
CSCD
北大核心
2009年第9期823-825,共3页
Chinese Journal of Nursing
基金
南京军区南京总医院科研资助项目(编号:2006032)
关键词
坏疽性脓皮病
伤口感染
护理
Pyoderma Gangrenosum
Wound Infection
Nursing Care
