摘要
目的比较银离子敷料和传统泡沫敷料用于3期压力性损伤治疗的效果,为优化3期压力性损伤治疗方案提供参考。方法收集2016年1月—2020年1月于首都医科大学附属北京朝阳医院急诊科就诊并符合3期压力性损伤的患者资料,包括一般情况(年龄、性别、营养评分、在院天数)、原发疾病、临床指标(血常规、生化肝肾功、白蛋白等)、皮肤破损情况(部位、换药前及后面积)、换药敷料(银离子敷料与泡沫敷料)、预后(出院/死亡)等情况,进行回顾性分析研究。结果纳入此次研究的患者共102例,其中男性55例(53.9%),女性47例(46.1%),年龄(32~104)岁,平均(80.59±9.91)岁,入院时营养评分(5.20±0.83)分,日常生活能力评分(6.96±10.49)分,死亡37例(36.3%),平均在院天数(16.43±6.50)d;3期压力性损伤发生在骶尾部72例(70.6%),髋部22例(21.6%),背部5例(4.9%),足跟部3例(2.9%),接受治疗后无效23例(22.5%),有效及有显效22例(21.6%),治愈57例(55.9%);使用银离子敷料组的皮肤损伤面积显著大于泡沫敷料组[(63.85±37.36)cm^(2) vs(39.97±17.23)cm^(2),P=0.000],使用后创伤面恢复速率显著高于泡沫敷料组[一周时:(50.97±14.13)%vs(7.29±11.65)%,P=0.000];[两周时:(84.30±11.72)%vs(17.27±22.63)%,P=0.000]。结论与传统泡沫敷料相比,银离子敷料能更好地促进3期压力性损伤的愈合,临床疗效更好。
Objective To compare the effect of silver ion dressing and traditional foam dressing for stage 3 pressure injury,and to provide reference for optimization of stage 3 pressure injury treatment.Methods The data of patients with stage 3 pressure injury in the emergency department of Beijing Chaoyang Hospital from January 2016 to January 2020 were collected,including general information(age,gender,nutritional score,days in hospital stay,etc.),primary disease,clinical indicators(blood routine,biochemical liver and kidney function,albumin,etc.),skin damage(site,area before and after dressing change),dressing change(silver ion dressing and foam dressing),prognosis(discharge or death)and so on.The above data were analyzed retrospectively.Results A total of 102 patients were included in this study,including 55 males(53.9%)and 47 females(46.1%),aged(32~104)years,with an average age of(80.59±9.91)years,nutritional score on admission(5.20±0.83)points,activity of daily living score(6.96±10.49)points,37 deaths(36.3%),and an average hospital stay of(16.43±6.50)days;72 patients(70.6%)with stage 3 pressure injury occurred in sacrococcygeal region,22 cases(21.6%)of the hip,5 cases(4.9%)of the back,3 cases(2.9%)of the heel,and 23 cases(22.5%)were invalid after treatment,22 cases(21.6%)were effective and 22 cases(21.6%)were cured,and the area of skin injury in the silver ion dressing group was significantly larger than that in the foam dressing group[(63.85±37.36)cm^(2) vs(39.97±17.23)cm^(2),P=0.000],the rate of recovery after injury was significantly higher than that in the foam dressing group[the first week:(50.97±14.13)%vs(7.29±11.65)%,P=0.000;the second week:(84.30±11.72)%vs(17.27±22.63)%,P=0.000].Conclusion Silver ion dressing is better than traditional foam dressing in promoting healing of stage 3 pressure injury.
作者
李晓蕾
刘波
曾红
刘文红
莫志丽
李萍
戴桂英
马丽娟
魏兵
王军宇
杨军
LI Xiaolei;LIU Bo;ZENG Hong;LIU Wenhong;MO Zhili;LI Ping;DAI Guiying;MA Lijuan;WEI Bing;WANG Junyu;YANG Jun(Emergency Department,Beijing Chaoyang Hospital,Capital Medical University,Beijing 100043,China)
出处
《中国急救复苏与灾害医学杂志》
2023年第6期784-788,共5页
China Journal of Emergency Resuscitation and Disaster Medicine
基金
北京市医院管理局科研培育计划项目(编号:PX2018010)
北京朝阳医院中青年基金资助项目(编号:YQ2014-30)。
关键词
银离子敷料
泡沫敷料
3期压力性损伤
压力性损伤的护理
疗效
Silver ion dressing
Foam dressing
Stage 3 pressure injury
Nursing of pressure injury
Curative effect
