摘要
目的:探析不同治疗方法对老年髋部骨折(EHF)术后伤口并发非典型失禁性相关性皮炎(AIAD)的疗效。方法:回顾分析石狮市总医院2018年1月至2022年12月行手术治疗且术后伤口并发AIAD的105例EHF患者资料,依据治疗方法分为研究组(常规方法治疗不佳者)54例和参照组(常规方法治疗者)51例。参照组:伤口采用75%酒精、盐酸吖啶黄液或康复新液湿敷+灭菌纱布覆盖+患侧自然状态治疗;研究组:伤口喷洒银离子生物胶体分散剂(SIBD)+灭菌纱布覆盖+患侧三角垫或皮牵引治疗。10 d后比较两组AIAD的治疗总有效率,伤口、会阴皮肤评估工具(PAT)评分、生存质量评分、AIAD愈合时间。结果:研究组的治疗总有效率高于参照组(P<0.05),伤口AIAD愈合时间短于参照组(P<0.001);治疗前两组的PAT评分、生存质量评分比较,差异无统计学意义(P>0.05),治疗后PAT评分低于、生存质量评分高于各组治疗前(P<0.05),且研究组治疗后的PAT评分低于参照组(P<0.001),生存质量评分高于参照组(P<0.001)。结论:伤口喷洒SIBD+灭菌纱布覆盖+患侧三角垫或皮牵引治疗EHF术后伤口并发AIAD疗效好,具有推广使用价值。
Objective:To explore the efficacy of different treatment methods on atypical incontinence-associated dermatitis(AIAD)after elderly hip fracture(EHF).Methods:A retrospective analysis was conducted on the data of 105 EHF patients who underwent surgical treatment with postoperative wound complications of AIAD at Shishi General Hospital from January 2018 to December 2022.According to the treatment methods,they were divided into research group(poor eflect of conventional treatment,n=54)and control group(conventional treatment,n=51).In the control group,the wound was wet compressed with 75%alcohol,acridine yellow hydrochloride solution or Kangfuxin solution,followed by sterilized gauze covering and treatment of the affected side in its natural state.In the research group,the wounds were sprayed with silver ion biocollid dispersant(SIBD),and then covered with sterilized gauze and triangular pad or skin traction on the affected side.After 10 days,the two groups were compared in terms of the total effective rate of treatment for AIAD,the scores of wounds or perineal assessment tool(PAT),the quality of life score,and the difference in AIAD healing time.Results:Compared to the control group,the research group had higher total effective rate of treatment(P<0.05)and shorter time to AIAD wound healing(P<0.001).The comparison of PAT scores and quality of life score between the two groups before treatment was not statistically significant(P>0.05).Compared to pre-treatment,the groups had lower PAT scores(P<0.05)and higher quality of life score(P<0.05)after treatment.And compared to the control group,the research group had lower PAT scores(P<0.001)and higher quality of life score(P<0.001)after treatment.Conclusions:The efficacy of wound spraying SIBD+sterilized gauze coverage+triangular pad or skin traction on the affected side for the treatment of postoperative wound complications of AIAD after EHF is worthy of affirmation and has an important value of promoting its use.
作者
赖昌建
徐斐明
王育新
杨潇铭
傅振新
洪海艇
林晓祥
李琪聪
Lai Changjian;Xu Feiming;Wang Yuxin;Yang Xiaoming;Fu Zhenxin;Hong Haiting;Lin Xiaoxiang;Li Qicong(Department of Orthopedics,Shishi General Hospital,Quanzhou,Fujian 362700,China)
出处
《感染、炎症、修复》
2024年第2期96-99,共4页
Infection Inflammation Repair
关键词
老年
髋部
骨折
伤口
非典型失禁性皮炎
银离子生物胶体分散剂
康复新液
疗效
Elderly
Hip fracture
Wound
Aiypical incontinence-associated dermatitis
Silver ion biocollid dispersant
Kangfuxin solution
Efficacy
