摘要
目的：观察自制的制剂紫草油应用于Ⅰ、Ⅱ期老年性压疮的临床效果。方法选择2014年3月至2015年8月住院的283例老年患者，共计324个疮面。采用区组随机化方法分为观察组145例与对照组138例，观察组采用紫草油治疗配合常规压疮护理，对照组接受康复新液治疗结合常规压疮护理。比较不同组患者治疗效果、疮面愈合时间。结果观察组疮面痊愈率为84.85%（140/165），总有效率96.97%（160/165），对照组痊愈率50.94%（81/159），总有效率84.91%（135/159），2组比较差异有统计学意义（χ2=42.93、14.46，P＜0.01）。观察组愈合时间（8.78±4.27） d，对照组愈合时间（10.46±3.99） d，2组比较差异有统计学意义（t=2.88，P＜0.01）。观察组尾骶部、臀部、四肢及其他部位的疮面愈合率为87.96%（95/108）、9/10、12/16、9/9，显著高于对照组的46.43%（39/84）、6/12、3/9、9/15，差异有统计学意义（χ2=4.02～44.35，P＜0.01或0.05）。结论紫草油配合整体护理能够有效提高老年压疮愈合率，适合临床推广与应用。
Objective To observe the efficacy of self-made Arnebiae oil by our hospital on phaseⅠandⅡpressure ulcers. Methods A total of 324 pressure wounds of 283 cases collected from March 2014 to August 2015 were randomly divided into the observation group (145 cases) and the control group (138 cases). The control group received Kangfuxin solution in conjunction with conventional pressure ulcer care treatment, the observation group were treated with Arnebiae oil and conventional pressure ulcer care treatment. The therapeutic effect and healing time of both groups were compared. Results Arnebiae oil was effective in 96.97% (160/165) of the pressure ulcer patients and cured 84.85% (140/165) patients in the observation group. Nearly 84.91%(135/159) patients were effective and 50.94%(81/159) patients were cured in the control group. There was statistical significance (χ2=42.93, 14.46, P<0.01). The healing time was (8.78±4.27) d in the observation group and (10.46±3.99) d in the control group with significance(t=2.88, P< 0.05). The healing rates of Arnebiae oil sacrococcygeal region, hips, legs and other parts were 87.96%(95/108), 9/10, 12/16, 9/9, significantly higher than those of the control group, 46.43%(39/84), 6/12, 3/9, 9/15, the difference had statistical significance (χ2=4.02-44.35, P<0.05). Conclusion Arnebiae oil com-bined with the overall care can improve the rate of wound healing in aged pressure ulcer, which is suitable for clinical application.
出处
《中国实用护理杂志》
2016年第6期-,共5页
Chinese Journal of Practical Nursing
基金
2015年度苏州市科技发展计划(应用基础-医疗卫生〔第四批〕)项目(SYSD2015167)Fund program:Science and Technology Development Program of Suzhou of 2015
关键词
压力性溃疡
护理
紫草油
Pressure ulcer
Nursing care
Arnebiae oil
