湿润再生技术治疗褥疮疗效观察.docVIP

湿润再生技术治疗褥疮疗效观察【摘要】目的 观察湿润再生技术在褥疮治疗中的疗效。方法 2007年11 月至2009年11 月,43例患有Ⅱ～Ⅲ期褥疮的住院患者,用0.5%碘伏常规消毒创面后,再以生理盐水局部冲洗后,创面涂以美宝湿润烧伤膏(MEBO),或用(MEBO)纱条覆盖或填塞创面及溃疡腔, 每日换药 3次 ,以保持药效的连续性和保证创面处于湿润状态,直至创面修复,上皮再生。结果 以(MEBO)所建立的湿润再生技术治疗的43例患者,均取得了良好的疗效。结论 以MEBO所建立的湿润环境,有利于创面愈合,上皮再生。可明显提高治愈率 ,使愈合时间缩短 ,且操作简便 ,治疗费用低廉。 【关键词】 湿润再生技术;褥疮;治疗;护理 Curative effect observation of treating bedsore by the technical of wet-regeneration// LI Feng-Xiang , Peoples Hospital in Mianyang City, Sichuan 621000. 【Abstract】Objective To observe the curative effect of treating bedsore by the technical of wet-regeneration. Methods There are 43 patients with beds ore ( stage Ⅱ or stage Ⅲ) in our hospital from November 1,2007 to November 1,2009.Besides conventional nursing and strengthened nutrition, we plastered the wound with 0.5% iodophor, and persistingly douched the wound with isotonic Na chloride.The wounds were covered by MEBO burn cream. we renew the proceed three times a day so as to ensure the continuity of medicine effect and the wettish until the wounds were recovery and the endepidermis regenerated. Result 43 patients have gain satisfactory curative effects through the technical of wet-regeneration that is built by MEBO burn cream. ConclusionThe technical of wet-regeneration that is built by MEBO burn cream ,which is convenient to use and with low price, can greatly enhance the curative rate and shorten the healing time . 【Key words】the technical of wet-regeneration; bedsore; therapy; Nursing. 褥疮是长期卧床病人的严重并发症。不仅给病人增加痛苦、加重病情、延长病程,甚至可因继发感染引起败血症而危及生命。据有关文献报道每年约有 6万人死于褥疮合并症[1]。美宝湿润烧伤膏主要是用于治疗烧伤、 烫伤等疾病。从2007年11 月至2009年11 月,我科43例患者应用以(MEBO)所建立的湿润再生技术治疗Ⅱ～Ⅲ期褥疮获得了满意的疗效,现报告如下。 1 临床资料 1.1 一般资料 我科从2007年11 月至2009年11 月,共对43例患有Ⅱ～Ⅲ期褥疮的住院患者通过湿润再生技术进行治疗,年龄45～87岁, 平均年龄68.5岁。 褥疮II期30例, 年龄57～75岁, 平均68.3岁, 其中昏迷病人9例, 肿瘤恶液质6例, 中风瘫痪病人10例, 手术后不能移动病人3例, 脱水2例。 褥疮III期13例, 年龄64～82岁, 平均74.2岁, 其中昏迷病人2例, 中风瘫痪病人4例, 手术后不能移动病人3例, 肿瘤恶液质4例。 1.2 治疗方法 1.2.1Ⅱ期褥疮,此期炎症已波及真皮层,及真皮下脂肪层,并在创面表面有水疱形成,病人有较强的痛感。此期的治疗主要重点是:清除水疱渗液,