德莫林喷剂或德莫林喷剂联合加压包扎用于老年患者压力性溃疡水泡的效果

摘要

目的 探讨德莫林喷剂及德莫林喷剂与加压包扎联用对老年患者压力性溃疡水泡的效果.方法 选取2011年1月—2016年8月在解放军总医院第一附属医院120例压力性溃疡水泡老年患者为研究对象.设置小水泡组(直径<5 mm)和大水泡组(直径≥5 mm)各60例,并各自分为观察组与对照组,小水泡对照组患者30例(水泡41处),观察组30例(水泡37处),小水泡组不予抽吸,对照组涂抹碘伏,观察组喷涂德莫林;大水泡对照组患者30例(水泡42处),观察组30例(水泡41处),均给予抽吸,对照组涂抹碘伏联合加压包扎,观察组喷涂德莫林联合加压包扎.划分评价标准为治愈、显效、好转以及无效.7 d内观察统计各组愈合情况.结果 小水泡观察组有效率为100.0%,对照组有效率为97.6%,观察组的疗效优于对照组,差异有统计学意义(Z=-2.347,P=0.019),且治愈时间更短(P<0.01).大水泡组观察组有效率为97.5%,对照组有效率为92.9%,观察组的疗效优于对照组,差异有统计学意义(Z=-3.495,P<0.001),且治愈时间更短(P<0.01).结论 德莫林或德莫林联合加压包扎均能促进老年患者压力性溃疡水泡愈合,并缩短愈合时间.%Objective To explore the therapeutic effect of dermlin and the combination of dermlin and pressure dressing in elderly patients with pressure ulcer.Methods From January 2011 to August 2016, a total of 120 hospitalized elderly patients with pressure ulcers in First Affiliated Hospital of PLA General Hosptial were chosen as research objects. Patients with blister diameter less than 5 mm were defined as small blister group, and patients with blister diameter equal to or more than 5 mm were defined as big blister group. Each group containing 60 patients was divided into the observation group and the control group. In the small blister group, there were 30 cases in the control group with 41 blisters and 30 cases in the observation group with 37 blisters. Blisters in small blister groups were not pumped, of which the control group was treated by iodine while the observation group was treated by dermlin. In the big blister group, there were 30 cases in the control group with 42 blisters and 30 cases in the observation group with 41 blisters. Blisters in big blister groups were pumped, of which the control group was firstly treated by iodine and then applied with pressure dressing, while the observation group was firstly treated by dermlin and then applied with pressure dressing. The evaluation standard of therapeutic effect contained recovery, efficiency, improvement and non-effect. All the groups' healing situations were observed and recorded within 7 days.Results In the small blister group, the effective rates were 100.0% in the observation group and 97.6% in the control group. The therapeutic effects in the observation group were statistically significant better than the control group (Z=-2.347,P=0.019). The therapeutic time in the observation group was significantly shorter than the control group (P<0.01). In the big blister group, the effective rates were 97.5% in the observation group and 92.9% in the control group. The therapeutic effects in the observation group were statistically significant better than the control group (Z=-3.495,P<0.001). The therapeutic time in the observation group was significantly shorter than the control group (P<0.01).Conclusions Both dermlin and the combination of dermlin and pressure dressing could significantly enhance the healing of elderly patients' pressure ulcers and reduce the healing time.