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系统性湿性疗法治疗Ⅱ~Ⅳ度压疮的临床观察
胡晓燕1,周华2,王广庆1,贲道锋1,夏照帆1*
0
(1. 第二军医大学长海医院烧伤科,上海 200433
2. 赣州市立医院烧伤科,江西 341000
*通信作者)
摘要:
目的 探讨系统性湿性疗法对Ⅱ~Ⅳ度压疮的治疗效果。 方法 2010年1月至2011年1月,我科共收治压疮患者30例,其中男21例、女9例;年龄60~80岁,平均(71±8.5)岁。创面类型:Ⅱ度压疮7例、Ⅲ度12例、Ⅳ度11例。按湿性疗法进行系统换药,观察各创面的肉芽生长和愈合情况。结果 湿性疗法换药后,创面肉芽生长良好,感染控制好,所有创面均在1~6周内愈合,随访3个月,未再复发。 结论 湿性疗法是治疗深度压疮的较理想的方法 之一,值得推广应用。
关键词:  压力性溃疡  湿性疗法  肉牙组织  伤口愈合
DOI:10.3724/SP.J.1008.2012.085
投稿时间:2011-05-30修订日期:2011-11-15
基金项目:国家自然科学基金面上项目(30973617).
Systemic moist therapy in treatment of stage Ⅱ-Ⅳ pressure ulcers: a clinical observation
HU Xiao-yan1,ZHOU Hua2,WANG Guang-qing1,BEN Dao-feng1,XIA Zhao-fan1*
(1. Department of Burns, Changhai Hospital, Second Military Medical University, Shanghai 200433,China
2. Burn unit,Ganzhou Municipal Hospital, Ganzhou 341000, Jiangxi, China
*Corresponding author.)
Abstract:
Objective To investigate the effectiveness of systemic moist therapy in treating stage Ⅱ-Ⅳ pressure ulcers. Methods From January 2010 to January 2011, 21 males and 9 females with pressure ulcers,with an age range of 60-80 years and a mean of 71±8.5 years old, were treated with systemic moist dressing changes. Seven cases had Ⅱ degree pressure ulcers, 12 had Ⅲ degree and 11 had Ⅳ degree. Wound granulation and wound healing were observed after systemic moist treatment. Results The wounds were full of flesh granulation and the infection was controlled after the moist dressing therapy; all the wounds were healed within 1-6 weeks. A followed up of 3 months found no recurrence. Conclusion Moist therapy is a satisfactory method to treat deep pressure ulcers, and it is worth popularizing.
Key words:  pressure ulcer  moist treatment  granulation tissue  wound healing