外科骨折患者褥疮治疗及护理对策

目的：研究探讨护理干预结合本院研制的褥疮膏治疗Ⅲ度、Ⅳ度褥疮的疗效，并分析褥疮形成原因与护理对策。方法：将100例Ⅲ度、Ⅳ度褥疮患者随机分为实验组（50例）和对照组（50例），两组均给予基础护理、营养支持护理及常规的褥疮防治方法，实验组加用褥疮膏治疗。比较两组疗效及褥疮愈合时间。结果：实验组总有效率达到100%，高于对照组的54.00%（P〈0.05）；对照组褥疮愈合时间（75.4±16.6）d，实验组为（43.7±13.4）d，两组比较差异具有统计学意义（P〈0.05）。结论：护理干预结合褥疮膏在治疗褥疮方面具有一定的临床使用价值，对各种程度的褥疮，尤其是重度褥疮效果确切、简单易行、安全实用、经济实惠，完全可避免手术植皮等，减轻患者各重负担，值得推广。

Treatment and Nursing Strategy for Patients with Surgical Fracture Plus Pressure Score

Objective： To investigate the efficacy of strengthen the nursing intervention combine with bedsore ointment in the treatment ofⅢ, Ⅳ bedsore. To study the prevention and nursing methods for patients with fractures plus pressure ulcer.Method：100 cases ofⅢ,Ⅳ bedsore were randomly divided into treatment group （50 cases） and control group （50 cases）, the two groups were given the basic nursing , nutrition support care and conventional pressure ulcer prevention method. The treatment group was given bedsore ointment. After treatment, time and pressure ulcer healing efficacy of the two groups were compared.Result：The treatment group total effective rate （100%） was higher than the control group（54.00%）（P〈0.05）. The pressure ulcer healing time compared between the two groups had statistical significance （P〈0.05）.Conclusion： Strengthen the nursing intervention combine with bedsore ointment has certain clinical value in the treatment of pressure sores, worthy of promotion.