康惠尔透明贴用于拔甲后换药疗效观察

拔甲术是治疗甲沟炎的常用方法,拔甲术后的伤口换药对甲床创面的愈合非常重要,创面的愈合取决于甲床的保护和保持伤口良好的湿性环境等.     

中药敷料用于青少年拔甲术后换药的效果观察

目的观察自制中药敷料在青少年拔甲术后创面换药中的应用效果。方法将100例青少年患者按拔甲术时间顺序分为观察组50例、对照组50例。观察组术后创面用中药敷料覆盖,术后3～5 d首次换药,以后2～3 d换药1次;对照组用0.1%雷佛奴尔纱布覆盖创面,术后次日换药,以后隔日换药1次。采用视觉模拟评分法评估患者换药疼痛程度,按创面愈合标准统计创面愈合天数。结果观察组换药疼痛程度及创面愈合时间均低于对照组(P0.01)。结论拔甲术后创面换药采用中药敷料,能明显减轻患者疼痛,促进创面愈合,缩短创面愈合时间。     

美皮贴配合藻酸盐敷料用于甲床缺损创面换药的观察

目的选择最适合甲床缺损创面换药的敷料及最佳的伤口处理结果。方法将128例患者随机分为两组,观察组用美皮贴（Mepitel）配合藻酸盐敷料（SeaSorb Soft）对创面进行换药,对照组单纯用藻酸盐敷料（SeaSorb Soft）对创面进行换药。结果观察组与对照组换药创面敷料残留情况、疼痛情况及所花费的人工时间相比较,差异均有显著意义（P〈0．05）。结论采用美皮贴配合藻酸盐敷料对甲床缺损患者的创面进行换药,既可减轻患者的疼痛,还可避免藻酸盐敷料残留创面,同时节省了护理人力资源,临床可操作性强。     

优拓敷料用于拔甲术后创面换药的临床观察

[目的]了解优柘敷料用于拔甲术后创面换药的效果。[方法]将68例拔甲术后病人随机分成治疗组和对照组，在常规治疗基础上，治疗组病人拔甲术后采用优柘敷料覆盖创面，对照组病人拔甲术后采用凡士林纱布覆盖创面，观察两组疼痛程度、换药时创面出血率及创面愈合时间。[结果]治疗组创面疼痛程度、出血率、创面愈合时间均低于对照组（P〈0．01）。[结论]优拓敷料用于拔甲术后创面换药，能减轻术后疼痛，有效促进创面愈合，其效果优于凡士林纱布。     

优拓敷料用于拔甲术后创面换药的临床观察

[目的]了解优拓敷料用于拔甲术后创面换药的效果。[方法]将68例拔甲术后病人随机分成治疗组和对照组,在常规治疗基础上,治疗组病人拔甲术后采用优拓敷料覆盖创面,对照组病人拔甲术后采用凡士林纱布覆盖创面,观察两组疼痛程度、换药时创面出血率及创面愈合时间。[结果]治疗组创面疼痛程度、出血率、创面愈合时间均低于对照组(P<0.01)。[结论]优拓敷料用于拔甲术后创面换药,能减轻术后疼痛,有效促进创面愈合,其效果优于凡士林纱布。     

芦芨油用于拔甲后换药疗效观察

目的比较拔甲后创面用芦芨油与常规用几士林纱布换药的效果。方法对223例甲沟炎、甲下脓（血）肿拔甲后的患者随机抽出160例分为两组，每组80例。治疗组用芦芨油纱布覆盖创面包扎，对照组用凡士林纱布覆盖创面包扎。结果治疗组创面愈合时间、患者的感觉及换药的次数与对照组比差异有显著性。结论拔甲后创面用芦芨油纱布覆盖包扎换药效果优于凡士林纱布换药。     

藻酸盐敷料用于拔甲术后创面换药的临床观察

多年来,临床上各种原因导致的拔甲手术后,多用凡士林油纱覆盖伤口,油纱布虽能保持伤口湿润,但在去除时常引起疼痛和副损伤,导致炎症反应、愈合延迟[1].因而拔甲患者创面愈合多在两周左右.     

改良式藻酸盐敷料用于拔甲术后创面换药的效果观察

目的探讨减轻拔甲术后病人创面换药疼痛的方法和措施。方法将68例拔甲病人随机分为实验组和对照组,实验组病人用改良式藻酸盐敷料换药,即在藻酸盐敷料的上面再平铺4层生理盐水纱布作为换药的内层敷料。对照组病人仅用藻酸盐敷料作为内层敷料换药。观察两组病人换药时疼痛的程度及创面愈合时间。结果实验组病人疼痛程度低于对照组,创面愈合时间优于对照组（P〈0．01）。结论改良式藻酸盐敷料换药更能有效减轻病人的疼痛和缩短疗程。     

甲沟炎拔甲术的效果观察及护理

目的 探讨甲沟炎拔甲术的方法 ,提高甲沟炎临床治疗效果.方法 将152例患者随机分成观察组和对照组.观察组是76例在传统的基础上对甲床边的1/5甲基质切除;对照组76例按传统拔甲技术治疗,比较两组疗效复发率等.结果 76例观察组无1例复发.结论 甲沟炎对甲床边的1/5甲基质切除的方法 较传统方法 效果佳.     

优拓用于拔甲术后伤口护理的临床观察

目的探讨优拓用于拔甲术后伤口换药护理的效果.方法将861例拔甲患者随机分为观察组和对照组,常规拔甲术后观察组用优拓覆盖甲床创面,对照组用凡士林纱布覆盖甲床创面,2组于手术次日第1次换药,并对第1次换药时是否粘贴伤口、有无疼痛、出血以及伤口换药次数、伤口愈合时间等进行观察比较.结果 2组在是否粘贴伤口、有无疼痛、出血以及换药次数、伤口愈合时间等方面经统计检验,差异有显著性.结论优拓在拔甲术后伤口换药护理的防粘连、减轻疼痛、出血等效果上明显优于凡士林纱布.     

Effectiveness of silver in wound care treatment

Abstract

Background: Topical treatments impregnated with silver are being increasingly used in the treatment of acute and chronic wounds; however, the evidence on the effectiveness of silver wound care treatment is in question.

Objectives: To systematically review the literature examining the effectiveness of silver in wound care treatment.

Methods: Research databases were consulted including the Cumulative Index to Nursing and Allied Health Literature (CINAHL), ProQuest, MEDLINE and the Cochrane Database of Systematic Reviews for relevant clinical trials from 2000 to 2009. Studies deemed to have met inclusion criteria were scored using the Physiotherapy Evidence Database (PEDro) scale and those scoring 4/10 or higher were included in this review.

Results: Five clinical trials were identified including three randomized control trials including a total of 410 subjects. Methodological quality ranged from 4 to 10 out of 10. All five research studies showed positive effects of the use of silver dressings or topical agents.

Conclusion: This literature review analyzed the effectiveness of sliver hydroalginate, Contreet foam, hydrofiber Ag dressings along with hyaluronic acid plus silver sulfadiazine and silver sulfadiazine topical agents in wound care. Second degree burns, venous leg ulcers, diabetic foot ulcers, pressure ulcers and open surgical and traumatic wounds were analyzed in the included studies. The results of this literature review demonstrate that silver dressings and topical agents are promising as safe and effective treatment methods for wound care patients throughout the treatment period in the selected studies. However, further research should be conducted to provide additional evidence on the effectiveness of silver dressings and topical agents.     

部分拔甲联合电灼烧治疗嵌甲性甲沟炎效果观察

目的 观察部分拔甲术联合电灼烧治疗嵌甲的临床效果.方法 将84例嵌甲拟行拔甲治疗的患者随机分为观察组和对照组各42例,对照组采用全甲拔除术,观察组行部分拔甲联合电灼烧术.结果 两组治疗效果相同,差异无统计学意义(X2=0.35,P>0.05);两组拔甲和首次换药剧痛率比较,观察组剧痛率显著低于对照组,具有统计学意义(X2=23.05,P<0.01).结论 部分拔甲术联合电灼烧治疗嵌甲可减轻患者痛苦.     

Effectiveness of wound care products in the transmission of acoustic energy

BACKGROUND AND PURPOSE: Ultrasound is often recommended in the treatment of people with partial and full-thickness wounds. Many treatments are performed over a hydrogel sheet or semipermeable film dressing. The purpose of this in vitro study was to examine the effectiveness of 4 hydrogels (Nu-Gel, ClearSite, Aquasorb Border, and CarraDres) and 4 film dressings (CarraSmart Film, J&J Bioclusive, Tegaderm, and Opsite Flexigrid) in ultrasound transmission. METHODS: The amount of sound energy transmitted through each product and interposed pig tissue was measured using an oscilloscope to display the intensity of sound energy delivered by the transducer. Five intensities at a frequency of 3.3 MHz were studied. RESULTS: Results were expressed as the mean ((SD) percentage of voltage transmitted compared with a gel baseline. Nu-Gel was the most efficient hydrogel (77.2%(4.6%), followed by ClearSite (72.0%(2.2%), Aquasorb Border (45.3%(2.1%), and CarraDres (42.8%(5.9%). The 4 film dressings, in order of efficiency, were CarraSmart Film (60.5%(4.4%), J&J Bioclusive (53.2%(2.4%), Tegaderm (47.1%(2.3%), and Opsite Flexigrid (31.5%(4.0%). CONCLUSION AND DISCUSSION: Transmissivity of wound care products used to deliver acoustic energy during ultrasound treatment of wounds varies greatly among dressing products. We believe that clinicians can use our findings as a part of the clinical reasoning process that they use to select an optimal wound dressing.     

部分拔甲术结合电离子治疗嵌甲所致甲沟炎疗效观察

目的：探讨嵌甲所致甲沟炎的有效治疗方法。方法：将126例患者随机分成两组,治疗组65例,予嵌甲部分拔除术联合高频电离子治疗;对照组61例,予嵌甲部分拔除术。结果：治疗组痊愈61例,复发4例,治愈率93.85%;对照组痊愈20例,复发41例,治愈率32.79%。两组治愈率比较差异有显著性（χ^2=51.1,P〈0.01）。结论：嵌甲部分拔除术联合高频电离子治疗嵌甲所致甲沟炎疗效确切,是一种简单可行的方法。     

Case conferencing for wound care patients

This article identifies elements for the successful management of wound care patients in home health via the use of the case conference. Recommendations for use of certified wound specialists, identification of criteria for case review, and specific questions to address during the case conference review of wound care patients are all detailed.