自配硬肿油治疗新生儿硬肿症疗效观察

目的 探讨自配硬肿油治疗新生儿硬肿症的疗效.方法 将184例新生儿硬肿症患儿随机分为观察组94例和对照组90例,对照组采用综合治疗,观察组在综合治疗基础上局部涂搓自配硬肿油.结果 观察组总有效率为91.5％,对照组为68.9％,2组比较差异有统计学意义(P＜0.01).观察组平均治疗时间为(7.0±2.3)d,对照组为(9.2±1.6)d,2组比较差异有统计学意义(P＜0.01).结论 自配硬肿油治疗新生几硬肿症疗效显著,疗程短,无不良反应,临床应用方便.     

恒温加温输液用于新生儿硬肿症的效果观察

将６３例新生儿硬肿症患儿随机分为加温输液治疗组３２例，对照组３１例。对治疗组患儿应用自行研制的恒温加温输液器输液。两组比较结果表明，加温输液治疗组较对照组能提高治愈率（Ｐ＜０．０５）、降低病死率（Ｐ＜０．０５）、缩短硬肿天数（Ｐ＜０．０１）、缩短住院天数（Ｐ＜０．０１）。结果提示，恒温加温输液是用于新生儿硬肿症的一种简单易行、疗效可靠的方法，有很大的推广价值     

水胶体敷料固定新生儿鼻导管的效果观察

目的探讨利用水胶体敷料固定新生儿鼻导管,提高鼻导管的固定效果,同时力求美观,舒适。方法将100例行鼻导管吸氧患儿随机分为传统组和鼻贴组,各50例。传统组采用普通医用胶布进行固定。鼻贴组采用水胶体敷料固定鼻导管,并对两组鼻导管的脱落,重新固定﹥2次例数,胶布过敏,湿疹发生率进行比较。结果水胶体敷料固定鼻导管,鼻导管脱落率、重新固定﹥2次例数、胶布过敏,湿疹发生率明显低于传统组(P0.05)。结论用水胶体敷料固定鼻导管,能提高鼻导管固定的有效性,保持皮肤完整,减轻患儿痛苦,提高护理质量。     

抚触辅助治疗新生儿硬肿症的效果观察

目的探讨抚触辅助治疗新生儿硬肿症的效果。方法将70例病情稳定的新生儿硬肿症按1：1配对分观察组和对照组,两组治疗相同,观察组再予抚触。观察两组新生儿硬肿消退情况。结果观察硬肿消退的有效率,观察组94．2％、对照组71．4％,两组比较,差异有统计学意义（xCMH^2=16．36,P〈0.01）。结论抚触能促进新生儿硬肿的消退。     

新生儿硬肿症的护理体会

新生儿硬肿症，是指新生期由于寒冷、早产、感染、窒息等多种原因引起的皮肤和皮下脂肪硬变及水肿。多见于胎龄小、出生体重低的婴儿，常伴有低体温及多器官功能损害。我科2001年-2007年收治76例新生儿硬肿症，现就护理谈谈我的体会。     

新生儿硬肿症150例护理观察分析

新生儿硬肿症是围产期严重疾病之一,一般多见于早产儿,因受寒冷、饥饿、感染、窒息缺氧等影响,引起皮肤和皮下脂肪变硬与水肿的一种疾病,严重时至全身,以致心、肺、肾功能衰竭,致心音低钝、呼吸表浅、尿少或尿闭、常并发肺炎、败血症等多种疾病,主要死因是DIC,肺出血,目前由于加强了护理、改进治疗方法,死亡率明显下降,今把我科(1991年1月～1992年8月)收治150例护理分析于后.     

伴有高热的新生儿硬肿症

伴有高热的新生儿硬肿症(Scleredema Neona-torum、SN)临床报道资料少见。1988年6月～1990年7月我们共收治SN52例,其中15例伴有高热占28.8％。为提高对本病的认识。本文就该组病例临床特点进行分析。     

水胶体敷料治疗小儿静脉炎的效果观察

[目的]观察水胶体敷料对小儿静脉炎的治疗效果。[方法]将40例静脉炎患儿随机分为对照组(20例)和观察组(20例),对照组给予50%硫酸镁湿敷,观察组给予水胶体敷料外贴。[结果]两组总有效率无显著差异,但痊愈率观察组明显高于对照组,差异有统计学意义(P<0.01)。[结论]水胶体敷料能够提高患儿静脉炎的痊愈率,有较好的临床效果。     

新生儿硬肿症的抢救

新生儿硬肿症死亡的主要原因是复温速度过快和输血时机不当，从而引起肺出血、消化道出血、颅内出血及DIC。我们把复温速度分为3级，观察体温达到37℃的时间和出血现象，并检测了APTT和D-二聚体的变化指导输血，取得了较好的效果，现报告如下。     

自制化瘀硬肿膏治疗新生儿硬肿症40例

我院儿科于2000年5月-2002年5月,用自制化瘀硬肿膏治疗新生儿硬肿症40例,疗效明显,报告如下.     

The effects of hydrocolloid dressing and gentian violet on radiation-induced moist desquamation wound healing

The aim of the study was to compare the effect of a gentian violet topical application with that of a moist dressing (hydrocolloid) on the rate and efficacy of radiotherapy-induced moist desquamation wound healing and the patients' satisfaction level with each method. This prospective randomized clinical trial used a stratified sampling design. A sample of 39 patients with 60 wounds had their wounds assessed on alternate days in terms of several wound-healing parameters including wound size, wound pain, incidence of infection, and time required for healing. Patient satisfaction with each treatment was evaluated at the completion of the study. Gentian violet significantly decreased wound size and reduced wound pain. However, this treatment received significantly lower ratings for dressing comfort and dressing aesthetic acceptance. Nevertheless, the time required for healing was not statistically different in the two groups. These findings suggest that the lower score of dressing satisfaction level in the gentian violet group may result from the skin discoloration and drying effects of the treatment, which renders patients unable to move or stretch their skin. Although the aim is to have complete wound healing, this may not be realistic for many lesions such as radiotherapy-induced moist desquamation wounds. The best evidence on which to make decisions about individual care can now be based on patients' own perception of quality.     

赛肤润联合水胶体敷料治疗化疗性静脉炎的效果观察与护理

目的:探讨赛肤润联合水胶体敷料治疗化疗性静脉炎的疗效。方法:将168例化疗药物所致静脉炎的患者随机分为观察组81例和对照组87例,对照组常规采用33%硫酸镁湿敷,观察组采用赛肤润联合水胶体敷料治疗。比较两组患者的治疗效果及平均起效时间。结果:观察组患者的疗效优于对照组,平均起效时间早于对照组(P<0.05)。结论:应用赛肤润联合水胶体敷料治疗化疗性静脉炎具有更强、更快的消肿、止痛、解痉、软化血管等药理作用,操作简便,安全可靠。     

水胶体敷料固定的新方法

我科为老年病科,高龄、卧床、危重患者多,难免压疮发生概率大,院外带入压疮病例多。在临床护理工作中,应用水胶体敷料防治压疮的效果已经得到认可[1-3]。目前,我科也采用水胶体敷料保护皮肤,防治压疮。水胶体敷料多为正方形,且有一定的厚度,贴在患者皮肤上尤其骨隆突处,常因翻身或患者运动等原因出现卷边现象致患者不适,也会致创面外露,若不及时处理会增加皮肤或创面的损伤。     

水胶体敷料预防新生儿无创呼吸机治疗鼻部并发症的效果观察

目的探讨水胶体敷料敷贴预防新生儿无创呼吸(nasal continuous positive airway pressure,N-CPAP)治疗鼻部并发症的效果。方法将本院500例需要使用N-CPAP的患儿随机分为观察组和对照组,每组各250例。对照组患儿在实施N-CPAP治疗期间,采用鼻塞固定法,观察组患儿在实施N-CPAP治疗期间,采用水胶体敷料敷贴法。比较两组患儿N-CPAP治疗期间鼻部皮肤并发症及患儿家属满意度。结果 N-CPAP治疗期间,两组患儿鼻部皮肤并发症及患儿家属满意度比较,均P<0.05,差异具有统计学意义,观察组明显优于对照组。结论水胶体敷料在N-CPAP治疗中应用,可减少患儿鼻部并发症。     

Hydrocoll: a 'new breed' of hydrocolloid wound dressing

Hydrocolloid dressings were first used in wound management in the 1960s. They provide the optimal environment for wound healing, i.e. a moist environment, constant wound temperature and infrequent dressing changes, and can be used on wounds in various stages of healing. As a result they are a popular treatment option for health professionals in both the community and hospital settings. This article describes the properties of Hydrocoll--a new and exciting range of hydrocolloid dressings from Paul Hartmann Ltd--which was launched in the UK in January 1998 and became available on the Drug Tariff in June 1998.     

Management of radiation-induced moist skin desquamation using hydrocolloid dressing

Moist skin desquamation has been of concern to radiation oncologists, nurses and patients since the inception of this mode of therapy. As radiation treatment machines became more sophisticated, severe reactions became less of a problem. However, with the increasing use of chemotherapy and radiation as combined modalities, moist skin reaction is occurring with greater frequency. A noncomparative study of 20 patients using a hydrocolloid occlusive dressing (Duoderm) was initiated. The purpose of the study was to determine whether moist occlusive healing would be beneficial. The dressing was evaluated on the basis of healing time, safety, wound temperature, bacterial growth, and comfort. Data were collected using photographs, bacterial cultures, temperature probes, and patient evaluations. Eighteen patients completed the study. All patients' skin reactions healed. There were no wound infections evident. Mean healing time was 12 days, with mean wound temperature relative to body core -0.8 degree C on day 1 and -1.2 degrees C on the healed site. Patient results on comfort were: 8 of 18 excellent, 7 of 18 good, 3 of 18 fair, and 0 of 18 poor. The results of this study indicate that a hydrocolloid occlusive dressing can be effective in the healing process of moist skin reaction that is due to radiation therapy.     

3M Tegasorb Thin: a hydrocolloid dressing for chronic wounds

Hydrocolloid dressings remain as popular today as when they were first developed in the early 1960s (Williams, 1994). The reason for this is that they provide a convenient and cost-effective treatment option for those who deal with the management of chronic wounds such as pressure sores and leg ulcers. This article examines Tegasorb Thin from 3M and shows how it can create the optimal moist wound healing environment.     

水胶体敷料预防PICC患者机械性静脉炎效果的meta分析

目的：系统评价水胶体敷料对于PICC患者机械性静脉炎的预防效果。方法：计算机检索Cochrane Database of Systematic Reviews、JBI Database of Systematic Review、EMBase、PubMed、中国生物医学文献数据库、万方数据库和中国学术期刊全文数据库中关于水胶体敷料对于预防PICC患者机械性静脉炎效果的随机对照试验(RCT)和半随机对照试验（q-RCT）,同时筛检纳入文献的参考文献。由2名研究者对文献质量进行严格评价和资料提取,对符合质量标准的RCT进行meta分析。结果：共纳入9篇文献,meta分析的结果显示水胶体敷料能降低PICC患者机械性静脉炎的发生率。结论：水胶体敷料的使用对于预防PICC机械性静脉炎的发生具有显著效果,具有一定临床推广意义。