Effect of medical powdered carbon textile on pressure ulcer in patients with spinal cord injury

目的 探讨医用炭粉湿巾治疗脊髓损伤截瘫患者Ⅱ、Ⅲ期压疮的临床效果.方法 将33例(50处)脊髓损伤截瘫存在Ⅱ、Ⅲ期压疮患者分为两组,均按常规方法清创后,观察组16例(25处)创面覆盖医用炭粉湿巾后覆盖无菌纱布;对照组17例(25处)创面涂搽百多邦软膏后覆盖无菌纱布;均根据创面情况按需换药,观察并记录压疮创面缩小直径、创面愈合时间、换药次数以及治愈率.结果 观察组创面缩小直径及治愈率显著高于对照组,创面治愈时间及换药次数显著短于和低于对照组(P＜0.01、P＜0.05).结论 医用炭粉湿巾治疗脊髓损伤截瘫患者压疮可提高治疗效果.     

海肤康人工皮膜治疗Ⅱ、Ⅲ期压疮疗效观察

目的 探讨海肤康人工皮膜治疗Ⅱ、Ⅲ期压疮的效果.方法 将31例Ⅱ、Ⅲ期压疮患者(共69处疮面)随机分为观察组(15例35处)和对照组(16例34处).两组按同法清创后,对照组采用常规换药法处理疮面,观察组用海肤康人工皮膜处理疮面.结果 观察组疮面愈合时间显著短于对照组(均P＜0.01).结论 海肤康人工皮膜治疗压疮可缩短愈合时间.     

甲壳胺治疗溃疡期压疮效果观察

目的 观察甲壳胺对溃疡期压疮的治疗效果.方法 将60例溃疡期压疮患者随机分为对照组和观察组各30例,彻底清创后对照组采用甲硝唑、庆大霉素混合液(两种药液按5:1混合)湿敷创面;观察组将甲壳胺粉剂均匀撒于创面(厚度约1 mm),再湿敷上述混合药液于创面.结果 观察组治疗效果显著优于对照组(P＜0.05);创面愈合时间、换药次数显著低于对照组(均P＜0.01).结论 甲壳胺可促进压疮创面愈合,缩短愈合时间,减少换药次数,可用于压疮的辅助治疗.     

生肌膏加聚维酮碘软膏外敷治疗压疮效果观察

目的 探讨生肌膏加聚维酮碘软膏外敷治疗压疮的效果.方法 将82例院外压疮患者按入院时间分为观察组(42例)和对照组(40例).对照组在常规局部清创、消毒、红外线照射后,采用庆大霉素纱条湿敷创面;观察组采用消毒生肌膏加聚维酮碘软膏纱布外敷.现察两组患者的治疗效果及愈合时间.结果 观察组治疗效果显著优于对照组、愈合时间显著短于对照组(均P＜0.01).结论 生肌膏加聚维酮碘软膏可缩短压疮愈合时间,提高压疮治疗效果.     

自制压疮膏联合1%硫酸铜溶液治疗Ⅲ期压疮

目的 观察自制压疮膏联合1%硫酸铜溶液治疗Ⅲ期压疮的疗效.方法 将29例(42处)Ⅲ期压疮患者随机分为两组,观察组15例(21处)用自制压疮膏联合1%硫酸铜溶液进行换药,对照组14例(21处)用人工生物膜康尔恵溃疡贴敷于疮面,比较两组治疗效果.结果 观察组治疗效果显著优于对照组,愈合时间显著短于对照组(均P＜0.01).结论 自制压疮膏联合1%硫酸铜溶液治疗Ⅲ期压疮效果较好.     

济安舒能联用蒲黄治疗压疮效果观察

目的 观察济安舒能与蒲黄联合使用对Ⅲ、Ⅳ期压疮的治疗效果.方法 将60例Ⅲ、Ⅳ期压疮患者随机分为观察组和对照组各30例,对照组常规用2.5%碘伏消毒压疮创面及周围皮肤后局部喷洒济安舒能;观察组常规处理创面后局部喷洒济安舒能,再将生蒲黄敷于创面,观察两组压疮愈合情况.结果 观察组总有效率显著高于对照组(P＜0.05),治愈时间显著短于对照组(P＜0.01).结论 济安舒能联合蒲黄对促进Ⅲ、Ⅳ期压疮愈合有显著效果.     

美皮康贴膜治疗压疮疗效观察

目的 了解美皮康贴膜治疗压疮的疗效.方法 将32例压疮患者随机分为观察组和对照组各16例.观察组使用美皮康贴膜治疗,对照组用碘伏涂搽换药治疗,两组均按压疮护理常规护理.结果 两组压疮均治愈,观察组治愈时间及换药次数显著短于/少于对照组(P＜0.05,P＜0.01).结论 美皮康贴膜治疗压疮,可减少换药次数,缩短愈合时间.     

西瓜霜联合芝麻油外搽治疗压疮

目的 探讨西瓜霜联合芝麻油外搽治疗压疮的疗效.方法 将神经内科67例压疮患者随机分成观察组39例和对照组28例,两组同法对创面清创、消毒后,观察组用西瓜霜与芝麻油混合剂均匀涂抹创面,对照组用表皮生长因子涂抹创面,每日2～3次.结果 观察组压疮治愈率显著高于对照组,压疮愈合时间显著短于对照组(P＜0.05,P＜0.01).结论 西瓜霜联合芝麻油外搽治疗压疮疗效显著.     

复方蛋油纱条和化腐散治疗压疮的疗效观察

目的观察复方蛋油纱条与化腐散治疗压疮的效果.方法将124例(188处)压疮患者按住院时间分为观察组(74例)和对照组(50例).对照组常规疮面处理;观察组在此基础上运用自制蛋油纱条及化腐散换药.结果观察组治疗效果显著优于对照组(P＜0.01),且治愈时间显著缩短(P＜0.05).结论复方蛋油纱条加化腐散在压疮的治疗中疗效确切、安全.     

负压封闭引流技术在压疮中的临床应用

目的探讨负压封闭引流技术在压疮中的临床应用效果。方法随机将68例压疮(92处)患者分为2组,各34例。对照组采取传统常规方法处理,观察组实施负压封闭引流技术。对2组患者压疮处理效果、疼痛评分、换药次数、换药费用、疮面愈合时间进行对比、分析。结果观察组护理总有效率高于对照组;疼痛评分、换药次数、换药费用均低于对照组;疮面愈合时间短于对照组,2组比较,差异均有统计学意义(P0.05)。结论应用负压封闭引流技术治疗压疮,效果满意。     

Clinical experience with duodenum-preserving total resection of the head of the pancreas with pancreaticocholedochoduodenostomy

The results of duodenum-preserving total resection of the head of the pancreas (DpTRHP) in 20 patients were compared with the results of pylorus-preserving pancreatico-duodenostomy (PpPD), a procedure in conventional use for the treatment of benign diseases, in 19 patients. The mean operative time for DpTRHP was 4.5±0.9 h, this being not significantly different from that for PpPD, whereas the mean intraoperative blood loss with DpTRHP (825±508ml) was significantly less than that with PpPD (1382±798 ml) (P<0.05). The morbidity and mortality rates of patients treated with DpTRHP were 25% and 0%, respectively, and there were no significant differences between the two surgical treatment groups for these values. The outcome of treatment with DpTRHP was excellent, as was that of PpPD, in terms of the frequency of early gastric stasis, the duration of hospital stay, the patient's capacity for taking food, gaining weight, and working, and the performance status 6 months postoperatively. Thus, DpTRHP, which entails the least extent of resection of the head of the pancreas compared to other currently employed procedures and enables the operator to accomplish reconstruction of the pancreatic and biliary systems without resecting or interrupting the continuity of the digestive tract, was not attended by any serious complications, while, digestive tract function was well preserved, and satisfactory results were produced.     

Esophagoplasty with the colon in flap patients with burn strictures of the esophagus

Results of coloesophagoplasty in 366 patients with long burn strictures of the esophagus are presented. The lesion was total in 74 (21.2%) of them. Inefficacy of bougieurage was indication for plastic surgery in 133 (36.3%) patients, complete obliteration of esophagus--in 53 (14.5%). Left half of the colon was used in 296 (80.9%) cases, transverse colon--in 48 (13.1%), right half of the colon--in 22 (6.0%) cases. Retrosternal shunting esophagoplasty was performed in 247 (67.5%) patients. Complications were in 84 (34.0%), necrosis of the transplant--in 4 (1.6%) patients. Extirpation of the esophagus with posteriormediastinoplasty was performed in 16 (4.4%) patients, in 14 of them--transhiatally. Complications occurred in 7 patients coloesophagopharyngoplasty was carried out in 52 (14.2%) patients with combined stricture of the esophagus and the pharynx, in 23 of them--simultaneously. Complications were in 28 (53.8%) patients. Intrapleural of coloesophagoplasty was performed in 51 patients. General hospital lethality was 3.3%. Long-term results were studied in 259 patients. Good results of esophagoplasty were seen in 135 (52.1%) patients, satisfactory--in 65 (25.1%), unsatisfactory--in 59 (22.8%) patients. Dysfunction of the artificial esophagus was seen in 22.0% patients, 12.7% patients underwent repeated reconstructive surgeries.