思密达联合TDP照射治疗压疮的效果观察

目的 探讨思密达联合特定电磁波治疗器（TDP）照射治疗压疮的疗效观察.方法 选择2010年1月至2012年6月在我院内科住院长期卧床的脑中风并出现Ⅲ期压疮的患者60例,将患者随机分为两组,观察组30例,共有Ⅲ期压疮42处.对照组30例,共有49处.观察组在压疮护理常规基础上每日用TDP照射,辐射探头距离压疮处30 ～ 40 cm,每次20 min后予思密达外敷治疗.对照组则在压疮护理常规基础后,外涂安尔碘.治疗14 d后,观察两组压疮的大小、色泽、结痂、肉芽组织、炎性渗出物等情况.结果 观察组压疮愈合时间明显短于对照组（P＜0.05）,观察组与对照组的总有效率分别为93.35％和70％,两组比较差异有统计学意义（P＜0.05）.结论 思密达联合TDP照射治疗Ⅲ期压疮疗效显著,取材方便,价格低廉,操作简单,适合基层医院推广应用.

Smecta combined with TDP Irradiation for pressure sores

Objective To investigate the clinical efficacy of Smecta combined with TDP irradiation for treatment of pressure sores.Methods Selected 60 stroke patients with stage Ⅲ pressure sores,who had lay in bed for a long time,in our department of medicine from 2010 January to 2012 June.The patients were randomly divided into a experiment group of 30 cases,a total of 42 stage Ⅲ pressure sores,and control group of 30 cases,a total of 49 stage Ⅲ pressure sores.Based on the basic nursing of pressure sores,the patients in the experiment group were treated by TDP irradiation daily,with a 30-40 cm radiation distance of the probe from the pressure sore,20 min each time,and externally applied Smecta after that.Meanwhile the patients in the control group were treated externally applying Aner iodine basing on the basic nursing of pressure sores.The differences in size,color,scar,granulation tissue and inflammatory exudate of pressure sores between two groups were observed comparatively 14 days after the treatment.Results The healing time of the experiment group were significantly shorter than that of the control group （P〈0.05）.The total efficacy rate was 93.35% in the experiment group and 70% in the control group.There was significant difference between the two groups （P〈0.05）.Conclusion Smecta combined with TDP irradiation for pressure sores is clinically effective,convenient,cost-effective,operation-simple and suitable for application in basic hospital.