湿润烧伤膏治疗Ⅱ～Ⅲ期老年压疮的疗效观察及护理体会

目的观察湿润烧伤膏(moist exposed burn ointment,MEBO)治疗Ⅱ~Ⅲ期老年压疮的临床疗效,并探讨护理体会。方法将2014年6月—2016年6月天津市北辰区中医医院ICU收治的55例Ⅱ~Ⅲ期老年压疮患者随机分为治疗组(28例)与对照组(27例)。两组患者入院后均给予常规护理、创面清创及红外线灯照射治疗,同时治疗组患者采用湿润烧伤膏换药治疗,对照组患者采用雷夫诺尔换药治疗,对比观察两组患者的治疗效果。结果治疗3周后,治疗组患者痊愈18例,有效7例,无效3例,总有效率为89.3%,明显优于对照组的痊愈6例,有效12例,无效9例,总有效率66.7%,经等级资料的秩和检验,校正u=3.113,P0.01,差异具有统计学意义;治疗组18例痊愈患者的创面愈合时间为(10.61±3.94)d,对照组6例痊愈患者的创面愈合时间为(16.55±4.70)d,两组对比,t=3.055,P0.01,差异具有统计学意义。结论湿润烧伤膏治疗Ⅱ~Ⅲ期老年压疮疗效显著,可明显缩短创面愈合时间,提高治疗有效率,值得临床推广应用。

Observation on the Clinical Efficacy of MEBO in Treating Pressure Ulcers of Stage II-III in the Senior and Nursing Experience

Objective: To observe the clinical efficacy of Moist Exposed Burn Ointment (MEBO) in the treatment of pressure ulcers of stage II-III in the senior, and explore the nursing experience. Methods: Fifty-five senior patients with pressure ulcer of stage II-III admitted into ICU of Tianjin Beichen District Chinese Medicine Hospital between June 2014 and June 2016 were randomly divided into a treatment group (n=28) and a control group (n=27). After admission, regular nursing, wound debridement and infrared radiation therapy were performed in patients of both groups. Meanwhile, patients in the treatment group were given the dressing change of MEBO while patients in the control group were given the dressing change of Ethacridine Lactate, and the treatment effects were observed and compared between the two groups. Results: Three weeks after treatment, in the treatment group 18 patients were cured, 7 patients showed treatment effectiveness and 3 patients were ineffective, with the total effective rate being 89.3%, being obviously superior to that in the control group (6 patients cured, 12 patients showed treatment effectiveness and 9 were ineffective, with the total effective rate being 66.7%), and the comparison was statistically significant according to the rank-sum test for ranked data, corrected u=3.113, P<0.01. The wound healing time for the cured 18 patients in the treatment group was (10.61±3.94)d while the wound healing time for the cured 6 patients in the control group was (16.55±4.70)d, of which the comparison showed statistically significant difference, t=3.055, P<0.01. Conclusion: MEBO in the treatment of pressure ulcer of stage II-III in the old population can achieve significant treatment effects, such as remarkably shortening wound healing time and enhancing the treatment effective rate, and deserves to be promoted in clinical practice.