苯扎氯铵溶液联合藻酸钙敷料治疗老年糖尿病患者足部病变的效果

目的探讨苯扎氯铵溶液联合藻酸钙敷料应用于老年糖尿病患者足部病变的治疗与护理效果。方法便利抽样法选择2009年1月至2011年9月在解放军总医院住院的老年糖尿病足部病变患者62例,采用随机数字表法将其分为对照组和观察组各31例,对照组采用常规聚维酮碘消毒后使用硫酸庆大霉素加入小剂量普通胰岛素冲洗伤口、纱球隔离、纱布包扎的方法;观察组则在对照组的基础上增加使用苯扎氯铵溶液足部浸泡5～10min,再用藻酸钙敷料隔离覆盖伤口。观察两组患者足部伤口的愈合时间、愈合效果、护理换药耗时等,并比较患者对糖尿病足护理的满意度。结果两组患者足部伤口的愈合时间、愈合效果、换药耗时以及患者对糖尿病足护理满意度比较,差异均有统计学意义(均P<0.01)。结论苯扎氯铵溶液联合藻酸钙敷料应用于老年糖尿病患者的早期足部病变,能有效缩短足部伤口愈合时间、提高伤口愈合效果、减少护理人员换药总耗时,并明显提高患者的满意度,是适宜老年糖尿病患者足部病变的良好换药方法。

Benzalkonium Chloride Solution Combined with Calcium Alginate Dressings in Elderly Diabetic Foot Wounds.A Series of Clinical Studies

Objective To evaluate the treatment results and nursing effects of benzalkonium chloride solution combined with calcium alginate dressings used in elderly diabetic foot wounds. Methods From January 2009 to September 2011,62 elderly diabetic patients with wounds in our hospital were randomly divided into observational group（n=31） and control group（n=31）. The control group adopted the conventional iodophor disinfection and used a small dose of insulin and gentamicin to wash the wound with yarn ball isolation and gauze dressing method. Based on the conventional sterilization, the observational group used benzalkonium chloride solution for 5-10 min,and took calcium alginate dressing to cover the wound isolation. Comparisons were conducted on healing time, healing effect, the time and number of dressing of skin lesions and patient satisfaction with care. Results Significant differences were observed on healing time,healing effect, the number of dressing changes,patient care and overall satisfaction （satisfied,more satisfied,dissatisfied） between the two kinds of foot care methods（P〈0.01）. Conclusion Benzalkonium chloridesolution in combination with calcium alginate dressings for elderly patients with diabetes care in the early foot lesions can effectively shorten the healing time and improve wound healing effect, to reduce the total dressing number of nursing staff and significantly improve patient satisfaction, which is a suitable early efficient method for elderly patients with diabetic foot wounds .