银离子敷料用于难愈性伤口换药的临床效果分析.docVIP

精品论文 参考文献 银离子敷料用于难愈性伤口换药的临床效果分析 武汉市黄陂区皮防病防治医院 湖北武汉 430300 摘要：目的：探讨银离子敷料在慢性难愈性伤口换药中的效果。方法：将我科伤口修复中心近一年来的126例慢性难愈性伤口换药患者采用随机分类为观察组和对照组各63例。观察组使用银离子敷料处理伤口；对照组用传统方法处理伤口。观察两组慢性难愈性伤口在使用银离子敷料或因经济原因未使用银离子敷料的伤口恢复时间、换药频率、伤口愈合面积、及换药费用。结果：观察组病人的慢性伤口愈合率高于对照组、换药频率低于对照组、治疗费用低于对照组（Plt;0.01）。结论：银离子敷料使用于慢性难愈性伤口换药无论是从安全有效性还是从患者伤口恢复情况及患者关注的经费问题几大特点考虑，都是优于传统方法换药的；银离子敷料是一种用于慢性难愈性伤口理想、安全、经济的换药敷料。 关键词：难愈性伤口；银离子敷料 [Abstract]Objective：To investigate the effect of ionic silver dressing in chronic refractory wound dressing in effect.Methods：I Division wound repair center for nearly a year to 126 cases of chronic refractory wound dressing patients with random classification as the observation group and the control group of 63 cases.The observation group using silver ion dressing for wound treatment；group with traditional method for treating wounds in control.Observe two groups of chronic and refractory wounds in the use of ionic silver dressing or due to economic reasons without the use of ionic silver dressing the wound recovery time，dressing change frequency，wound healing area，and dressing cost.Results：the rate of chronic wound healing in the observation group was higher than that in the control group，the frequency of dressing change was lower than that of the control group，and the treatment cost was lower than that of the control group（Plt;0.01）.Conclusion：ionic silver dressing used in chronic refractory wound dressing either considering from the safety and effectiveness of or from patients wound recovery funding problem and concern in patients with several major features，is better than traditional methods in medicine；ionic silver dressing is used for chronic refractory wound port ideal，safe and economical dressing. [Key words]refractory wound；ionic silver dressing 我科成立慢性伤口修复门诊以来接诊的患者主要是：糖尿病足、因切口脂肪液化导致的切口迁延不愈的肿瘤患者以及难愈性压疮患者。长期的难愈创面及经济负担让患者苦不堪言严重影响生活质量；也是临床医护人员近年来研究的重要课题。随着我国人口的老年化和糖尿病患者及慢性疾病的增加，慢性难愈性伤口的患者日益增长。据统计糖尿病患者发生糖尿病足的发生率为15%至20%；还有肿瘤患者切口的脂肪液化导致伤口难愈及长期卧床患者的压疮都是临床中的处理棘手问题