水胶体敷料与聚维酮碘联合光照对压疮感染患者创面愈合的疗效

Curative effect of hydrocolloid dressing and povidone iodine combined with light on wound healing in patients with pressure ulcer infection

  • 摘要: 目的 观察水胶体敷料与聚维酮碘联合光照对压疮感染患者创面愈合的疗效。方法 选取2015年1月-2017年1月医院收治的54例压疮感染患者,随机分为研究组与对照组,各27例,对照组给予聚维酮碘联合光照,研究组进行水胶体敷料治疗,采集标本后进行病原菌分析,分析两组患者的临床疗效。结果 54例压疮感染患者共分离67株病原菌,其中革兰阴性菌29株占43.28%,革兰阳性菌38株占56.72%;主要革兰阴性菌对美罗培南、亚胺培南较敏感,而对左氧氟沙星、庆大霉素的敏感性较低;主要革兰阳性菌对环丙沙星、四环素、青霉素的敏感性较高,而对左氧氟沙星、万古霉素的敏感性较低;研究组疗效优于对照组(P=0.031)。结论 水胶体敷料的治疗方法能促进压疮感染创面愈合,临床疗效较好。

     

    Abstract: OBJECTIVE To explore the clinical effect of hydrocolloid dressing and povidone iodine combined with light on wound healing in patients with pressure ulcer infection. METHODS A total of 54 cases of patients with pressure ulcer infection were selected in hospital from Jan. 2015 to Jan. 2017, and were randomly divided into the observation group and the control group, with 27 cases in each group. The control group was treated with povidone iodine combined with light, and the hydrocolloid dressing was used in the observation group. The pathogenic bacteria were analyzed after collecting the specimens, and the clinical efficacy of the two groups of patients was analyzed. RESULTS Among 54 patients with pressure ulcer infection, 67 strains of bacterial pathogenic bacteria were isolated. Among them, 29 strains of gram-negative bacteria accounted for 43.28%, and 38 strains of gram-positive bacteria accounted for 56.72%. The main gram-negative bacteria showed high sensitivity to meropenem and imipenem, and low sensitivity to levofloxacin and gentamicin, and the gram-positive bacteria showed high sensitivity to ciprofloxacin, tetracycline and penicillin, and low sensitivity to levofloxacin and vancomycin. The total efficiency of the observation group was significantly higher than that of control group (P=0.031). CONCLUSION The method of hydrocolloid dressing can promote the wound healing of patients with pressure ulcer infection, which has better clinical effects.

     

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