标题：赛肤润联合美皮康治疗老年患者压疮的疗效观察

      作者：梁丽花 1，王秀琼 2，李雅琴 2    (海南医学院第二附属医院老年病科 1、康复医学科 2，海南 海口 570311)

      卷次： 2017年28卷7期

      【摘要】 目的 观察赛肤润联合美皮康治疗老年患者压疮的疗效。方法 选取我院 2014年 10月至 2015年12月住院发生或带入压疮Ⅰ~Ⅱ期的46例(压疮76处)老年患者为研究对象。采取随机数字法将所有患者分成对照组和观察组。其中对照组23例(36处)主要采用传统方法治疗，观察组23例(40处)采用赛肤润联合美皮康治疗。治疗 3周后评价两组患者的压疮治愈率、用药次数、愈合时间及疼痛程度。结果 观察组患者的治愈率为 75.0%(30/40)，明显高于对照组的50.0% (18/36)，换药次数和愈合时间分别为(10.2±1.1)次、(16.3±1.4) d，明显少于对照组的(18.3±1.5)次、(21.2±2.8) d，患者换药后的中重度疼痛发生率为8.7%，明显低于对照组的39.1%，以上各项指标两组间比较差异均有统计学意义(P<0.05)。结论 采用赛肤润联合美皮康治疗老年患者压疮效果显著，具有较高的临床应用价值。
      【关键词】 赛肤润；美皮康；老年患者；压疮
      【中图分类号】 R758.22 【文献标识码】 A 【文章编号】 1003—6350（2017）07—1170—03

Effect of Sanyrene combined with Mepilex on elderlypatients with pressure sore.
LIANG Li-hua 1, WANG Xiu-qiong 2,LI Ya-qin 2. Department of Geriatrics 1, Department of RehabilitationMedicine 2, the Second Affiliated Hospital of HainanMedical College, Haikou 570311, Hainan, CHINA
【Abstract】 Objective To explore the efficacy of Sanyrene combined with Mepilex in the treatment of pressurescore in elderly patients. Methods From Oct. 2014 to Dec. 2015, 46 elderly patients with pressure ulcer Ⅰ-Ⅱ (76pressure sores) in our hospital were selected as the research subjects and divided into the control group and the observa-tion group by random number method. The control group (23 patients, 36 pressure sores) was mainly treated by the tra-ditional method, and the observation group (23 patients, 40 pressure sores) was treated by Snyrene combined withMepilex. After 3 weeks, the cure rate, medication frequency, healing time and pain degree of the two groups were eval-uated. Results The cure rate of the observation group (75.0%, 30/40) was significantly higher than that of the controlgroup (50.0%, 18/36). In the observation group, the dressing change times (10.2±1.1) and healing time (16.3±1.4) dwere significantly less or shorter than (18.3±1.5), (21.2±2.8) d in the control group. The incidence of moderate to se-vere pain after dressing in the observation group (8.7%) was significantly lower than that of the control group (39.1%),P<0.05. Conclusion Sanyrene combined with Mepilex has significant efficacy in the treatment of pressure score in el-derly patients, which has high clinical value and is worthy of promotion and popularization.
      【Key words】 Sanyrene; Mepilex; Elderly patients; Pressure sore·临床经验·doi:10.3969/j.issn.1003-6350.2017.07.050