清创缝合配合TDP照射治疗Ⅲ-Ⅳ期压疮的疗效观察

摘要

目的 清创缝合应用于Ⅲ-Ⅳ期压疮治疗中的效果观察.方法 将80例Ⅲ～Ⅳ期压疮患者分观察组45例与对照组35例,观察组采用清创缝合配合TDP照射进行换药处理,对照组采用聚维酮碘乳膏外敷进行换药处理,两组同时取分泌物作细菌培养,根据药敏感试验结果使用抗感染治疗,加强全身营养支持及皮肤护理,观察清创缝合应用于Ⅲ-Ⅳ期压疮的治疗效果.结果 愈合时间观察组[(15.52±5.63)d]比对照组[(30.23±6.45)d]明显缩短,住院费用观察组[(6879.50±470.50)元]明显少于对照组[(10790.30±500.40)元],治愈率观察组(93.3％)明显高于对照组(71.4％),两组比较差异有统计学意义(P＜0.05).结论 清创缝合配合TDP照射治疗Ⅲ-Ⅳ期压疮,提高临床治疗效果,缩短住院时间,降低住院费用,可作为首选治疗广泛推广和应用于临床.%Objective Debridement and suturing should be used to observe the effect in the treatment of stage Ⅲ-Ⅳ.Methods 80 cases with bedsore were divided into observation group (45 cases) and control group (35 cases).The observation group was treated with debridement and suturing combined with TDP irradiation.The control group was treated with povidone iodine cream topical dressing treatment.We tood discharge for bacterial culture,used anti-infection treatment according to the results of drug sensitive test and strengthened body nutrition support and skin care to observe the treatment effect of debridement and suturing applied to Ⅲ-Ⅳ period in pressure ulcer in the two groups at the same time.Result In the observation group,the wound healing time was (15.52 ± 5.63) days,while the control group was (30.23 ± 6.45) days.The hospitalization expenses cost was ￥~ (6879.50 ± 470.50) in the observation group,much less than that in the control group,￥ (10790.30 ± 500.40).The cure rate in the observation group was 93.3％,and compared with 71.4％ in the control group,showing statistical significant difference (P ＜ 0.05).Conclusion Debridement and suturing combined with TDP irradiation in the treatment of stage Ⅲ-Ⅳ can improve the clinical treatment effect,shorten the hospitalization time and reduce the cost of hospitalization.It can be used as the preferred treatment,worthy for extensive promotion and application in clinical.