中药涂擦预防医疗器械相关性压疮的疗效观察

[关键词] 中药涂擦;医疗器械;压疮;预防

[中图分类号] R471          [文献标识码] B          [文章编号] 1673-9701（2021）15-0174-05

Observation on curative effect of Chinese medicine rubbing in preventing pressure ulcer associated with medical equipment

ZHU Enlan   SUN Lihua   ZHENG Hong   ZHOU Yunxia

Encephalopathy Center，Zhejiang Hospital of Integrated Traditional Chinese and Western Medicine，Hangzhou 310003，China

[Abstract] Objective To observe the curative effect of Chinese medicine rubbing in preventing pressure ulcers associated with medical devices. Methods A total of 120 patients with pressure ulcer Braden risk assessment ≤18 points admitted to the encephalopathy center of our hospital from January 2018 to June 2019 were selected. According to the order of hospitalization，the subjects were divided into observation group and control group by random number table method， with 60 cases in each group. Two groups were given routine care measures for preventing pressure ulcers. The observation group applied Huoxue Huayu Recipe Chinese medicine on the compression site of medical devices， and the control group applied hydrocolloid dressing on the medical device compression site. The number of medical devices used， the incidence of medical device-related pressure ulcers，the time of occurrence，the pressure ulcer stage，nursing satisfaction and compliance were observed and compared. Results The observation group used medical devices for 272 times and the control group used medical devices for 275 times. The total incidence of medical device-related pressure ulcers and the severity of pressure ulcers in the observation group were significantly lower than those in the control group，and the difference was statistically significant（P<0.05）. The total nursing satisfaction in the observation group was significantly higher than that in the control group，and the difference was statistically significant（P<0.05）.The compliance rate  in the observation group was 100.0%， which was higher than that of 89.2% in the control group，and the difference was statistically significant（P<0.05）. Conclusion Chinese medicine rubbing can effectively reduce the incidence of medical device-related pressure ulcers and has good clinical application value.

[Key words] Chinese medicine rubbing; Medical device; Pressure ulcer; Prevention

2016年美國国家压疮咨询委员会（National pressure ulcer advisory panel，NPUAP）发布的最新压力性损伤指南，提出医疗器械相关性压疮（Medical device related pressure ulcers，MDR Pus）指由于使用用于诊断或治疗的医疗器械而导致的压力性损伤，损伤部位形状通常与医疗器械形状一致[1]。（剩余7572字）

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