西瓜霜和造口護膚粉治療潮濕相關(guān)性皮膚損傷的對比研究(1)
【摘要】 目的 觀察并比較西瓜霜和造口護膚粉對潮濕相關(guān)性皮膚損傷(MASD)患者的治療效果。方法 400例MASD患者, 根據(jù)隨機性原則分為觀察組和對照組, 每組200例。兩組患者的皮膚清洗和擦藥后續(xù)處理措施均相同, 觀察組患者采用西瓜霜治療, 對照組采用造口護膚粉治療。比較兩組患者治療效果及治愈時間。結(jié)果 觀察組患者的治愈率為99.0%, 顯著高于對照組的77.5%, 差異具有統(tǒng)計學意義(χ2=44.58, P<0.05)。觀察組患者的治愈時間為(4.64±1.47)d, 短于對照組患者的(7.54±2.47)d, 差異具有統(tǒng)計學意義(t=14.27, P<0.05)。結(jié)論 西瓜霜能有效控制和治療MASD, 縮短治愈時間, 效果優(yōu)于造口護膚粉, 使用方便。
【關(guān)鍵詞】 潮濕相關(guān)性皮膚損傷;西瓜霜;造口護膚粉;皮膚護理
DOI:10.14163/j.cnki.11-5547/r.2020.12.003
【Abstract】 Objective To observe and compare the therapeutic effect of watermelon frost and ostomy powder in the treatment of patients with moisture-associated skin damage (MASD). Methods A total of 400 MASD patients were randomly divided into observation group and control group, with 200 cases in each group. Follow-up measures for skin cleansing and rubbing were the same for both groups of patients. Patients in the observation group were treated by watermelon frost, and patients in the control group were treated by ostomy powder. The therapeutic effect and cure time were compared between the two groups. Results The cure rate 99.0% of the observation group was significantly higher than that of the control group 77.5%, and the difference was statistically significant (χ2=44.58, P<0.05). The cure time of observation group was (4.64±1.47) d, which was significantly shorter than that of the control group (7.54±2.47) d, and the difference was statistically significant (t=14.27, P<0.05). Conclusion Watermelon frost shows better effect than ostomy powder, and it can effectively control and treat MASD and shorten cure time, as well as convenient to use.
【Key words】 Moisture-associated skin damage; Watermelon frost; Ostomy powder; Skin care
潮濕相關(guān)性皮膚損傷(moisture-associated skin damage, MASD)是指皮膚長期暴露于潮濕環(huán)境(尿液、糞液、汗液、傷口滲出液等)中所引起的皮膚侵蝕或炎癥反應(yīng), 伴或不伴有皮膚潰爛以及繼發(fā)感染[1]。按潮濕來源分為4種:失禁相關(guān)性皮炎(incontinence-associated dermatitis, IAD)、皮膚褶皺處皮炎(intertriginous dermatitis, ITD)、傷口周圍皮炎(periwound moisture-associated dermatitis) 和造口周圍皮炎(peristomal moisture-associated dermatitis)[1]。過多的潮濕源浸漬使皮膚侵蝕或剝脫, 處理不當導(dǎo)致進一步的皮膚潰爛及繼發(fā)性感染, 增加患者的痛苦和負擔, 延長住院時間, 嚴重時并發(fā)全身感染甚至危及生命。選取本院于2016年2月~2019年5月收治的400例MASD患者進行研究, 其中200例患者應(yīng)用西瓜霜治療, 收到了良好的效果, 現(xiàn)報告如下。
1 資料與方法
1. 1 一般資料 選取本院2016年2月~2019年5月收治的400例MASD患者作為研究對象, 其中男240例, 女160例;年齡12~97歲, 平均年齡(64.8±19.6)歲;IAD 140例, ITD 154例, 傷口周圍皮炎49例, 造口周圍皮炎57例;根據(jù)MASD程度劃分標準[2]:其中Ⅰ度(局部皮膚潮紅或伴丘疹)212例、Ⅱ度(皮膚潮紅伴表皮破潰)180例、Ⅲ度(局部皮膚有大片糜爛或表皮脫落、創(chuàng)面基底為紅色)8例;皮炎面積:<12 cm×12 cm 261例, ≥12 cm×12 cm 139例。根據(jù)隨機性原則將患者分為觀察組和對照組, 每組200例。兩組患者的性別、年齡、皮炎類型、皮炎分度、皮炎面積等一般資料比較差異無統(tǒng)計學意義(P>0.05), 具有可比性。見表1。, 百拇醫(yī)藥(劉美云 梁靜 黃潔 劉紅霞 宋霞 鄧美娟)
【關(guān)鍵詞】 潮濕相關(guān)性皮膚損傷;西瓜霜;造口護膚粉;皮膚護理
DOI:10.14163/j.cnki.11-5547/r.2020.12.003
【Abstract】 Objective To observe and compare the therapeutic effect of watermelon frost and ostomy powder in the treatment of patients with moisture-associated skin damage (MASD). Methods A total of 400 MASD patients were randomly divided into observation group and control group, with 200 cases in each group. Follow-up measures for skin cleansing and rubbing were the same for both groups of patients. Patients in the observation group were treated by watermelon frost, and patients in the control group were treated by ostomy powder. The therapeutic effect and cure time were compared between the two groups. Results The cure rate 99.0% of the observation group was significantly higher than that of the control group 77.5%, and the difference was statistically significant (χ2=44.58, P<0.05). The cure time of observation group was (4.64±1.47) d, which was significantly shorter than that of the control group (7.54±2.47) d, and the difference was statistically significant (t=14.27, P<0.05). Conclusion Watermelon frost shows better effect than ostomy powder, and it can effectively control and treat MASD and shorten cure time, as well as convenient to use.
【Key words】 Moisture-associated skin damage; Watermelon frost; Ostomy powder; Skin care
潮濕相關(guān)性皮膚損傷(moisture-associated skin damage, MASD)是指皮膚長期暴露于潮濕環(huán)境(尿液、糞液、汗液、傷口滲出液等)中所引起的皮膚侵蝕或炎癥反應(yīng), 伴或不伴有皮膚潰爛以及繼發(fā)感染[1]。按潮濕來源分為4種:失禁相關(guān)性皮炎(incontinence-associated dermatitis, IAD)、皮膚褶皺處皮炎(intertriginous dermatitis, ITD)、傷口周圍皮炎(periwound moisture-associated dermatitis) 和造口周圍皮炎(peristomal moisture-associated dermatitis)[1]。過多的潮濕源浸漬使皮膚侵蝕或剝脫, 處理不當導(dǎo)致進一步的皮膚潰爛及繼發(fā)性感染, 增加患者的痛苦和負擔, 延長住院時間, 嚴重時并發(fā)全身感染甚至危及生命。選取本院于2016年2月~2019年5月收治的400例MASD患者進行研究, 其中200例患者應(yīng)用西瓜霜治療, 收到了良好的效果, 現(xiàn)報告如下。
1 資料與方法
1. 1 一般資料 選取本院2016年2月~2019年5月收治的400例MASD患者作為研究對象, 其中男240例, 女160例;年齡12~97歲, 平均年齡(64.8±19.6)歲;IAD 140例, ITD 154例, 傷口周圍皮炎49例, 造口周圍皮炎57例;根據(jù)MASD程度劃分標準[2]:其中Ⅰ度(局部皮膚潮紅或伴丘疹)212例、Ⅱ度(皮膚潮紅伴表皮破潰)180例、Ⅲ度(局部皮膚有大片糜爛或表皮脫落、創(chuàng)面基底為紅色)8例;皮炎面積:<12 cm×12 cm 261例, ≥12 cm×12 cm 139例。根據(jù)隨機性原則將患者分為觀察組和對照組, 每組200例。兩組患者的性別、年齡、皮炎類型、皮炎分度、皮炎面積等一般資料比較差異無統(tǒng)計學意義(P>0.05), 具有可比性。見表1。, 百拇醫(yī)藥(劉美云 梁靜 黃潔 劉紅霞 宋霞 鄧美娟)
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