水胶体敷料在结核菌素试验水疱患者局部应用的效果评价

发布时间：2018-04-17 22:00

本文选题：敷料 + 水胶体　；参考：《中华护理杂志》2016年03期

【摘要】：目的探讨水胶体敷料在结核菌素试验水疱患者局部应用的效果研究。方法将61例结核菌素试验72h后出现水疱的患者,按随机数字表法分为实验组(n=31例)和对照组(n=30例)。实验组使用水胶体敷料进行粘贴;对照组按常规护理方法使用无菌纱布覆盖。定期观察与记录两组患者疼痛、瘙痒、肿胀的严重程度,测量硬结、水疱的大小,记录是否有换药、愈合,愈合后是否有瘢痕。结果两组第0天、3天、6天、9天的疼痛程度,差异无统计学意义(P0.05);两组第0天、3天、9天的瘙痒程度分级比较,差异无统计学意义(P0.05),第6天瘙痒程度分级比较,差异有统计学意义(P0.01);两组第6天肿胀程度,差异有统计学意义(P0.05);两组第9天硬结大小,差异有统计学意义(P0.01);两组第6天、9天水泡大小比较,差异有统计学意义(P0.01);两组第0天、3天愈合时间、瘢痕情况比较,差异无统计学意义(P0.05),第6天、9天愈合时间、瘢痕情况比较,差异有统计学意义(P0.01)。结论对结核菌素试验72h后出现水疱的患者,使用水胶体敷料局部敷贴,对局部皮肤肿胀、瘙痒、硬结、水疱效果满意,减少了换药次数,促进愈合,减少瘢痕形成,增加患者的舒适度。
[Abstract]:Objective to investigate the effect of hydrocolloid dressing on tuberculin test blisters.Methods Sixty-one patients with blisters after 72 hours of tuberculin test were randomly divided into experimental group (n = 31) and control group (n = 30).The experimental group was pasted with hydrocolloid dressing and the control group was covered with aseptic gauze according to the routine nursing method.Observe and record the severity of pain, pruritus and swelling, measure the hardness, the size of blisters, record whether there are dressing changes, healing, and whether there are scars after healing.Results there was no significant difference in the degree of pain between the two groups on the 3rd day, the 3rd day and the 9th day, but there was no significant difference between the two groups in the degree of pruritus on the 3rd day, the 3rd day and the 9th day, the difference was not statistically significant (P 0.05) and the grade of the degree of pruritus on the 6th day was not significantly different between the two groups.The difference was statistically significant (P 0.01); the degree of swelling in the two groups was significantly different on day 6, and the difference was statistically significant (P 0.05); the size of the cemented knot was significantly different between the two groups on the 9th day, and the difference was statistically significant (P 0.01); the size of the blisters in the two groups was compared on the 6th day and the 9th day.There was no significant difference in the healing time between the two groups on day 0 and scar condition, but there was no significant difference in the healing time between the two groups on the 6th day and the 9th day, and the difference between the two groups was statistically significant (P 0.01).Conclusion for patients with blisters after 72 hours of tuberculin test, local application of hydrocolloid dressing is satisfactory for local skin swelling, itching, hardening and blistering. It can reduce the times of dressing change, promote healing and reduce scar formation.Increase patient comfort.
【作者单位】：天津市海河医院结核一科;
【分类号】：R472

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