目的 探讨Ⅲ、Ⅳ期老年糖尿病褥疮感染的综合护理措施.方法 将100例老年糖尿病褥疮感染患者通过随机数字表法随机分为两组.两组均在常规综合护理的基础上进行换药,实验组50例采用过氧化氢溶液创面冲洗,丁胺卡那霉素消毒,济安舒能喷洒并结合红外线照射创面的方法 ;而对照组50例采用2.5%碘伏溶液消毒,红外线照射创面,0.02%呋喃西林液湿敷创面的常规换药方法 .观察两组的治疗效果和临床愈合时间.结果 实验组总有效率100%,明显高于对照组的82.0%.实验组治愈时间为(14.12±3.27)d,明显短于对照组的(24.37±3.87)d,二者相比均有显著性意义,P<0.05.结论 丁胺卡那霉素消毒,济安舒能喷洒并结合红外线照射创面,同时施行"个性化"结合综合护理治疗老年糖尿病褥疮疗效显著,能缩短治疗时间,对患者无不良反应,是安全、有效,值得推广的合理治疗护理方法 .%Objective To observe the clinical effect of comprehensive care for aged diabetes patients infected the 3rd or 4th period of pressure ulcer.Methods 100 aged patients with diabetes and infected bedsore were divided into two groups randomly. To all the patients, normal series of conventional diabetes care was offered and, hydrogen peroxide solution was used to wash the raw surface while changing dressing. For 50 cases in Control Group, Iodophors and furacillin solution were used as disinfectant. But for the rest 50 cases in Experimental Group, after disinfection with amikacin, Jianshuneng was sprayed on the raw surface Control group(50cases) the introduction of 2.5% Jianshuneng solution disinfection. Infrared radiation was applied in both groups. Clinical effect and clinical healing time were measured. Results The efficient tale of Experimental Group was 100% while that of Control group was 82.0%; Clinical Healing time for the Experimental Group was (14.12+3.27)d, which was obviously shorter thanthat (24.37+3.87)d in Control Group. There was significant difference between two groups in both efficient tare and clinical healing time (P<0.05). Conclusions comprehensive diabetes care for the aged diabetes patients infected bedsore had excellent clinical efficacy, it is safe, effective and worth the clinical practice and should be spreaded.
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