Jinchuang Antimicrobial Application And Effect Of Nursing Care Of Patients With Pressure Sore Ointment

Research background:Prevention and treatment of pressure ulcers is always the emphasis and difficulty of nursing work, has been the subject of nursing staff and attention. When patients had pressure sores, physical and mental burden of patients will increase, aggravating illness, prolonging hospitalization, increasing the cost of hospitalization, and even can be life-threatening secondary to systemic blood infection. Because the pressure ulcer healing rate is slow, treatment is difficult, is still the world skin care a thorny problem. At present, in bedsore treatment related research at home and abroad have tended to local drug therapy, clinical often topical hydrogel, alginate, foam dressing, a drug to treat pressure ulcers, but the effect of different. Mepilex+Meno Jia is one of the effective methods in treating bedsore international at present. In order to clinical application effect of Jinchuang antibacterial ointment for treatment of pressure sore, controlled clinical study design Jinchuang antibacterial ointment and pikang+Meno better treatment of pressure ulcers.Research objective:Through the use of pressure ulcer in patients with a clinical antibiotic ointment, application of Jinchuang antibacterial ointment in the treatment of bedsore treatment, provide the basis for clinical treatment of pressure ulcer drugs.Materials and methods:From2012March to2013March in Department of internal medicine in our hospital40cases of patients with pressure ulcer. According to the order of admission, patients randomly were divided into observation group and control group. Observation group Jinchuang antibacterial ointment in the treatment group, the control group of Mepilex+Meno better treatment group, each group were20cases. The two groups were gender, age, area of decubitus ulcer, ulcer stage, through statistical treatment, no significant difference, comparable (P>0.05).Two groups of patients after admission in accordance with the care of patients with pressure sore nursing, health guidance, rehabilitation training and guidance, psychological counseling relieve anxiety of patients, diet guidance to improve the nutritional status of the patients. Jinchuang antibacterial ointment in the treatment group with Jinchuang antibacterial ointment in the treatment of pressure sore, Mepilex+Meno better treatment group using Mepilex border and mellow good combined treatment of pressure ulcers. By trained pressure ulcer management group designated in accordance with the drug instructions to the two groups of patients with treatment of surgery, Specific methods are as follows:Jinchuang antibacterial ointment in the treatment group with0.9%saline for cleaning wounds, skin to be dry, the Jinchuang antibacterial paste evenly to the wound, the area around the wound with slightly more than about1cm wide, thickness in0.3cm above, cover the wound with gauze, wound dressing and according to decide the number of dressing changes, generally once a day. Mepilex+Meno better treatment group, first with0.9%saline for cleaning wounds, skin to be dry, the mellow good evenly on the wound, the wound width slightly than the width1cm, thickness in0.3cm above, and then cover with Mepilex border, decided to change number of times according to the wound and the dressing, general every three days change a. Observe and record the change of time and pressure ulcer wound wound area, observe and record the local wound, bedsore bedsore wound healing time, dressing change of pressure ulcers in patients with pain, wound area was calculated using Photoshop Image processing software, using SPSS16.0software for statistical analysis, compared two groups of patients with treatment of pressure ulcers, pressure ulcers in patients with clinical cure rate, dressing change the pain, the treatment of pressure sores drug cost difference. Research tools:Wound area was calculated using Photoshop Image processing software; the numeric rating scale (numerical rating scales, NRS) assessment of patients with pain in dressing change; statistical analysis using SPSS16.0software.Result:1With the effective rate of the treatment results show, Jinchuang antibacterial ointment in the treatment group of19patients with effective treatment, the effective rate is95%; Mepilex+Meno better treatment group in17patients with effective treatment, efficiency of85%. Jinchuang antibacterial ointment in the treatment group the treatment of pressure sores efficiency than pikang+Meno better treatment group increased, the difference was statistically significant (P<0.05).2Pressure ulcer area reduction results, statistical treatment after3D,6D,9D,12D pressure sore area value. The observation group Jinchuang antibacterial ointment in the treatment of patients with pressure ulcer area reduction group than in the control group Mepilex+Meno therapeutic group increased, the difference has statistical significance (P<0.05).3The statistical results of pressure ulcer wound healing time display, the observation group Jinchuang antibacterial ointment in the treatment of pressure ulcer healing time were about11.50days, the control group of Mepilex+Meno better treatment group pressure ulcer healing time was about18.10days, gold and antibacterial ointment in the treatment of bedsore wound healing time Bimei pikang+meno better treatment group decreased, the difference was statistically significant (P<0.05).4Patients with pressure ulcer pain table shows, the observation group Jinchuang antibacterial ointment in the treatment of patients in group3D,6D,9D,12D each time when the change degree of pain were significantly lower than those of Mepilex+Meno better treatment group, the difference was statistically significant (P<0.05).5Two groups of patients with drug cost statistics show, Jinchuang antibacterial ointment in the treatment of pressure ulcers were cured the mean drug costs126.6yuan/person, Mepilex+Meno better cure bedsore average drug costs377.3yuan/person. Jinchuang antibacterial ointment in the treatment group cure the patients average drug costs significantly better than pikang+Meno treatment group decreased, the difference was statistically significant (P<0.05).Conclusion:Jinchuang antibacterial ointment can promote the growth of granulation tissue, shorten the time of wound healing, improve the quality of wound healing, wound protection nerve endings, reduce the pain of patients. But gold and antiseptic cream has the advantages of low price, convenient use, simple operation, reduce the nursing workload, and is worthy of clinical application.