患有深层组织压力损伤的患者的伤口进展和愈合,当被放置在空气流化疗法与低空气损失支表面床对比时
Mark McIntosh1,2,3,4, Haley Cervantes1,2,3,4, Lynn Oakes1,2,3,4
1Mark McIntosh, MD, MPH, Department of Emergency Medicine, University of Florida College of Medicine, Jacksonville, Florida.
概括
与低空气损失 (LAL) 床相比,空气流化疗法 (AFT) 床可以改善深层组织压力损伤 (DTPI) 的愈合. 在AFT床上的患者表现出较少的伤口进展和更好的愈合结果,这表明AFT是一种更有效的治疗选择.
科学领域:
- 伤口护理 伤口护理
- 生物医学工程 生物医学工程
- 临床护理 临床护理
背景情况:
- 深层组织压力损伤 (DTPI) 是严重的伤口,需要专门的支表面.
- 空气流化疗法 (AFT) 和低空气损失 (LAL) 床通常用于管理压力损伤.
- 对于DTPI治愈,AFT与LAL床的比较疗效尚未完全确定.
研究的目的:
- 为了比较空气流化疗法 (AFT) 床与低空气损失 (LAL) 表面床在治疗深层组织压力损伤 (DTPI) 的有效性.
- 评估AFT和LAL床对DTPI患者的伤口愈合进展和结果的影响.
主要方法:
- 进行了一项回顾性,比较性描述性研究.
- 分析了18名患有DTPI (神圣,骨,骨) 的患者的电子病历.
- 在AFT (n=10) 和LAL (n=8) 床上的患者之间,使用威尔科克森等级和和测试对伤口表面积的变化进行了比较.
主要成果:
- 在AFT和LAL组之间,最初的伤口大小是可比的 (P=.2636).
- 与LAL组相比,AFT组从初始到最严重的伤口进展 (P=.0050) 和初始到最终的测量 (P=.0178) 显著减少.
- 结果表明,在用AFT床治疗的患者中,伤口愈合更好,病情进展减少.
结论:
- 在防止深层组织压力损伤 (DTPI) 的进展方面,空气流化疗法 (AFT) 床可能优于低空气损失 (LAL) 床.
- 在患有DTPI的患者中,AFT床上放置可能会促进更有效的伤口愈合.
- 需要进一步的研究来证实这些发现,并优化压力损伤管理策略.
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