在急剧脱皮过程中冷盐水的应用对糖尿病足患者的疼痛的影响:一个随机,受控,单盲试验
Fürüzan Bozkurt Kozan1, Sakine Boyraz Özkavak2, Serkan Öncü3
1Aydın Adnan Menderes University Training and Research Hospital, Wound Care Unit, Turkey.
Journal of wound care
|February 6, 2026
概括
在急性脱皮过程中冷施用0.9%化 (NaCl) 显著减少了糖尿病足患者的疼痛. 这种方法提供了一种有前途的方法,可以提高患者在伤口护理过程中的舒适度.
科学领域:
- 伤口护理 伤口护理
- 疼痛管理 疼痛管理
- 糖尿病人的足部.
背景情况:
- 尖的脱bridement对于伤口愈合至关重要,但往往会引起严重的疼痛.
- 糖尿病足容易出现并发症,需要有效的除菌.
- 脱bridement期间的疼痛管理对于患者的遵守和结果至关重要.
研究的目的:
- 评估冷0.9%化 (NaCl) 在减轻糖尿病足患者在急性脱皮过程中的疼痛的疗效.
- 为了比较在脱bridement期间接受冷NaCl和室温NaCl的患者之间的疼痛水平.
主要方法:
- 一个随机的,受控的,单盲试验,涉及64名糖尿病足患者.
- 实验组在冷 (4-8°C) 0.9% NaCl;对照组在室温 (18-26°C) 0.9% NaCl的急剧脱bridement.
- 在手术前和手术期间,使用视觉模拟量表 (VAS) 评估疼痛.
主要成果:
- 实验组在程序期间显示VAS得分显著下降 (p<0.001).
- 对照组在手术过程中表现出VAS得分的显著增加 (p<0.001).
- 与对照组相比,冷NaCl组的VAS分数在手术前 (p=0.003) 和手术期间 (p<0.001) 显著更高,而冷NaCl组的VAS分数在手术期间 (p<0.001) 显著更低.
结论:
- 在急性脱bridement期间冷0.9%NaCl的应用有效地减少了糖尿病足患者的疼痛.
- 冷盐水应用是一种可行的策略,可以在糖尿病脚伤口的急性脱bridement期间提高患者的舒适性.
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