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目的分析湿润密闭疗法对老年性创伤愈合的治疗效果。方法 84例老年性创伤患者,随机分为传统组和湿润密闭组,各42例。传统组患者给予传统清创和换药方法治疗,湿润密闭组患者在局部清创基础上给予湿润密闭疗法。比较两组患者创面治疗总有效率、换药次数、每次换药时间、创面愈合时间,干预前后患者创面疼痛评分、焦虑情绪评分。结果湿润密闭组创面治疗总有效率为95.24%,高于传统组的78.57%,差异具有统计学意义(P<0.05)。干预前,两组创面疼痛评分、患者焦虑情绪评分比较差异无统计学意义(P>0.05);干预后,湿润密闭组创面疼痛评分、患者焦虑情绪评分均低于传统组,差异具有统计学意义(P<0.05)。湿润密闭组换药次数少于传统组,每次换药时间、创面愈合时间短于传统组,差异均具有统计学意义(P<0.05)。结论湿润密闭疗法对老年性创伤愈合的治疗效果确切,可有效促进创面愈合,减少换药次数和换药时间,减轻患者疼痛和焦虑情绪,值得推广应用。
Objective To analyze the therapeutic effect of moist airtight therapy on senile wound healing. Methods Eighty-four elderly patients with traumatic trauma were randomly divided into the traditional group and the humidified group, with 42 cases in each group. Traditional group of patients given traditional debridement and dressing method of treatment, wet airtight group of patients on the basis of local debridement moisturizing therapy. The total effective rate of wound treatment, dressing change, dressing time, wound healing time, wound pain score and anxiety score before and after intervention were compared between the two groups. Results The total effective rate was 95.24%, higher than that of the traditional group (78.57%), the difference was statistically significant (P <0.05). Before the intervention, there was no significant difference between the two groups in the pain score and the anxiety score (P> 0.05). After the intervention, the wound pain score and the anxiety score of the patients in the wet airtight group were lower than those in the traditional group, the difference was statistically significant (P <0.05). The number of dressing change in the wet-airtight group was less than that in the traditional group. The time for dressing change and wound healing time were shorter than those in the traditional group. The differences were statistically significant (P <0.05). Conclusion Moisturizing therapy is effective in the treatment of senile wound healing. It can effectively promote wound healing, reduce the number of dressing change and dressing time, and relieve the pain and anxiety in patients. It is worth popularizing and applying.