摘要
目的:探讨湿性疗法在皮肤放射性损伤中的作用.方法:对12例肿瘤患者13处Ⅲ～Ⅳ度放射性皮肤损伤采用湿性治疗,创面处理前及每次更换敷料时先测量创面大小,再摄取照片,用数字疼痛自评表评估疼痛程度.同时评估分析影响创面愈合的因素,包括营养、睡眠、活动、心理状况等,制订个体化营养处方、运动处方和心理调适方案,每次更换敷料时评价执行情况及效果,随时调整计划.创面处理采用机械清创和自溶清创相结合的方法,清创后局部喷洒碱性成纤维细胞生长因子(bFGF)加等渗盐水湿敷,半透膜敷料封闭创面,隔天更换1次,直至愈合.结果:13处创面全部治愈,平均愈合时间为(10±5.61)天,平均费用为(202.3±48.2)元.湿性治疗后创面疼痛程度较治疗前明显减轻(P＜0.01).结论:湿性疗法在皮肤放射性损伤的治疗中有减轻疼痛、促进愈合的作用.
Objective： To study the effect of moist therapy on dermal radio lesions. Methods：13 located dermal radio lesions about Ⅲ - Ⅳ stage from 12 cases were treated with moist therapy. Wound managing steps for each time ： The first step was to measure the size of wounds and take photos, and then evaluate individual pain level by a numeric pain scale. The second step was to assess and analyze the factors affecting wounds healing, including nutrition, sleeping, activity, psychological condition. After that the individualized plans about nutrition, activity, and psychological care were made. While exchanging dressings, the implementation and effects of the plans must be evaluated and adjusted. The mechanical debridement combined with autolyzing debridement was used for wounds managing. Then the wounds were saturated with bFGF and normal saline, and wetly covered with occlusive dressings. Wounds were managed every two days until wounds healed. Results： All 13 wounds were cured. The average healing time was （ 10 ± 6 ） d and the average cost was significantly lowered than before（ P 〈 0.01 ）. （202 ± 48 ）yuan. The pain level after moist therapy was Conclusion： The moist therapy could alleviate pain and enhance wound healing in managing dermal radio lesions.
出处
《医学研究生学报》
CAS
2005年第9期802-804,共3页
Journal of Medical Postgraduates
基金
南京军区南京总医院中青年基金资助项目(批准号:20030999)
