护理干预对带状疱疹病毒感染性皮肤溃疡的临床治疗研究 |
| 何楚欣 范永祥 张冉 |
| 1.广州医科大学附属第五医院伤口造口科，广东 广州，510700；2.广州医科大学附属第五医院神经内科，广东 广州，510700 |
摘要:目的 探索护理干预对带状疱疹病毒感染性皮肤溃疡的临床治疗价值。方法 分析在我院诊治的带状疱疹病毒感染性疼痛并皮肤溃疡的患者，在常规药物治疗的基础上，护士使用“清创、磺胺嘧啶银脂质水胶敷料”对溃疡创面进行治疗。记录患者的性别、年龄、发病时间、创面愈合天数、皮肤溃疡部位，并对治疗前后皮肤创面采用 Bates-Jensen 量表评分，疼痛采用视觉评估量表（VAS）评分。结果 20患者中，男女比例 1:1，平均年龄 73.6±13.8 岁；70 岁以下患者皮肤创面平均愈合天数为 5 天，70 岁及以上患者皮肤创面平均愈合天数为 11.6 天；患者的皮肤溃疡部位有 13 例位于躯干、3 例位于前额面部、2 例位于上臂及肩部、2 例位于臀及腹股沟区。患者年龄与创面愈合天数之间有相关性（P<0.0001）；患者起病天数与创面愈合天数之间无相关性（P>0.05）；治疗前创面 Bates-Jensen 评分与创面愈合天数之间无相关性（P>0.05）；治疗前 VAS 评分与创面愈合天数之间无相关性（P>0.05）；创面 Bates-Jensen评分和 VAS 评分之间无相关性（P>0.05）；Bates-Jensen 评分和 VAS 评分在治疗后第 3 天、第 6 天与治疗前相比均有降低，且均有统计学差异(P<0．05)。结论 采取“清创、磺胺嘧啶银脂质水胶敷料”治疗带状疱疹性皮肤溃疡，能加速溃疡面上皮化、促进创面愈合；溃疡创面的愈合有助于改善舒适度，降低患者对疾病的心理负担，提高生活质量。
关健词：带状疱疹病毒；感染性皮肤溃疡；创面护理
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Clinical Treatment Research on Herpes Zoster Virus-Induced Skin Ulcers through Nursing Intervention |
Chuxin He Yongxiang Fan Ran Zhang
1. Department of Wound and $tomatoiogy,The Fifth Affiliated Hospital of Guangzhou Medical University Guangdong Guangzhou 510700, China；2. department of Neurology, The Fifth Affiliated Hospital of Guangzhou Medical University Guangdong Guangzhou 510700, Ch
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Abstract: Objective To explore the clinical therapeutic value of nursing intervention for herpes zoster virus-induced infectious skin ulcers.Methods To analyze the patients with infection pain and skin ulcers caused by herpes zoster virus in our hospital. In addition to conventional medication, the skin ulcers were treated through "debridement followed by applying sulfadiazine silver lipid water gel dressing". The patients' gender, age, initial onset time, wound healing days, and site of skin ulcer were recorded. Before and after above treatment, the Bates-Jensen Wound Assessment Tool was used to evaluate the wound of skin ulcers and Visual assessment scale (VAS) was used to score the infection pain.Results Among the 20 patients, the male to female ratio was 1:1. The mean age was 73.6±13.8 years. The average healing time of skin ulcers in the patients under 70 years of age was 5 days, while the average time in the patients over 70 years old was 11.6 days. There were 13 patients with skin ulcers on the trunk, 3 patients on the forehead and face, 2 patients on the upper arm and shoulder, and 2 patients on the buttock and groin areas. It was a positive correlation between patient age and wound healing days (P0.05). It was no correlation between Bates-Jensen score before treatment and wound healing days (P>0.05). It was no correlation between VAS score before treatment and wound healing days (P>0.05). It was no correlation between Bates-Jensen score and VAS score (P>0.05). Compared to the day 0, Bates-Jensen score and VAS score significantly decreased on the day 3 and 6 after treatment (P< 0.05).Conclusion The infected skin ulcers caused by herpes zoster virus, treated with debridement followed by sulfadiazine silver lipid water gel dressing, could accelerate the epithelialization of ulcers and promote wound healing.The healing of these skin ulcers is helpful to improve comfort, reduce patients' psychological burden of disease and improve the quality of life.
Keywords : Herpes zoster virus; Inflammatory skin ulcer; Wound nursing
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