Abstract：
BACKGROUND: Pressure injury (PI) is a local injury of the skin and/or soft tissue located at the bone caused by medical or other equipment and is common in long-term bedridden patients.
OBJECTIVE: To investigate the clinical effect of Urgotul foam dressing in the treatment of stage 3 ∼ 4 PI and deep tissue PI.
METHODS: A total of 38 patients with stage 3 ∼ 4 PI and deep tissue PI admitted to Jinan Central Hospital from January 2016 to December 2018 were selected and randomly divided into a control group (dressing change plus silver ion cream dressing) and an observation group (dressing change plus Urgotul Absorb non-border foam dressing), with 19 cases in each group. After 4 weeks of treatment, the pain intensity during dressing change and the treatment efficacy for PI wounds were compared between the two groups.
RESULTS: There were no differences in gender (P= 0.740), age (P= 0.130), single wound area (P= 0.673), consultation department (P= 0.972), stage (P= 0.740), presence of undermining (P= 0.721), deep tissue PI (P= 0.721), and systemic antibiotic therapy (P= 1.000) between the two groups, which were comparable. The treatment effect of the observation group was better than that of the control group (P= 0.003), and the pain score of the observation group was lower than that of the control group (P< 0.001).
CONCLUSIONS: Urgotul Absorb non-border foam dressing has a good effect in the treatment of stage 3 ∼ 4 PI and deep tissue PI and can relieve patients\' pain, and is thus worth promoting.
OBJECTIVE: To investigate the clinical effect of Urgotul foam dressing in the treatment of stage 3 ∼ 4 PI and deep tissue PI.
METHODS: A total of 38 patients with stage 3 ∼ 4 PI and deep tissue PI admitted to Jinan Central Hospital from January 2016 to December 2018 were selected and randomly divided into a control group (dressing change plus silver ion cream dressing) and an observation group (dressing change plus Urgotul Absorb non-border foam dressing), with 19 cases in each group. After 4 weeks of treatment, the pain intensity during dressing change and the treatment efficacy for PI wounds were compared between the two groups.
RESULTS: There were no differences in gender (P= 0.740), age (P= 0.130), single wound area (P= 0.673), consultation department (P= 0.972), stage (P= 0.740), presence of undermining (P= 0.721), deep tissue PI (P= 0.721), and systemic antibiotic therapy (P= 1.000) between the two groups, which were comparable. The treatment effect of the observation group was better than that of the control group (P= 0.003), and the pain score of the observation group was lower than that of the control group (P< 0.001).
CONCLUSIONS: Urgotul Absorb non-border foam dressing has a good effect in the treatment of stage 3 ∼ 4 PI and deep tissue PI and can relieve patients\' pain, and is thus worth promoting.
摘要：
背景：压力损伤（PI）是由医疗或其他设备引起的位于骨骼处的皮肤和/或软组织的局部损伤，在长期卧床的患者中很常见。
目的：探讨Urgotul泡沫敷料治疗3~4期PI及深部组织PI的临床疗效。
方法：选取2016年1月至2018年12月济南市中心医院收治的3~4期PI和深部组织PI患者38例，随机分为对照组（换药加银离子乳膏敷料）和观察组（换药加UrgotulAbsorb无缘泡沫敷料）。每组19例。治疗4周后,比较两组患者换药时的疼痛强度和PI创面的治疗效果。
结果：性别差异无统计学意义（P=0.740），年龄（P=0.130），单个伤口面积（P=0.673），咨询部门（P=0.972），阶段（P=0.740），存在破坏(P=0.721)，深部组织PI(P=0.721),两组之间的全身抗生素治疗（P=1.000），这是可比的。观察组的治疗效果优于对照组(P=0.003)。观察组疼痛评分低于对照组(P<0.001)。
结论：UrgotulAbsorb非边界泡沫敷料治疗3~4期PI及深部组织PI有较好的疗效，可缓解患者疼痛，因此值得推广。
目的：探讨Urgotul泡沫敷料治疗3~4期PI及深部组织PI的临床疗效。
方法：选取2016年1月至2018年12月济南市中心医院收治的3~4期PI和深部组织PI患者38例，随机分为对照组（换药加银离子乳膏敷料）和观察组（换药加UrgotulAbsorb无缘泡沫敷料）。每组19例。治疗4周后,比较两组患者换药时的疼痛强度和PI创面的治疗效果。
结果：性别差异无统计学意义（P=0.740），年龄（P=0.130），单个伤口面积（P=0.673），咨询部门（P=0.972），阶段（P=0.740），存在破坏(P=0.721)，深部组织PI(P=0.721),两组之间的全身抗生素治疗（P=1.000），这是可比的。观察组的治疗效果优于对照组(P=0.003)。观察组疼痛评分低于对照组(P<0.001)。
结论：UrgotulAbsorb非边界泡沫敷料治疗3~4期PI及深部组织PI有较好的疗效，可缓解患者疼痛，因此值得推广。
