Research on the Application of 10% Sodium Chloride for Stage-Ⅲ Pressure Ulcer Debridement_West China Medical Journal

Authors：

 CHENBing , LUONa , SUNWei-long , YANGJie , RUANXiao-ling

Outpatient Department, Leshan People's Hospital, Leshan, Sichuan 614000, P. R. China;

Corresponding author：

Keywords：

Pressure ulcer; 10%sodium chloride; Debridement

DOI：

10.7507/1002-0179.20150522

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Objective To explore the application of 10% sodium chloride for stage-Ⅲ pressure ulcer debridement. Methods According to the standard, 68 stage-Ⅲ pressure ulcer cases were selected from January 2011 to December 2014. All the patients had yellow surface and positive bacterium cultivation suggesting wound infection. They were randomly divided into control group and trial group. The control group used traditional treatment for debridement, while the trial group used 10% sodium chloride, until the end of debridement where the granulation became fresh and bacterium cultivation negative. Then we compared these two groups in terms of debridement time, wound drainage, wound smell, granulation growth, pain score and cost. Results The control group debridement time was 18-32 days, averaging (22.4±10.8) days, and the trial group debridement time was 5-13 days, averaging (11.6±4.0) days (P<0.05). The control group wound drainage ratings score was 6.70±2.87, while the trial group wound drainage ratings score was 3.65±1.23 (P<0.05). In terms of the wound smell, the control group had a score of 2.74±1.62, and the score for the experimental group was 1.26±0.51 (P<0.05). The average cost of the control group was (975.00±10.29) yuan, while the experimental group was (626.00±8.18) yuan (P<0.05). Conclusion The application of 10% sodium chloride for stage-Ⅲ pressure ulcer debridement can shorten debridement time, promote the growth of granulation and reduce the economic burden, which is worth clinical promotion.

Citation： CHENBing, LUONa, SUNWei-long, YANGJie, RUANXiao-ling. Research on the Application of 10% Sodium Chloride for Stage-Ⅲ Pressure Ulcer Debridement. West China Medical Journal, 2015, 30(10): 1818-1821. doi: 10.7507/1002-0179.20150522 Copy

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15.	陈娟. 压疮伤口护理研究进展[J]. 临床护理杂志, 2014, 13(1): 58-60.
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1. National Pressure Ulcer Advisory Panel and European Pressure Ulcer Advisory Panel (NPUAP/EPUAP). Prevention and treatment of pressure ulcers:clinical practice guideline[M].Washington, DC: National Pressure Ulcer Advisory Panel, 2009.
2. National Pressure Ulcer Advisory Panel. 2007 National pressure ulcer staging de ntion[J]. Would Council Enterostomal erapists J, 2007, 27(3):30-31.
3. Hurd T, Posnett J. Point prevalence of wounds in a sample of acute hospitals in Canada[J]. Int Wound J, 2009, 6(4):287-293.
4. Lahmann NA, Dassen T, Poehler A, et al. Pressure ulcer prevalence rates from 2002 to 2008 in Germann long-term care facilities[J]. Aging Clin Exp Res, 2010, 22(2):152-156.
5. 蒋琪霞, 李晓华, 王建东. 医院获得性压疮流行病学特征及预防研究进展[J]. 中国护理管理, 2014, 14(7):676-679.
6. 蒋琪霞, 管晓萍, 苏纯音, 等. 综合性医院压疮现患率多中心联合调研[J]. 中国护理管理, 2013, 13(1):26-30.
7. 蒋琪霞, 刘云, 管晓萍, 等. 住院患者压疮现患率的多中心研究[J]. 医学研究生学报, 2013, 26(12):1298-1303.
8. Reddy M, Gill SS, Rochon PA. Preventing pressure ulcers: a systematic review[J]. JAMA, 2006, 296(8):974-984.
9. Defloor T, De Bacquer D, Grypdonck MH. The effect of various combinations of turning and pressure reducing devices on the incidence of pressure ulcers[J]. Int J Nurs Stud, 2005, 42(1):37-46.
10. 刘春雨, 张庆玲. 压疮护理研究新进展[J]. 西部医学, 2012, 24(7): 1421-1422, 1424.
11. Stratton P, Ek AC, Engfor M, et al. Enteral nutritional support in prevention and treatment of pressure ulcers:a systematic review and meta-analysis[J]. Ageing Res Rev, 2005, 4(3):422-450.
12. 曹蕾, 李爱夏, 陈斐琳, 等. 压疮健康教育的研究现状及进展[J]. 全科护理, 2014, 12(30):2789-2792.
13. Doughty D, Ramundo J, Bonham P, et al. Issues and challenges in staging of pressure ulcers[J]. J Wound Ostomy Continence Nurs, 2006, 33(2):125-130.
14. 蒋琪霞, 李晓华. 清创方法及其关键技术的研究进展[J]. 中华护理杂志, 2009, 44(11):1045-1047.
15. 陈娟. 压疮伤口护理研究进展[J]. 临床护理杂志, 2014, 13(1): 58-60.
16. 宁宁, 廖灯彬, 刘春娟. 临床伤口护理[M]. 北京:科学出版社, 2013: 15-16.
17. 吴雪华. 压疮的临床护理新进展[J]. 中华全科医学, 2013, 11(3): 463-464.
18. 傅代秀, 应秀华. 改良法在压疮护理中的应用分析[J]. 中国实用护理杂志, 2009, 25(12):60-61.

West China Medical Journal

Research on the Application of 10% Sodium Chloride for Stage-Ⅲ Pressure Ulcer Debridement

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