Does the use of a cleanser on skin surrounding pressure ulcers in older people promote healing?
Does the use of a cleanser on skin surrounding pressure ulcers in older people promote healing?
复制标题
在老年人压疮周围的皮肤上使用清洁剂是否可以促进愈合？
DOI：
10.12968/jowc.2005.14.4.26758
复制
发表时间：
2005
影响因子：
1.9
通讯作者：
A. Kitagawa
中科院分区：
文献类型：
--
作者：
C. Konya;H. Sanada;J. Sugama;M. Okuwa;A. Kitagawa
目标
确定在压疮周围的皮肤上使用皮肤清洁剂是否有助于促进愈合。
方法
该研究针对 II 期或以上压疮患者进行了为期两年的研究。所有受试者均年满 65 岁且居住在长期护理医院。第一年，用生理盐水清洁皮肤。第二年，使用 pH 平衡的清洁剂。然后比较两种方法的愈合时间。
结果
在每个溃疡阶段使用清洁剂的组中，愈合时间较短，II 期溃疡的差异尤其显着 (p=0.002)。使用 Cox 比例风险模型进行分析发现，用清洁剂清洗周围皮肤后，II 期溃疡的愈合率提高了 1.79 倍。
结论
用清洁剂而不是生理盐水清洁周围的皮肤可以促进压疮的愈合。
OBJECTIVE
To determine whether the use of a skin cleanser on the skin surrounding pressure ulcers helps to promote healing.
METHOD
The study was conducted over a two-year period in patients with stage II or more pressure ulcers. All subjects were at least 65 years of age and resident in a long-term care hospital. During the first year, skin was cleansed with normal saline. In year two, a pH-balanced cleanser was used. The healing times for the two methods were then compared.
RESULTS
Healing time was shorter in the group using the cleanser for every stage of ulcer, with an especially significant difference for stage II ulcers (p=0.002). Analysis using the Cox proportional hazards model found a 1.79-fold improvement in the healing rate of stage II ulcers when the surrounding skin was washed with the cleanser.
CONCLUSION
Cleaning the surrounding skin with a cleanser rather than normal saline promotes the healing of pressure ulcers.