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

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.	蔣琪霞, 李曉華, 王建東. 醫院獲得性壓瘡流行病學特征及預防研究進展[J]. 中國護理管理, 2014, 14(7):676-679.
6.	蔣琪霞, 管曉萍, 蘇純音, 等. 綜合性醫院壓瘡現患率多中心聯合調研[J]. 中國護理管理, 2013, 13(1):26-30.
7.	蔣琪霞, 劉云, 管曉萍, 等. 住院患者壓瘡現患率的多中心研究[J]. 醫學研究生學報, 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.	劉春雨, 張慶玲. 壓瘡護理研究新進展[J]. 西部醫學, 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, 李愛夏, 陳斐琳, 等. 壓瘡健康教育的研究現狀及進展[J]. 全科護理, 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.	蔣琪霞, 李曉華. 清創方法及其關鍵技術的研究進展[J]. 中華護理雜志, 2009, 44(11):1045-1047.
15.	陳娟. 壓瘡傷口護理研究進展[J]. 臨床護理雜志, 2014, 13(1): 58-60.
16.	寧寧, 廖燈彬, 劉春娟. 臨床傷口護理[M]. 北京:科學出版社, 2013: 15-16.
17.	吳雪華. 壓瘡的臨床護理新進展[J]. 中華全科醫學, 2013, 11(3): 463-464.
18.	傅代秀, 應秀華. 改良法在壓瘡護理中的應用分析[J]. 中國實用護理雜志, 2009, 25(12):60-61.

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. 蔣琪霞, 李曉華, 王建東. 醫院獲得性壓瘡流行病學特征及預防研究進展[J]. 中國護理管理, 2014, 14(7):676-679.
6. 蔣琪霞, 管曉萍, 蘇純音, 等. 綜合性醫院壓瘡現患率多中心聯合調研[J]. 中國護理管理, 2013, 13(1):26-30.
7. 蔣琪霞, 劉云, 管曉萍, 等. 住院患者壓瘡現患率的多中心研究[J]. 醫學研究生學報, 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. 劉春雨, 張慶玲. 壓瘡護理研究新進展[J]. 西部醫學, 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, 李愛夏, 陳斐琳, 等. 壓瘡健康教育的研究現狀及進展[J]. 全科護理, 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. 蔣琪霞, 李曉華. 清創方法及其關鍵技術的研究進展[J]. 中華護理雜志, 2009, 44(11):1045-1047.
15. 陳娟. 壓瘡傷口護理研究進展[J]. 臨床護理雜志, 2014, 13(1): 58-60.
16. 寧寧, 廖燈彬, 劉春娟. 臨床傷口護理[M]. 北京:科學出版社, 2013: 15-16.
17. 吳雪華. 壓瘡的臨床護理新進展[J]. 中華全科醫學, 2013, 11(3): 463-464.
18. 傅代秀, 應秀華. 改良法在壓瘡護理中的應用分析[J]. 中國實用護理雜志, 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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