Therapeutic effects of dermlin and the combination of dermlin and pressure dressing on pressure ulcers in elderly patients

Abstract

Objective To explore the therapeutic effect of dermlin and the combination of dermlin and pressure dressing in elderly patients with pressure ulcer. Methods From January 2011 to August 2016, a total of 120 hospitalized elderly patients with pressure ulcers in First Affiliated Hospital of PLA General Hosptial were chosen as research objects. Patients with blister diameter less than 5 mm were defined as small blister group, and patients with blister diameter equal to or more than 5 mm were defined as big blister group. Each group containing 60 patients was divided into the observation group and the control group. In the small blister group, there were 30 cases in the control group with 41 blisters and 30 cases in the observation group with 37 blisters. Blisters in small blister groups were not pumped, of which the control group was treated by iodine while the observation group was treated by dermlin. In the big blister group, there were 30 cases in the control group with 42 blisters and 30 cases in the observation group with 41 blisters. Blisters in big blister groups were pumped, of which the control group was firstly treated by iodine and then applied with pressure dressing, while the observation group was firstly treated by dermlin and then applied with pressure dressing. The evaluation standard of therapeutic effect contained recovery, efficiency, improvement and non-effect. All the groups' healing situations were observed and recorded within 7 days. Results In the small blister group, the effective rates were 100.0% in the observation group and 97.6% in the control group. The therapeutic effects in the observation group were statistically significant better than the control group (Z=-2.347, P=0.019) . The therapeutic time in the observation group was significantly shorter than the control group (P<0.01) . In the big blister group, the effective rates were 97.5% in the observation group and 92.9% in the control group. The therapeutic effects in the observation group were statistically significant better than the control group (Z=-3.495, P<0.001) . The therapeutic time in the observation group was significantly shorter than the control group (P<0.01) . Conclusions Both dermlin and the combination of dermlin and pressure dressing could significantly enhance the healing of elderly patients' pressure ulcers and reduce the healing time. Key words: Aged; Pressure ulcer; Dermlin; Pressure dressing