疾病预防与控制杂志

摘要：目的 评价压力性损伤新型治疗方法在基层医院的临床应用效果。方法 选择 2023 年 9 月至 2025 年 4 月来我院就诊的 80 例深度压力性损伤患者，按照随机数表法分为 2 组，每组各 40 例，研究组接受自制负压引 流联合银离子敷料治疗，对照组接受常规方法换药，对比两组患者的治疗效果和相关指标。结果 相比较于对照组，研究组患者的换药次数、治疗费用更低，其伤口的愈合时间、肉芽长出时间、住院时间显著更短，差异有统 计意义（P＜0.05）；研究组总有效率显著高于对照组（P＜0.05）；治疗前的舒适度分值比较差异无显著性，治疗后研究组患者的疼痛分值和焦虑分值均明显低于对照组（P＜0.05）；两组在不同治疗手段下，测定的各项炎症因子水平研究组均更低，而评测的七项压力性损伤评分观察组均处于更高值，差异具有统计学意义（P＜0.05）。结论 基层医院采取新型治疗手段用于压力性损伤患者，不仅能减少换药次数和医疗费用，还能加速创面愈合，快速减轻患者的身心痛苦，降低患者的压疮风险，在基层医院具有较好的临床应用价值。

Abstract: Objective  To evaluate the clinical application effect of a new treatment method for pressure injuries in primary hospitals. Methods 80 patients with deep pressure imjuries who visited a hospital from September 2023 to April 2025. were selected and divided into 2 groups by random number table method, with 40 cases in each group. The study group received self-made negative pressure drainage combined with silver ion dressing treatment, while the control group received conventional dressing changes. The treatment effects and related indicators of the two groups of patients were compared. Results Compared with the control group, patients in the study group had lower dressing changes and treatment costs. Their wound healing time, granulation tissue growth time, and hospitalization time were significantly shorter, and the differences were statistically significant (P＜0.05). The total effective rate achieved by the research group was significantly higher than that of the control group, with statistical results (P＜0.05). There was no significant difference in comfort scores before treatment, but after treatment, the pain and anxiety scores of the study group were significantly lower than those of the control group, and the statistical difference was significant (P＜0.05). Under different treatment methods, the levels of various inflammatory factors measured in both groups were lower in the study group, while the seven pressure injury scores evaluated in the observation group were all at higher values, resulting in differential evaluation values (P＜0.05). Conclusion Adopting new treatment methods for pressure injury patients in primary hospitals can not only reduce dressing changes and medical costs, but also accelerate wound healing, quickly alleviate patients’ physical and mental pain, and reduce the risk of pressure ulcers. It has good clinical application value in primary hospitals.