Qiao Xiao-Ping, Ge Yan-Zhen
Department of Traditional Chinese Medicine, Liaocheng People's Hospital, Liaocheng, Shandong 252000, P.R. China.
Department of Pediatrics, Liaocheng People's Hospital, Liaocheng, Shandong 252000, P.R. China.
Exp Ther Med. 2016 Dec;12(6):3665-3669. doi: 10.3892/etm.2016.3848. Epub 2016 Oct 27.
The aim of the study was to investigate the application of hydrocolloid dressings in the prevention and treatment of infant diaper rash. A total of 210 infants with diaper rash were included in the study and randomized into 3 groups of 70 infants. Infants in group A received hydrocolloid dressings and individualized nursing; infants in group B received mupirocin plaster and topical application of pearl powder as well as routine nursing; and infants in group C received zinc oxide plaster and routine nursing. The clinical efficacy, incidence of adverse events, time to resolution of diaper rash, hospitalization duration, mean cost and satisfaction of nursing were compared between the 3 groups. After 1 cycle of treatment and nursing, the difference in the healing rate of mild diaper rash between groups A, B and C was significant (P<0.05), with the best healing rate in group A. Differences in the healing rate of grade I and II diaper rash between groups A, B and C was significant (P<0.05), with the best healing rate in group A. The incidence of adverse events in infants between groups A, B and C were significantly different (P<0.05), with the lowest incidence in group A (2.9%). The time to resolution of diaper rash, hospitalization duration and cost in infants were not significantly different (P<0.05). The satisfaction rate of nursing for the parents of groups A, B and C was 98.6, 87.1 and 80.0%, respectively (P<0.05). Hydrocolloid dressings combined with individualized nursing may prevent and treat infant diaper rash effectively, decrease the incidence of adverse reactions significantly, shorten time to resolution of diaper rash and hospitalization duration, reduce mean hospitalization cost, improve parent satisfaction and promote nursing-patient harmony. Thus, this method of treatment was worthy of clinical application.
本研究旨在探讨水胶体敷料在婴幼儿尿布疹防治中的应用。本研究共纳入210例尿布疹婴幼儿，并随机分为3组，每组70例。A组婴幼儿接受水胶体敷料及个性化护理；B组婴幼儿接受莫匹罗星软膏及珍珠粉外用并给予常规护理；C组婴幼儿接受氧化锌软膏及常规护理。比较3组的临床疗效、不良事件发生率、尿布疹消退时间、住院时间、平均费用及护理满意度。经过1个疗程的治疗与护理后，A、B、C组轻度尿布疹愈合率差异有统计学意义（P<0.05），A组愈合率最佳。A、B、C组Ⅰ、Ⅱ度尿布疹愈合率差异有统计学意义（P<0.05），A组愈合率最佳。A、B、C组婴幼儿不良事件发生率差异有统计学意义（P<0.05），A组最低（2.9%）。婴幼儿尿布疹消退时间、住院时间及费用差异无统计学意义（P<0.05）。A、B、C组家长对护理的满意度分别为98.6%、87.1%和80.0%（P<0.05）。水胶体敷料联合个性化护理可有效防治婴幼儿尿布疹，显著降低不良反应发生率，缩短尿布疹消退时间及住院时间，降低平均住院费用，提高家长满意度，促进护患和谐。因此，该治疗方法值得临床应用。
