化腐生肌膏联合微氧治疗Ⅳ期压疮的临床效果

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Abstract Objective To analyze the clinical therapeutic effect of Huafu Shengji Paste combined with micro-aerobic therapy in the treatment of patients with stage Ⅳpressure ulcers. Methods Forty patients with stage Ⅳpressure ulcers who received the treatment in Dermatology Department of Xinghua Traditional Chinese Medicine Hospital from April 2019 to June 2020 were selected as the research subjects. The patients were divided into experimental group (20 cases)and control group (20 cases) by random number table method. The patients in the experimental group were treated with Huafu Shengji Paste combined with micro-aerobic therapy, and the patients in the control group were treated with sterile petrolatum. Both groups received debridement and systemic care. The overall response rates of wound area reduction, wound tissue type change, and wound exudate reduction were compared between the two groups after 2 and 4 weeks of treatment; the length, width, depth, area, and volume of the wound before treatment and after 2, 4 weeks of treatment of the two groups were compared; the overall response rate of wound repair were compared between the two groups after 4 weeks of treatment. Results The overall response rates of wound area reduction, wound tissue type change, wound exudate volume reduction in the experimental group were higher than those of the control group after 2 and 4 weeks of treatment, the length, width, depth, area, and volume of wound in the experimental group were all lower than those of the control group after 2 and 4 weeks of treatment, with statistically significant differences (P＜0.05). In the experimental group, the overall response rates of wound area reduction, wound tissue type change, wound exudate volume reduction after 4 weeks of treatment were higher than those after 2 weeks of treatment, the length, width, depth,area, and volume of wound after 4 weeks of treatment were lower than those after 2 weeks of treatment, and the differences were statistically significant (P＜0.05). In the control group the overall response rates of wound area reduction,wound tissue type change, wound exudate volume reduction, after 4 weeks of treatment were ligher than those after 2 weeks of treatment, the differencces were statistically significant (P＜0.05). In the control group, there were no statistical differences in the length, width, depth, area, and volume of wound between 4 weeks of and 2 weeks of treatment (P＞0.05). The overall response rate of wound recovery in the experimental group was higher than that in the control group after 4 weeks of treatment, and the difference was statistically significant between the two groups (P＜0.05). Conclusion The Huafu Shengji Paste combined with micro-aerobic therapy in the treatment of stage Ⅳpressure ulcers has a good effect, favorable recovery, and mild side effects, and can significantly improve quality of life of patients, and it is worthy of clinical promotion.

Key words： Stage Ⅳpressure ulcer Huafu Shengji Paste Micro-aerobic therapy Nursing

Received: 09 September 2020

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[1]	杨巧萍，余德华，陈德监，等.化腐生肌膏治疗Ⅲ期褥疮30 例临床观察[J].江苏中医药，2011，43（8）：47-48.
[2]	钱红梅，陈德监.化腐生肌膏在下肢外伤性慢性皮肤溃疡43 例护理中的应用[J].云南中医中药杂志，2013，34（9）：79-80.
[3]	董文启，陈德监，余德华.化腐生肌膏治疗臁疮60 例疗效观察[J].中医临床研究，2015，28（7）：55-56.
[5]	韩斌如，王欣然.压疮护理[M].北京：科学技术文献出版社，2013：57.
[6]	国家中医药管理局.中医病证诊断疗效标准[M].北京：中国医药科技出版社，2012：140.
[7]	薛航，胡绍娟，殷丽平.从“虚、瘀、毒”辨证论治糖尿病周围血管病的临证经验[J].中国民族民间医药，2016，25（9）：48-49.
[4]	Black J，Baharestani M，Cuddigan J，et al.National Pressure Ulcer Advisory Panel.National Pressure Ulcer Advisory Panel′s updated pressure ulcer staging system[J].Adv Skin Wound Care，2007，20（5）：269-274.
[8]	刘明，唐乾利，李杰辉，等.烧伤湿润暴露疗法及湿润烧伤膏治疗糖尿病足的效果及对创面组织血管内皮生长因子和表皮细胞生长因子水平的影响[J].广西医学，2018，40（11）：7-10，21.
[9]	王越，李贤，王瑶，等.Ⅳ期压疮愈合过程中创面渗出液基质金属蛋白酶-9、基质金属蛋白酶抑制剂-1 的表达水平变化的研究[J].中华损伤与修复杂志（电子版），2019，14（1）：34-38.
[10]	邓红艳，郭春兰，周欣，等.两种银敷料对慢性伤口愈合及渗液酸碱度影响的比[J].护理学杂志，2017，32（6）：39-41.
[11]	郭冬婕，陈瑜，李斌，等.“煨脓长肉”理论的临床运用与理性思考[J].中华中医药杂志（原中国医药学报），2017，32（11）：4812-4814.
[12]	庞晓琴.Ⅱ～Ⅳ期压疮湿性愈合理论在基层医院的推广[J].实用临床医药杂志，2017，21（18）：220-221.
[13]	邓金星，林君德，邓飞扬.纳米银医用抗菌敷料、康复新液与湿润烧伤膏联合应用治疗Ⅳ期压疮的疗效分析[J].中国烧伤疮疡杂志，2020，32（4）：245-247.
[14]	徐强，卢旭亚，冀晓娜，等.基于疮面“恋邪”现象探析生肌油膏的合理应用[J].中医杂志，2020，61（4）：307-310.
[15]	赵紫钰.伤口门诊联合家庭参与式护理在老年压疮居家患者中的应用探讨[J].皮肤病与性病，2019，41（3）：460-461.
[16]	马战军，王天堂.负压封闭引流技术在创面治疗中的新进展[J].中国中医骨伤科杂志，2018，26（7）：84-88.
[17]	Niederauer MQ，Michalek JE，Armstrong DG.A Prospective，Randomized，Double-Blind Multicenter Study Comparing Continuous Diffusion of Oxygen Therapy to Sham Therapy in the Treatment of Diabetic Foot Ulcers[J].J Diabetes Sci Technol，2017，11（5）：883-891.