Ⅱ-Ⅳ期压力性溃疡临床治疗效果观察  

Clinical treatment of pressure ulcer in stages Ⅱ-Ⅳ

作　　者：张建国[1] 杨光[1] 范军 周建民 

机构地区：[1]山东省高密市人民医院药事科,261500 [2]康复科 [3]山东省高密市开发区医院

出　　处：《中华全科医师杂志》2013年第9期745-747,共3页Chinese Journal of General Practitioners

摘　　要：将267例压力性溃疡患者按随机数字表法分为治疗组（137例）和对照组（130例），均采用常规清创。治疗组使用中药组方撒敷疮面，对照组根据疮面细菌培养及药敏试验选择抗菌药物治疗。以疼痛度级数、肿胀度级数、压力性溃疡面积、皮肤温差等作为具体观察指标，观察治疗后指标的改变。治疗后，治疗组和对照组疼痛度级数差值分别为2．1±0．9和1．2±0．7，肿胀度级数差值分别为1．3±0．6和0．7±0．5，压力性溃疡面积差值分别为4．7±3．1和2．4±2．5，皮肤温差差值分别为0．12±0．05和0．22±0．10，治疗组优于对照组，比较有统计学意义（P〈0．05）；治疗组和对照组有效率分别为95．6％和65．4％，分别治愈86例和33例（P〈0．05）。A total of 267 patients with pressure ulcer were randomly divided into treatment and control groups. All of them underwent traditional debridement. The wounds in treatment group were spreaded with traditional Chinese medicine. According to the results of bacteria culture and drug sensitivity, antimicrobial agents were selected in control group. The observation indices of two groups included pain grade, swelling grade, ulcer area and skin temperature difference. Then the variations of observation indices before and after treatment were examined. In treatnlent and control groups, the different values of pain grade before and after treatment were 2. 1 ± 0. 9 and 1.2 ± 0. 7, swelling grade 1.3 ± 0. 6 and 0. 7 ± 0. 5, ulcer area 4. 7 ± 3. 1 and 2.4 ± 2. 5 and skin temperature difference 0. 12 _ 0. 05 and 0. 22 ± 0. 10 respectively. Treatment group was superior to control group and there was statistical significance （P 〈 0. 05 ）. The effective rates were 95.6% and 65.4% and the number of cured patients 86 and 33 cases respectively. And there was statistical significance （ P 〈 0. 05 ）.

关 键 词：皮肤溃疡 方剂 

分 类 号：R473[医药卫生—护理学]