三黄汤联合复方氨基酸脂质体愈合膜治疗Ⅲ期压疮的疗效观察  

Effect of Sanhuang Decoction Combined with Compound Amino Acid Liposome Healing Membrane on Treatment of Stage Ⅲ Pressure Ulcer

作　　者：李采琼 吴颖[2] 庞燕 王秋临[3] 赵维仕 

机构地区：[1]重庆市职业病防治院,重庆400060 [2]重庆市中医院,重庆400021 [3]重庆市肿瘤医院,重庆400030

出　　处：《中国药房》2015年第20期2799-2801,共3页China Pharmacy

基　　金：重庆市卫生局中医药科技项目(No.ZY20132018)

摘　　要：目的:观察三黄汤联合复方氨基酸脂质体愈合膜治疗Ⅲ期压疮的疗效。方法:选取Ⅲ期压疮患者90例,按随机数字表法分为对照A组、对照B组和试验组,各30例。在各组均给予基本治疗的基础上,对照A组给予单纯三黄汤局部换药;对照B组给予单纯复方氨基酸脂质体愈合膜局部换药;试验组给予三黄汤联合复方氨基酸脂质体愈合膜局部换药。在治疗21 d后观察疗效,比较各组患者压疮治疗效果。结果:对照A组总有效率(62.1%)与对照B组总有效率(66.7%)比较,差异无统计学意(P>0.05);试验组总有效率(93.3%)与对照A组和对照B组比较,差异均有统计学意义(P<0.05)。结论:三黄汤联合复方氨基酸脂质体愈合膜较单用三黄汤或单用复方氨基酸脂质体愈合膜治疗Ⅲ期压疮的效果好,创面愈合时间短,值得进一步研究。OBJECTIVE： To observe the effect of Sanhuang decoction combined with compound amino acid liposome healing membrane on treatment stage Ⅲ pressure ulcer. METHODS ： According to the random number table, ninety cases of stage Ⅲ pres- sure ulcer were divided into control group A, control group B, and experimental group with 30 cases in each group. On the basis of the basic processing for each group, control group A was treated by dressing change with Sanhuang decoction only, control group B by dressing change with compound amino acid liposome healing membrane only, and experimental group by dressing change with Sanhuang decoction combined with compound amino acid liposome healing membrane. The results of treatment were observed and the curative effects were compared among 3 groups after 21 days or pressure ulcer healing. Three groups were com- pared with chi-square test and each two groups were compared with chi-square segmentation method. RESULTS： There was no difference on total curative effect in control group A （62.1%） and control group B （66.7 % ）（P〉0.05）, however, there was statistical significance on total curative effect in experimental group （93.3%） and control group A（P〈0.05）, also in experimental group and control group B （P〈0.05）, CONCLUSIONS： The effect of Sanhuang decoction combined with compound amino acid liposome healing membrane on treatment of stage Ⅲ pressure ulcer is better than the effect of dressing change with Sanhuang decoction only or compound amino acid liposome healing membrane only, and the healing time of wound is shortened. This research is deserved further study.

关 键 词：三黄汤 复方氨基酸脂质体愈合膜 压疮 

分 类 号：R473.5[医药卫生—护理学]