中药乐肤佳涂擦治疗不同部位的1期压力性损伤效果观察  

Clinical Observation on External Use of Chinese Medicine Lefujia for Treatment of Stage One Pressure Injury in Different Parts

作　　者：康良琦 邓宝贵[2] 谢裕华[2] 全小明[2] 占小兵[2] KANG Liang-Qi;DENG Bao-Gui;XIE Yu-Hua;QUAN Xiao-Ming;ZHAN Xiao-Bing(The First Clinical Medical School of Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;The First Affiliated Hospital of University of Chinese Medicine,Guangzhou 510405 Guangdong,China)

机构地区：[1]广州中医药大学第一临床医学院,广东广州510405 [2]广州中医药大学第一附属医院,广东广州510405

出　　处：《广州中医药大学学报》2021年第6期1133-1137,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广州中医药大学第一附属医院创新强院工程项目(编号:2017HL02);广州中医药大学第一附属医院创新强院工程项目(编号:2017ZJ02)。

摘　　要：【目的】观察自拟中药外用制剂乐肤佳对不同部位1期压力性损伤的治疗效果。【方法】选取90例1期压力性损伤患者,根据损伤部位将患者分为足部组、骶尾组、髋部组和其他组4组,分别有23、23、22、22例。4组患者均采用常规护理(即每2 h翻身1次、局部受压部位垫水垫,以及给予合理补充营养等),再使用乐肤佳进行中药涂擦。观察4组患者1期压力性损伤的平均愈合时间和治疗10 min、20 min、30 min后的疗效。【结果】(1)4组不同部位1期压力性损伤患者的痊愈时间比较,差异有统计学意义(P<0.05)。其中骶尾组、髋部组的痊愈时间较足部组明显延长,差异均有统计学意义(P<0.05),而其他组与足部组比较,差异无统计学意义(P>0.05)。(2)4组不同部位1期压力性损伤患者治疗10 min、20 min后的疗效比较,差异均无统计学意义(P>0.05);而治疗30 min后的疗效比较,差异有统计学意义(P<0.05),其中足部组的疗效明显优于骶尾组和髋部组,差异均有统计学意义(P<0.05)。【结论】中药乐肤佳涂擦对不同部位1期压力性损伤的疗效不同,其对足部和其他四肢部位的1期压力性损伤治愈时间更短、疗效更明显。Objective To observe the therapeutic effect of Lefujia, a self-made Chinese medicine for external use,on stage one pressure injury in different parts. Methods Ninety patients with stage one pressure injury were divided into 4 groups according to the affected parts, namely foot group(23 cases), sacrococcygeal group(23 cases),hip group(22 cases)and other part group(22 cases). All of the patients in the 4 groups were given routine nursing care including turning over every 2 hours,putting water pad under the local pressure part,and reasonable nutrition supplement, and then were given external use of Lefujia. The average healing time and curative effect 10,20 and 30 min after treatment in the 4 groups were evaluated. Results(1)The difference of cure time for pressure injury in different parts among the 4 groups was statistically different(P < 0.05). The cure time in the sacrococcygeal group and hip group was prolonged in comparison with that in the foot group,and the difference was statistically different(P < 0.05). The difference between the other part group and foot group was insignificant(P > 0.05).(2)The difference of curative effect for pressure injury in different parts of the 4 groups 10 and 20 minutes after treatment was not statistically significant(P > 0.05),while the difference of the curative effect 30 minutes after treatment was statistical significant(P < 0.05). The curative effect in the foot group was superior to that in the sacrococcygeal group and hip group,and the difference was statistically significant(P<0.05). Conclusion The curative effect of external use of Lefujia varies in stage one pressure injury in different parts. The therapy is more effective on stage one pressure injury of the foot and the limbs,with shorter cure time and more obvious effect.

关 键 词：乐肤佳 外用 1期压力性损伤 不同部位 疗效 

分 类 号：R275.9[医药卫生—中西医结合]