化腐生肌膏联合微氧治疗Ⅳ期压疮的临床效果  

Clinical effect of Huafu Shengji Paste combined with micro-aerobic therapy in the treatment of stage Ⅳ pressure ulcer

作　　者：陈德监[1] 耿小英[1] 周灵芳[1] 陶嫒嫒 杨巧萍[1] 余德华[1] 陈红桂[1] CHEN De-jian;GENG Xiao-ying;ZHOU Ling-fang;TAO Ai-ai;YANG Qiao-ping;YU De-hua;CHEN Hong-gui(Department of Dermatology,Xinghua Traditional Chinese Medicine Hospital,Jiangsu Province,Xinghua225700,China)

机构地区：[1]江苏省兴化市中医院皮肤科,江苏兴化225700

出　　处：《中国当代医药》2021年第19期53-57,共5页China Modern Medicine

基　　金：江苏省泰州市科技支撑计划社会发展(指导性)项目(20191430)。

摘　　要：目的分析化腐生肌膏联合微氧治疗Ⅳ期压疮的临床效果。方法选取2019年4月—2020年6月兴化市中医院皮肤科门诊收治的40例Ⅳ期压疮患者作为研究对象,采用随机数字表法将其分为试验组(20例)和对照组(20例)。试验组患者使用化腐生肌膏联合微氧治疗,对照组患者使用灭菌凡士林,两组患者都采用清创和系统护理。比较两组患者治疗2、4周后的创面面积减小总有效率、创面组织类型改变总有效率、创面渗液量减少总有效率;比较两组治疗前及治疗2、4周后的长度、宽度、深度、面积、体积;比较两组治疗4周后的创面修复总有效率。结果试验组患者治疗2周和4周后的创面面积减小总有效率、创面组织类型改变总有效率、创面渗液量减少总有效率均高于对照组,创面长度、宽度、深度、面积、体积值均小于对照组,差异有统计学意义(P<0.05)。试验组治疗4周后的创面面积减小总有效率、创面组织类型改变总有效率、创面渗液量减少总有效率均高于治疗2周后,创面长度、宽度、深度、面积、体积值均小于治疗2周后,差异有统计学意义(P<0.05)。对照组治疗4周后的创面面积减小总有效率、创面组织类型改变总有效率、创面渗液量减少总有效率高于治疗2周后,差异有统计学意义(P<0.05)。对照组治疗4周后的创面长度、宽度、深度、面积、体积与治疗2周后比较,差异无统计学意义(P>0.05)。试验组患者治疗4周后的创面恢复总有效率高于对照组,差异有统计学意义(P<0.05)。结论化腐生肌膏联合微氧治疗Ⅳ期压疮的效果好,患者恢复佳,副作用小,明显提高患者的生活质量,值得临床推广。Objective To analyze the clinical therapeutic effect of Huafu Shengji Paste combined with micro-aerobic therapy in the treatment of patients with stageⅣpressure ulcers.Methods Forty patients with stageⅣpressure 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

关 键 词：Ⅳ期压疮 化腐生肌膏 微氧 护理 

分 类 号：R632.105[医药卫生—外科学]