中药外用治疗儿童骨折外固定后Ⅲ期压疮的疗效观察  

Clinical Observation of External Application of Traditional Chinese Medicine in the Treatment of Stage Ⅲ Pressure Ulcers after External Fixation of Fracture on Children

作　　者：赵喆[1] 马宝通[2] ZHAO Zhe;MA Bao-tong(Tianjin Hospital,Tianjin(300211),China)

机构地区：[1]天津市天津医院中医外科,天津300211 [2]天津市天津医院创伤骨科,天津300211

出　　处：《中国中西医结合外科杂志》2021年第6期877-880,共4页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:观察中药外用治疗外伤骨折患儿经石膏或夹板固定后出现的Ⅲ期压疮的疗效。方法:选取2018年3月—2019年5月在天津医院门诊就诊的Ⅲ期压疮患儿60例,均为创伤骨折后行石膏或夹板外固定,继发形成压疮,随机分为治疗组与对照组,治疗组采用天津医院院内制剂中药去腐散、生肌散及生肌膏中药换药方法治疗,对照组采用泡沫敷料、水凝胶敷料和清创胶、无菌油纱等常规换药方法治疗,记录并比较两组的伤口愈合时间、愈合率、治疗后7 d、14 d的伤口评分及伤口面积。结果:治疗组平均愈合时间(16.33±4.21)d,小于对照组平均愈合时间(22.72±5.13)d,差异有统计学意义(P<0.05)。治疗组在治疗后7 d、14 d的伤口评分为(23.33±3.92)分、(12.54±2.42)分,均低于对照组的(29.61±4.07)分、(23.85±5.01)分,差异有统计学意义(P<0.05)。治疗组7 d、14 d的伤口愈合率为32.06%、30.36%,高于对照组的18.10%、17.07%,差异有统计学意义(P<0.05)。结论:中药外用可以作为治疗石膏或夹板固定所致的小儿Ⅲ期压疮的优良方法使用。Objective To observe the curative effect of external application of Chinese medicine in the treatment of stageⅢpressure ulcers on children who were treated with plaster or splint fixation after fracture.Methods Sixty children with stageⅢpressure ulcers caused by plaster or splint after fractures were randomly divided into treatment group and control group,which were treated with traditional Chinese medicine dressing and conventional dressing method.The wound healing time,healing rate,wound score at the time of treatment at 7 d and 14 d after treatment were recorded for statistical analysis.Results The average healing time of the treatment group was(16.33±4.21)d,and that of the control group was(22.72±5.13)d.The average healing time of the treatment group was shorter than that of the control group(P<0.05).The average wound score of the treatment group was(23.33±3.92)points and(12.54±2.42)points on the 7 th and 14 th days after treatment,and those in the control group were(29.61±4.07)points and(23.85±5.01)points respectively(P<0.05).The improvement of the score in the treatment group was better than that in the control group.The wound healing rate of the treatment group was 32.06%and 30.36%at 7 d and 14 d,as well as 18.10%and 17.07%in the control group.The wound healing rate of the treatment group was better than that of the control group.Conclusion The external use of Chinese medicine can be used as an excellent method to treat children with stageⅢpressure ulcers caused by plaster or splint fixation.

关 键 词：中药外用 儿童压疮 医疗器械性压力性损伤 

分 类 号：R619.9[医药卫生—外科学]