阳和汤合佛手散湿敷联合按摩铺灸治疗压疮的效果观察  

Observation on the Effect of Yanghe Decoction and Foshou Powder Wet Compress Combined with Massage and Long Snake Moxibustion in the Treatment of Pressure Sore

作　　者：温丽珍 赖美秀 陈曦 罗振 温添生 WEN Lizhen;LAI Meixiu;CHEN Xi;LUO Zhen;WEN Tiansheng(Hospital of Traditional Chinese Medicine of Shicheng in Ganzhou,Jiangxi Province,Shicheng 342700,China)

机构地区：[1]江西省赣州市石城县中医院,江西石城342700

出　　处：《中国医学创新》2023年第35期155-158,共4页Medical Innovation of China

基　　金：江西省中医药管理局科技计划项目(2022B716)。

摘　　要：目的:探讨阳和汤合佛手散湿敷联合按摩铺灸治疗压疮的临床效果。方法:选取2022年1—9月石城县中医院收治的压疮患者126例,采用随机数字表法将患者分为对照组与试验组,各63例。对照组患者行常规治疗,试验组患者在常规治疗基础上应用阳和汤合佛手散湿敷联合按摩铺灸。评估两组患者的压疮面积、Braden压疮风险评估表评分、生活质量及临床疗效,并对评估指标进行统计学比较分析。结果:治疗21 d后观察组压疮面积小于对照组(P<0.05);治疗30 d后观察组Braden压疮风险评估表评分及生理职能、生理机能、情感职能、精神健康、躯体疼痛、社会功能、精力和总体健康评分均高于对照组,总有效率高于对照组,差异均有统计学意义(P<0.05)。结论:阳和汤合佛手散湿敷联合按摩铺灸治疗压疮可促进创面愈合,改善生活质量,提高临床疗效,具有确切的临床应用价值。Objective:To explore the clinical effect of Yanghe Decoction and Foshou Powder wet compress combined with massage and long snake moxibustion in the treatment of pressure sore.Method:A total of 126 patients with pressure sore treated in Hospital of Traditional Chinese Medicine of Shicheng in Ganzhou from January to September 2022 were selected and divided into control group and experimental group according to random number table method,with 63 cases in each group.Patients in the control group received routine treatment,and patients in the experimental group received Yanghe Decoction and Foshou Powder wet compress combined with massage and long snake moxibustion on the basis of routine treatment.The pressure sore area,Braden pressure sore risk assessment table score,quality of life and clinical efficacy of the two groups were evaluated,and the evaluation indicators were statistically compared and analyzed.Result:After 21 d of treatment,the pressure sore area of the experimental group was smaller than that of the control group(P<0.05).After 30 d of treatment,the scores of Braden pressure sore risk assessment table and role physical,physiological function,role emotional,mental health,somatic pain,social function,vitality and general health after treatment of the experimental group were higher than those of the control group,and the total effective rate of the experimental group was higher than that of the control group,the differences were statistically significant(P<0.05).Conclusion:Yanghe Decoction and Foshou Powder wet compress combined with massage and long snake moxibustion in the treatment of pressure sore can promote wound healing,improve the quality of life,and enhance the clinical effect,which has definite clinical application value.

关 键 词：压疮 阳和汤 佛手散 湿敷 按摩 铺灸 

分 类 号：R269[医药卫生—中西医结合]