机构地区:[1]海安市中医院肝胆外科,江苏南通226600 [2]海安市中医院肿瘤科,江苏南通226600 [3]海安市中医院重症医学科,江苏南通226600
出 处:《四川中医》2025年第1期182-186,共5页Journal of Sichuan of Traditional Chinese Medicine
摘 要:目的:探究温阳活血汤外敷联合负压引流技术(VSD)在预防压疮中的应用效果。方法:对我院2021年6月~2023年6月期间收治的80例高危压疮患者相关资料予以回顾性分析,依据干预方式不同将接受温阳活血汤外敷联合VSD干预的患者纳入中药组(n=42),仅接受VSD干预的患者纳入对照组(n=38)。比较两组高危压疮患者的压疮风险(Braden压疮评分)、血清因子水平[高敏C反应蛋白(hs-CRP)、血清白蛋白(ALB)、白介素-6(IL-6)及转铁蛋白(TF)]、舒适程度[舒适状况量表(GCQ)]、创面修复时间和患肢周径。结果:干预后,中药组患者Braden量表感觉、潮湿、活动、移动、营养等维度得分均高于对照组(P<0.05)。干预后,中药组患者血清hs-CRP和IL-6因子含量分别为(9.31±2.76)mg/mL和(22.15±3.46)ng/mL,均低于对照组的(19.37±5.13)mg/mL和(35.41±3.97)ng/mL,而ALB和TF因子含量分别为(32.59±3.27)g/L和(2.96±0.32)g/L,均高于对照组的(28.46±3.32)g/L和(2.41±0.29)g/L(P<0.05)。干预后,中药组生理、心理、社会文化和精神的GCQ得分分别为(23.05±3.71)分、(23.99±4.17)分、(14.10±3.10)分和(18.64±2.91)分,均比对照组高(P<0.05)。中药组创面恢复时间和干预后患肢膝上膝下周径均短于对照组(P<0.05)。两组不良反应无明显差异(P>0.05)。结论:温阳活血汤外敷联合VSD技术能有效降低压疮风险,降低机体炎症反应,提升患者舒适度,缩短创面修复时间并改善患肢水肿程度,具有预防压疮的潜力,且安全性好。Objective:To explore the application effect of external application of Wenyang Huoxue decoction combined with vacuum sealing drainage(VSD)on the prevention of pressure ulcer.Methods:The related data of 80 patients with high-risk pressure ulcer in the hospital were retrospectively analyzed from June 2021 to June 2023.According to different intervention methods,patients who received external application of Wenyang Huoxue decoction combined with VSD intervention were included in traditional Chinese medicine group(n=42),and patients who only adopted VSD intervention were enrolled as control group(n=38).The pressure ulcer risk(Braden pressure ulcer score),serum factors[high-sensitivity C-reactive protein(hs-CRP),serum albumin(ALB),interleukin-6(IL-6)and transferrin(TF)],comfort degree[general comfort questionnaire(GCQ)],wound repair time and affected limb circumference were compared between the two groups.Results:After intervention,the scores of dimensions of sensation,dampness,activity,movement and nutrition of Braden scale in traditional Chinese medicine group were higher than those in control group(P<0.05).The levels of serum hs-CRP and IL-6 after intervention in traditional Chinese medicine group with(9.31±2.76)mg/mL and(22.15±3.46)ng/mL were lower than(19.37±5.13)mg/mL and(35.41±3.97)ng/mL in control group while the levels of ALB and TF with(32.59±3.27)g/L and(2.96±0.32)g/L were higher than(28.46±3.32)g/L and(2.41±0.29)g/L in control group(P<0.05).After intervention,the GCQ scores of physiology,psychology,social culture and spirit were(23.05±3.71)points,(23.99±4.17)points,(14.10±3.10)points and(18.64±2.91)points in traditional Chinese medicine group,which were higher than those in control group(P<0.05).The wound recovery time and circumferences of the affected limb above and below the knee after intervention in traditional Chinese medicine group were shorter than those in control group(P<0.05).There were no significant differences in adverse reactions between the two groups(P>0.05).Conclusion:External
关 键 词:压疮 温阳活血汤 负压引流 Braden压疮风险评分 创面修复
分 类 号:R256.4[医药卫生—中医内科学]
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