老年3~4期压力性损伤患者中西医创面治疗的现状和展望  

Current situation and prospect of wound treatment of Chinese and Western medicine in elderly patients with stage 3-4 stress injuries

作　　者：吴广智[1] 艾玲玲[1] 谢虹菲 WU Guangzhi;AI Lingling;XIE Hongfei(China-Japan Union Hospital of Jilin University,Changchun 130033,China)

机构地区：[1]吉林大学中日联谊医院,长春130011

出　　处：《长春中医药大学学报》2025年第3期350-354,共5页Journal of Changchun University of Chinese Medicine

基　　金：吉林省财政厅课题(2022SCZ17)。

摘　　要：老年3~4期压力性常难以自愈,易感染,存在护理治疗难、费用高、周期长等特点,给患者和家属带来巨大的身心痛苦。近年来随着湿性愈合理论和中医学的发展,临床创面治疗人员采用湿性愈合换药方法、中药制剂外治法以及联合应用治疗方案均取得良好的临床效果。其治疗方法包括新型敷料换药、简易负压治疗、中药外敷、艾灸等联合治疗等,在老年人3~4期压力性损伤的治疗中取得了显著成效。不同治疗方案具有各自的优势,适用于不同的治疗需求人群。通过对这些研究成果的梳理和归纳,总结不同治疗方案的优势及适用条件,以期为临床创面治疗人员及老年人照护者提供参考依据。The 3-4 stage stress of the elderly is often difficult to heal itself,easy to infection,difficult nursing treatment,high cost,long cycle and other characteristics,which brings enormous physical and mental pain to patients and their families.In recent years,with the development of wet healing theory and traditional Chinese medicine,clinical wound treatment personnel have achieved good clinical results by using wet healing dressing change,external treatment with traditional Chinese medicine preparations and combined application therapy.Its treatment methods include new dressing change,simple negative pressure treatment,external application of traditional Chinese medicine,moxibustion and other combined treatment,which has achieved remarkable results in the treatment of 3-4 stage stress injury in the elderly.Different treatment schemes have their own advantages and are suitable for different treatment needs.By combing and summarizing these research results,the advantages and applicable conditions of different treatment schemes are summarized,in order to provide reference for clinical wound treatment personnel and elderly caregivers.

关 键 词：老年人 3~4期压力性损伤 新型敷料 负压 艾灸 

分 类 号：R641[医药卫生—外科学]