| 邓艳,王恩江,翁优儿,吴小红.中药方剂灌洗结合改良负压封闭引流治疗老年Ⅳ期皮肤压疮的效果研究[J].浙江中西医结合杂志,2019,29(7): |
| 中药方剂灌洗结合改良负压封闭引流治疗老年Ⅳ期皮肤压疮的效果研究 |
| Study on the effect of traditional Chinese medicine formula lavage combined with improved negative pressure sealing drainage in the treatment of elderly patients with stage Ⅳ skin pressure ulcer |
| 投稿时间：2018-05-29 修订日期：2018-11-14 |
| DOI： |
| 中文关键词: 皮肤压疮 改良负压封闭引流 中药方剂灌洗 生活质量 疗效 |
| 英文关键词:Skin pressure sores Improved negative pressure sealing drainage Lavage of traditional Chinese medicine prescription Quality of life Curative effect |
| 基金项目:资助:浙江省中医药科技计划项目 编号G5118 |
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| 中文摘要: |
| 目的 探讨中药方剂灌洗结合改良负压封闭引流治疗老年Ⅳ期皮肤压疮的临床效果,为皮肤压疮的治疗及临床研究提供依据。方法 选取2016年4月至2018年8月舟山普陀医院康复医学科收治的64例符合入组标准的老年脑卒中所致瘫痪患者,均确诊为老年Ⅳ期皮肤压疮,采用数字表法将其分成对照组与治疗组,每组32例。两组均给予患者常规清创处理、抗菌敷料填塞、藻酸盐填塞以及换药等治疗,对照组给予患者改良负压封闭引流治疗,治疗组在对照组基础上给予患者中药方剂灌洗治疗,观察比较两组患者皮肤创面愈合时间、肉芽组织生长时间、临床疗效以及生活质量改善情况。其中采用GQOL-74生活质量评估表测评两组患者的生活质量水平。结果 治疗组患者的临床总有效率明显高于对照组(100.0%vs65.7%),差异有统计学意义(P＜0.05)；治疗组患者的皮肤创面愈合时间、肉芽组织生长时间均明显短于对照组,差异有统计学意义(P＜0.05)；两组患者GQOL-74生活质量评分有所升高且治疗组高于对照组,差异有统计学意义(P＜0.05)。结论 中药方剂灌洗结合改良负压封闭引流治疗老年Ⅳ期皮肤压疮,临床疗效佳,皮肤创面组织生长以及伤口愈合时间均缩短,患者生活质量提高,极具推广价值。 |
| 英文摘要: |
| Objective: To explore the clinical effect of traditional Chinese medicine formula lavage combined with improved negative pressure sealing drainage in the treatment of elderly patients with stage Ⅳ skin pressure ulcer, and to provide the basis for the treatment and clinical research of skin pressure ulcer.Methods: From April 2016 to August 2018, 64 elderly patients with paralysis caused by stroke who met the criteria for admission were selected from the department of rehabilitation medicine of Zhoushan putuo hospital. all of them were diagnosed as senile stage iv skin pressure sores, They were divided into control group and treatment group with 32 cases in each group by numerical table method. |
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