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紫归熏洗方治疗2期压疮的临床观察

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目的:观察紫归熏洗方治疗 2 期压疮的效果.方法:选取 2021 年 3 月至 2022 年 9 月上海市宝山区罗店镇社区卫生服务中心收治的 2 期压疮患者 60 例,按照随机数字表法分为对照组和治疗组各 30 例.对照组在常规护理基础上采用泡沫敷料进行疮面换药,治疗组在常规护理基础上采用紫归熏洗方进行疮面换药,连续治疗 8 周.比较两组压力性损伤愈合计分量表(PUSH)评分、溃疡面细菌的转阴情况、疮面疼痛视觉模拟量表评分(VAS)、压疮面面积、溃疡面愈合时间以及愈合率.结果:观察组的总有效率为 96.67%(29/30),明显高于对照组的 80.00%(24/30,P<0.05).治疗 1周、2周、4周、8周后,治疗组的PUSH评分明显低于对照组(P<0.05),细菌转阴率明显高于对照组(P<0.05),创面痛感VAS评分低于对照组(P<0.05).治疗 8周后,治疗组的压疮面面积明显小于对照组(P<0.05),溃疡愈合时间明显短于对照组(P<0.05),溃疡面愈合率明显高于对照组(P<0.05).结论:紫归熏洗方治疗 2 期压疮疗效确切,可有效促进溃疡面的修复,缓解痛感,缩短病程,值得推广.
Clinical observation of Zigui fumigation and washing prescription in the treatment of stage 2 pressure sore
Objective:To observe the effect of Zigui fumigation and washing prescription in the treatment of stage 2 pressure sore.Methods:Sixty patients with stage 2 pressure sore admitted to Luodian Community Health Service Center in Baoshan District of Shanghai were selected from March 2021 to September 2022 and divided into a control group and a treatment group with 30 cases according to random number table method.The control group was given foam dressing for wound dressing change on the basis of routine nursing.On the basis of routine nursing,the treatment group was given Zigui fumigation and washing prescription for wound dressing change,and the continuous treatment was for 8 weeks.The pressure ulcer scale for healing(PUSH)score,negative conversion of bacteria on ulcer surface,score of visual analog scale of wound pain(VAS),pressure ulcer surface area,healing time and healing rate of ulcer surface were compared between the two groups.Results:The total effective rate in the observation group was 96.67%(29/30),which was significantly higher than that in the control group 80.00%(24/30,P<0.05).After 1 week,2 weeks,4 weeks and 8 weeks of treatment,the PUSH score in the treatment group was significantly lower than that in the control group,the bacterial conversion rate was significantly higher in the treatment group than that in the control group,and the wound pain VAS score in the treatment group was lower than that in the control group(P<0.05).After 8 weeks of treatment,the area of wound surface in the treatment group was significantly smaller than that in the control group,the healing time of ulcer was significantly shorter than that in the control group(P<0.05),and the healing rate of ulcer surface was significantly higher than that in the control group(P<0.05).Conclusion:Zigui fumigation and washing prescription has definite curative effect in the treatment of stage 2 pressure sore,which can effectively promote the repair of ulcer surface,relieve pain and shorten the course of the disease,which is worth promoting.

pressure sorestage 2Zigui fumigation and washing prescriptionwound healing

寿忆君、刘丽萍、张明明、王慧、徐婷、杨美

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上海市宝山区罗店镇社区卫生服务中心中医科,上海 202908

上海市宝山区罗店镇社区卫生服务中心,上海 202908

压疮 2期 紫归熏洗方 疮面愈合

上海市宝山区科技创新专项医学卫生项目上海市宝山区基层卫生"品牌"培育项目

20-E-58BSJCPP-A-03

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(2)
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