一效散结合3M液体敷料治疗臀裂处压疮临床疗效与护理体会
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摘要
目的:评价辽宁中医药大学附属医院院内制剂一效散在治疗臀裂压疮中的临床治疗,并总结相应护理经验。方法:收集81例临床臀裂处压疮患者,利用完全随机法将患者随机平均分为对照组27例,治疗I组27例,治疗II组27例。常规清洁各组皮损部位待完全干燥后,对照组给予喷涂3M液体敷料治疗方案,治疗I组给予造口粉联合3M液体敷料治疗方案,治疗II组给予一效散联合3M液体敷料治疗方案。比较组间患者压疮的愈合时间及总有效率。结果:愈合时间组间比较,对照组(15.97±1.28)d、治疗I组(13.45±1.14)d、治疗II组(11.32±1.75)d。治疗I组、治疗II组愈合时间明显优于对照组且治疗II组疗效最佳,治疗I组疗效次之,均有统计学意义(P<0.05)。临床总有效率组间比较,对照组70.37%、治疗I组92.59%、治疗II组96.30%,组间比较存在显著性差异,具有统计学意义(P<0.05)。结论:一效散治疗臀裂处压疮的疗效显著,具有较高的临床应用价值。
Objective:To evaluate the clinical treatment of the hospital preparation Yixiao Powder of the affiliated hospital of Liaoning university of traditional Chinese medicine in the treatment of hip split pressure sores,and to sum up the relevant nursing experience. Methods:81 cases of pressure sores in the clinical hip fissure were collected,and the patients were randomly divided into 27 cases in the control group,27 cases in group I and 27 cases in group II. After routine cleaning,the skin lesions of each group were completely dried. The control group was treated with 3 M liquid adjuvant treatment plan. The I group was given ostomy powder combined with 3 M liquid adjuvant treatment plan,and the II group was given Yixiao Powder combined with 3 M liquid adjuvant treatment plan. The healing time and total efficiency of the pressure sore were compared between the groups. Results:The time of comparative healing between groups was(15.97±1.28)days in the control group,(13.45±1.14)days in the treatment group I and(11.32±1.75)days in the treatment group II. The healing time of group I and group II were better than that of control group,and the best effect was in group II,and the curative effect of group I was the second,all of which were statistically significant(P<0.05). The total clinical effective rate was 70.37% in the control group,92.59% in the group I and 96.30% in the group II. There was a significant difference between the two groups(P<0.05). Conclusion:The therapeutic effect of Yixiao Powder in the treatment of pressure sore at the hip fissure is significant,and it has high clinical value.
Objective:To evaluate the clinical treatment of the hospital preparation Yixiao Powder of the affiliated hospital of Liaoning university of traditional Chinese medicine in the treatment of hip split pressure sores,and to sum up the relevant nursing experience. Methods:81 cases of pressure sores in the clinical hip fissure were collected,and the patients were randomly divided into 27 cases in the control group,27 cases in group I and 27 cases in group II. After routine cleaning,the skin lesions of each group were completely dried. The control group was treated with 3 M liquid adjuvant treatment plan. The I group was given ostomy powder combined with 3 M liquid adjuvant treatment plan,and the II group was given Yixiao Powder combined with 3 M liquid adjuvant treatment plan. The healing time and total efficiency of the pressure sore were compared between the groups. Results:The time of comparative healing between groups was(15.97±1.28)days in the control group,(13.45±1.14)days in the treatment group I and(11.32±1.75)days in the treatment group II. The healing time of group I and group II were better than that of control group,and the best effect was in group II,and the curative effect of group I was the second,all of which were statistically significant(P<0.05). The total clinical effective rate was 70.37% in the control group,92.59% in the group I and 96.30% in the group II. There was a significant difference between the two groups(P<0.05). Conclusion:The therapeutic effect of Yixiao Powder in the treatment of pressure sore at the hip fissure is significant,and it has high clinical value.
引文
[1]孙利华,傅根莲,朱恩兰,等.中药涂抹联合泡沫敷料在Ⅲ期压疮治疗中的应用效果[J].中华现代护理杂志,2018,24(2):203-206.
[2]方一芳,何静,江姿芳.臀裂发生在卧床老年压疮护理中的原因分析[J].医学信息,2013,26(11):416.
[3]邓欣,吕娟,陈佳丽,等.2016年最新压疮指南解读[J].华西医学,2016,31(9):1496-1498.
[4]李海霞.压疮的护理进展[J].饮食保健,2017,4(14):337-338.
[5]余婷,倪媛媛,邓小红,等.规范压疮风险评估流程在急诊临床护理工作中的应用[J].临床医学工程,2017,24(4):573-574.
[6]矫非桐,闫星辰,宋艳丽.住院患者发生压疮的相关因素分析[J].医疗管理,2017(33):203-204.
[7]霍红,马晓霞.中药一效散治疗压疮的临床效果观察[J].护理研究,2007,21(7):1741-1742.
[8]韦月荣,陈世新,韦国雨,等.解毒生肌膏联合TDP治疗Ⅲ期压疮的临床观察[J].护理研究,2010,24(10B):2665-2666.
[9]李阳.循证护理在心血管外科患者压疮预防中应用的效果评价[J].饮食保健,2018,5(1):184.
[10]周莉莉,乔春,荆文华.防压辅具在压疮预防中的应用[J].辽宁中医药大学学报,2011,13(3):164-166.
[11]王鹏,张萍.双料喉风散治疗老年重度压疮临床观察与护理[J].辽宁中医药大学学报,2014,16(7):223-224.
[12]张春玉,额尔登高娃.呼吸内科老年患者臀裂皮肤撕裂伤的护理[J].养生保健指南,2016(15):53.
[13]廖献芬.压疮护理最新研究进展[J].实用临床护理学杂志,2017,2(31):180-181.
[14]张秋芬. 89例危重病人臀裂处皮损原因分析及对策[J].全科护理,2011,9(8):2029-2030.
[15]鲁颖,张娟.压疮的防治进展[J].健康指南,2017,1(26):2.
[16]赵静,傅杰.局部氧疗与磺胺嘧啶银乳膏治疗Ⅲ期压疮的效果研究[J].海峡药学,2017,29(9):188-189.
[17]刘联合,时晓玲.复方左氧氟沙星锌乳膏治疗褥疮的临床疗效观察[J].中南药学,2013,11(8):626-628.
[18]王乃东,刘珂,丁敏.百多邦联合芦荟胶治疗截瘫患者压疮的探讨[J].中国实用医药,2016,11(25):230-231.
[19]黄德莲,郑峰,付晖.中医护理在压疮中的应用[J].中国保健营养,2017,27(7):243-244.
[20]王丽颖,李华峰,金丽娜.一效膏治疗压疮护理体会[J].辽宁中医药大学学报,2012,14(8):234-235.
[21]傅秀珍.湿性敷料与中药制剂联合使用治疗11例Ⅲ期压疮护理体会[J].辽宁中医药大学学报,2014,16(3):199-201.
[22]李艳敏.一效散治疗褥疮[J].辽宁中医杂志,2005,32(5):442-443.
[23]阳春梅.应用3M液体敷料联合电吹风护理新生儿红臀的效果观察[J].全科护理,2015,13(6):560-561.
[2]方一芳,何静,江姿芳.臀裂发生在卧床老年压疮护理中的原因分析[J].医学信息,2013,26(11):416.
[3]邓欣,吕娟,陈佳丽,等.2016年最新压疮指南解读[J].华西医学,2016,31(9):1496-1498.
[4]李海霞.压疮的护理进展[J].饮食保健,2017,4(14):337-338.
[5]余婷,倪媛媛,邓小红,等.规范压疮风险评估流程在急诊临床护理工作中的应用[J].临床医学工程,2017,24(4):573-574.
[6]矫非桐,闫星辰,宋艳丽.住院患者发生压疮的相关因素分析[J].医疗管理,2017(33):203-204.
[7]霍红,马晓霞.中药一效散治疗压疮的临床效果观察[J].护理研究,2007,21(7):1741-1742.
[8]韦月荣,陈世新,韦国雨,等.解毒生肌膏联合TDP治疗Ⅲ期压疮的临床观察[J].护理研究,2010,24(10B):2665-2666.
[9]李阳.循证护理在心血管外科患者压疮预防中应用的效果评价[J].饮食保健,2018,5(1):184.
[10]周莉莉,乔春,荆文华.防压辅具在压疮预防中的应用[J].辽宁中医药大学学报,2011,13(3):164-166.
[11]王鹏,张萍.双料喉风散治疗老年重度压疮临床观察与护理[J].辽宁中医药大学学报,2014,16(7):223-224.
[12]张春玉,额尔登高娃.呼吸内科老年患者臀裂皮肤撕裂伤的护理[J].养生保健指南,2016(15):53.
[13]廖献芬.压疮护理最新研究进展[J].实用临床护理学杂志,2017,2(31):180-181.
[14]张秋芬. 89例危重病人臀裂处皮损原因分析及对策[J].全科护理,2011,9(8):2029-2030.
[15]鲁颖,张娟.压疮的防治进展[J].健康指南,2017,1(26):2.
[16]赵静,傅杰.局部氧疗与磺胺嘧啶银乳膏治疗Ⅲ期压疮的效果研究[J].海峡药学,2017,29(9):188-189.
[17]刘联合,时晓玲.复方左氧氟沙星锌乳膏治疗褥疮的临床疗效观察[J].中南药学,2013,11(8):626-628.
[18]王乃东,刘珂,丁敏.百多邦联合芦荟胶治疗截瘫患者压疮的探讨[J].中国实用医药,2016,11(25):230-231.
[19]黄德莲,郑峰,付晖.中医护理在压疮中的应用[J].中国保健营养,2017,27(7):243-244.
[20]王丽颖,李华峰,金丽娜.一效膏治疗压疮护理体会[J].辽宁中医药大学学报,2012,14(8):234-235.
[21]傅秀珍.湿性敷料与中药制剂联合使用治疗11例Ⅲ期压疮护理体会[J].辽宁中医药大学学报,2014,16(3):199-201.
[22]李艳敏.一效散治疗褥疮[J].辽宁中医杂志,2005,32(5):442-443.
[23]阳春梅.应用3M液体敷料联合电吹风护理新生儿红臀的效果观察[J].全科护理,2015,13(6):560-561.