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中药熏洗配合湿润烫伤膏在糖尿病足溃疡伤口换药临床观察 被引量:7

Traditional Chinese Medicine Fumigation with Moist Burn Ointment in Diabetic Foot Ulcer Wound Dressing in Clinical Observation
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摘要 目的:为了探究湿热瘀阻型wagner3-4级糖尿病足溃疡伤口有效的护理方法。方法:将我院伤口造口门诊2012.1-2015.7收住的69例wagner3-4级糖尿病足溃疡伤口随机分成两组,对照组33例,观察者36例。对照组患者给予0.9%氯化钠冲洗,清创,予脂质水胶体敷料外涂抹水凝胶对口引流,外用纱布包扎换药;观察组患者采取中药熏洗,清创,予内裹九一丹纱条对口引流,外敷湿润烫伤膏纱布保湿。结果:对照组患者治愈率为100%,观察组治愈率为100%;对照组平均治疗天数为172±16.42天;观察组平均治疗天数为117±10.89天,对照组患者平均总费用为3632.36±1278.25元,观察组患者平均总费用为2068.78±1116.64元。结论:采用中药熏洗配合湿润烫伤膏在wagner3-4级糖尿病足溃疡伤口换药可降低患者总费用和减少换药总时间。 Objective: to explore the dampness heat and blood stasis resistance wagner3-4 the nursing methods of diabetic foot ulcer wound effectively. Methods: our hospital wound colostomy 2012.1 2015.7,69 cases in our hospital outpatient wagner3-4 levels of diabetic foot ulcer wound is divided into two groups at random,control group 33 cases,observer 36 cases. Control group patients give 0.9% sodium chloride,debridement,outside daub to lipid hydrocolloid dressings hydrogel counterpart drainage,external use gauze bandage; Observation group of patients taking traditional Chinese medicine fumigation,debridement,covered in this article Dan yarn counterpart drainage,apply the moist burn ointment gauze moisturizing. Results: the patients in control group was 100%,the observation group cure rate was 100%; The control group average number of days of treatment for 172 + /- 16.42 days; Observation group is 117 + /-10.89 days average number of days of treatment,patients with the control group on average total cost is 3632.36 + /-1278.25 yuan,observation group of patients with average total cost was 2068.78 + /- 1116.64 yuan. Conclusion: using Chinese medicine fumigation with moist burn ointment in wagner3-4 patients with diabetic foot ulcer wound dressing can reduce the total cost and the bandage to reduce the total time.
出处 《中医药临床杂志》 2016年第5期721-723,共3页 Clinical Journal of Traditional Chinese Medicine
关键词 糖尿病足溃疡 中药熏洗 湿润烫伤膏 水胶体敷料 水凝胶 护理 Diabetic foot ulcer Traditional Chinese medicine fumigation Moist burn ointment Hydrocolloid dressings Water gel nursing
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