摘要
目的探究雷火灸联合湿润烧伤膏在2、3期压力性损伤的应用效果。方法选取2020年10月至2021年5月阳江市中医医院神经内科收治的2、3期压力性损伤患者60例为研究对象,采用随机信封法分为对照组与观察组,每组30例。对照组采用压力性损伤护理联合湿润烧伤膏外敷,观察组在对照组基础上联合雷火灸,采用压力性损伤愈合评价量表(PUSH)评价两组患者压力性损伤恢复情况,护理3、7、14 d分别评价两组患者肉芽组织生长情况,比较两组患者换药次数、压力性损伤愈合时间及不良反应发生情况。结果护理前两组患者PUSH评分比较,差异无统计学意义(P>0.05);护理后观察组PUSH评分低于对照组,差异有统计学意义(P<0.05)。观察组护理3、7 d,肉芽组织生长评分均低于对照组,差异有统计学意义(P<0.05);两组患者护理14 d肉芽组织生长评分比较,差异无统计学意义(P>0.05)。观察组换药次数少于对照组,压力性损伤愈合时间短于对照组,差异有统计学意义(P<0.05)。两组患者均未发生严重不良反应。结论雷火灸联合湿润烧伤膏在2、3期压力性损伤中应用可提升压力性损伤愈合情况,加速肉芽组织生长速度,减少换药次数,缩短愈合时间,安全性高。
Objective To explore the application effect of thunder fire moxibustion combined with moist burn ointment in 2nd and 3rd stage pressure injuries.Methods A total of 60 patients with stage 2 and stage 3 pressure injuries who were admitted to the Department of Neurology,Yangjiang Hospital of Traditional Chinese Medicine from October 2020 to May 2021 were selected as the research objects.They were divide into control group and observation group according to random envelope method,with 30 cases in each group.The control group was treated with pressure injury care combined with moist burn ointment for external application,and the observation group was combined with thunder fire moxibustion on the basis of the control group,and the pressure ulcer scale for healing(PUSH)was used to evaluate the pressure injury recovery of the two groups.The growth of granulation tissue in the two groups was evaluated at 3,7,and 14 d after nursing,and the dressing changes times,pressure injury healing time and adverse reactions were compared between the two groups.Results There were no stastically significances in PUSH scores between two groups before nursing(P>0.05).After nursing,the PUSH score of the observation group was lower than that of the control group,the difference was statistically significant(P<0.05).The observation group′s granulation tissue growth scores at 3,7 d after nursing were lower than those of control group,the differences were statistically significant(P<0.05).The granulation tissue growth scores of two groups at 14 d after nursing were not statistically significant(P>0.05).The observation group′s dressing changes times were fewer than those of control group,and the pressure injury healing time was shorter than that of control group,the differences were statistically significant(P<0.05).No serious adverse reactions occurred in the two groups.Conclusion The combination of thunder fire moxibustion and moist burn ointment can improve the healing of pressure injuries,accelerate the growth of granulation tissue,reduce the times of dressing changes,shorten the healing time,and have high safety in stage 2 and 3 pressure injuries.
作者
曾小娃
刘明珠
阮雅青
ZENG Xiaowa;LIU Mingzhu;RUAN Yaqing(Department of Neurology,Yangjiang Hospital of Traditional Chinese Medicine,Guangdong Province,Yangjiang529500,China)
出处
《中国当代医药》
CAS
2022年第4期178-181,共4页
China Modern Medicine
基金
广东省阳江市医疗卫生类科技计划项目(SF2020113)。
关键词
雷火灸
湿润烧伤膏
压力性损伤
压力性损伤愈合评估表
换药次数
Thunder fire moxibustion
Moist burn ointment
Pressure injury
Pressure ulcer scale for healing
Dressing changes times
