CAJ | 학술논문

目的探讨褥疮愈合膏治疗重度褥疮效果的研究.方法将120例患者区组随机化分组,分成治疗组、对照Ⅰ组、对照Ⅱ组各40例,给予系统治疗.结果治疗组褥疮创面愈合率明显优于两对照组,总有效率85%,P＜0.01.治疗组褥疮创面分泌物致病细菌培养阳性率明显低于两对照组,抑菌率78%,P＜0.05.对金黄色葡萄球菌、绿脓杆菌、大肠杆菌等均有抑制作用.结论褥疮愈合膏治疗组疗效明显优于西药对照组.具有改善微循环的血液灌注,促进侧支循环的建立,增加患部营养,改善局部组织缺血、缺氧所致的代谢障碍,同时可清除坏死组织,促进组织的修复与再生,促进肉芽生长,促进上皮愈合的功效.
목적 탐토욕창유합고치료중도욕창효과적연구.방법 장120례환자구조수궤화분조,분성치료조、대조Ⅰ조、대조Ⅱ조각40례,급여계통치료.결과 치료조욕창창면유합솔명현우우량대조조,총유효솔85%,P＜0.01.치료조욕창창면분비물치병세균배양양성솔명현저우량대조조,억균솔78%,P＜0.05.대금황색포도구균、록농간균、대장간균등균유억제작용.결론 욕창유합고치료조료효명현우우서약대조조.구유개선미순배적혈액관주,촉진측지순배적건립,증가환부영양,개선국부조직결혈、결양소치적대사장애,동시가청제배사조직,촉진조직적수복여재생,촉진육아생장,촉진상피유합적공효.
Objective To study the effect of cream of bedsore on the treatment of severe bedsore.Method One hundred and twenty patients were randomly divided into treatment group and control groups Ⅰ and Ⅱ,respecially 40 patients,given systemic treatment.Results The decubitus wound healing of treatment group was significantly better than the other two groups,the total effective rate being 85%,P ＜ 0.01.In the treatment group,pathogenic bacteria culture positive rate on decubitus wound was significantly lower than the two control groups,inhibition rate being 78%,P ＜ 0.05.Staphylococcus aureus,Pseudomonas aeruginosa,Escherichia coli and so on were inhibited.Conclusions In the treatment group,bedsore healing ointment was significantly better than Western medicine used in the control groups.It can improve the microcirculation of the blood perfusion,promote the establishment of collateral circulation,increase the affected area nutrition,improve the local tissue ischemia,hypoxia-induced metabolic disorders,and remove the necrotic tissue,and promote tissue repair and regeneration,the granulation growing,and the effect of epithelial healing.