CAJ | 학술논문

目的：探讨康复新液联合复方冰硼散治疗糖尿病并发压疮患者的疗效。方法将解放军第一五五中心医院急诊科收治的52例糖尿病并发压疮患者按抽签法随机分为观察组和对照组，每组26例。观察组采用康复新液联合复方冰硼散治疗，对照组采用美皮康敷贴治疗，均每日换药1次。治疗后20 d观察两组压疮治疗效果、愈合时间及换药次数。结果观察组总有效率明显高于对照组〔96.1%（25/26）比80.6%（21/26）， P＜0.05〕，压疮愈合时间较对照组明显缩短（d：Ⅱ期：9.5±1.7比13.0±2.1，Ⅲ期：13.1±3.1比18.1±5.1，Ⅳ期：15.3±3.7比19.6±5.9，均P＜0.05），换药次数较对照组明显减少（次：Ⅱ期：16.39±1.89比19.32±2.26，Ⅲ期：19.56±2.52比22.36±2.69，Ⅳ期：23.54±2.86比26.47±3.96，均P＜0.05）。结论康复新液联合复方冰硼散治疗糖尿病并发深度压疮患者效果显著，治愈率较高，可明显缩短压疮愈合时间，减轻患者痛苦。
목적：탐토강복신액연합복방빙붕산치료당뇨병병발압창환자적료효。방법장해방군제일오오중심의원급진과수치적52례당뇨병병발압창환자안추첨법수궤분위관찰조화대조조，매조26례。관찰조채용강복신액연합복방빙붕산치료，대조조채용미피강부첩치료，균매일환약1차。치료후20 d관찰량조압창치료효과、유합시간급환약차수。결과관찰조총유효솔명현고우대조조〔96.1%（25/26）비80.6%（21/26）， P＜0.05〕，압창유합시간교대조조명현축단（d：Ⅱ기：9.5±1.7비13.0±2.1，Ⅲ기：13.1±3.1비18.1±5.1，Ⅳ기：15.3±3.7비19.6±5.9，균P＜0.05），환약차수교대조조명현감소（차：Ⅱ기：16.39±1.89비19.32±2.26，Ⅲ기：19.56±2.52비22.36±2.69，Ⅳ기：23.54±2.86비26.47±3.96，균P＜0.05）。결론강복신액연합복방빙붕산치료당뇨병병발심도압창환자효과현저，치유솔교고，가명현축단압창유합시간，감경환자통고。
Objective To investigate the therapeutic efficacy of combining Kangfuxin solution with compound Bingpengsan on patients with diabetes mellitus complicated with pressure sores. Methods Fifty-two diabetes mellitus patients complicated with pressure sores admitted in Department of Emergency in the PLA 155th Central Hospital were divided into observation group and control group by lot method,26 cases in each group. Observation group was treated by combining Kangfuxin solution with compound Bingpengsan,the control group was given Mepliex application therapy,they all had change of dressing once a day. After treatment for 20 days,the therapeutic efficacy of pressure sore,healing time and frequency of changing dressing were observed. Results The total effective rate in observation group was significantly higher than that of control group〔96.1%(25/26)vs. 80.6%(21/26),P<0.05〕, in the observation group,the pressure sore healing time was significantly shorter than that of the control group(day:Ⅱstage:9.5±1.7 vs. 13.0±2.1,Ⅲstage:13.1±3.1 vs. 18.1±5.1,Ⅳstage:15.3±3.7 vs. 19.6±5.9,all P<0.05)and the number of times of changing dressing was significantly reduced compared with that of control group (times:Ⅱ stage:16.39±1.89 vs. 19.32±2.26,Ⅲ stage:19.56±2.52 vs. 22.36±2.69,Ⅳ stage:23.54±2.86 vs. 26.47±3.96,all P<0.05). Conclusion The Kangfuxin solution combined with compound Bingpengsan for treatment of deep pressure ulcers in patients with diabetes mellitus has significant effect,its cure rate is relatively high,the pressure sore healing time is reduced and the patients' suffering is alleviated.