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艾灸与湿润烧伤膏联合泡沫敷料治疗脑卒中后压疮临床效果观察

Effect of foam dressing combined with moxibustion and moist exposed burn ointment in treating pressure injuries after stroke
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摘要 目的探讨艾灸(温通经络)与湿润烧伤膏(祛腐生肌)联合泡沫敷料治疗脑卒中后压疮的效果。方法选取2024年6月—12月科室收治的脑卒中后压疮患者60例,按照随机数字表法分成观察组和对照组,各30例。对照组采用常规创面护理联合泡沫敷料外敷;在对照组基础上,观察组采用艾灸与湿润烧伤膏治疗。对比两组压疮愈合量表(PUSH)评分,评价干预效果。结果治疗15 d后,两组压疮愈合量表评分均降低(P<0.05),且观察组降低幅度较对照组明显,差异有统计学意义(P<0.05)。观察组总有效率高于对照组(86.67%vs.63.33%),差异有统计学意义(P<0.05)。结论艾灸与湿润烧伤膏联合泡沫敷料治疗治疗脑卒中后压疮效果明确,可作为辅助治疗压疮的中医治疗方法进行推广。 Objective To explore the curative effect of moxibustion(warming meridians)and moist exposed burn ointment(MEBO)(removing decay and promoting muscle regeneration)combined with foam dressing on pressure injuries after stroke.Methods A total of sixty patients with post-stroke pressure injuries who were admitted to hospital from June 2024 to December 2024 were selected.According to the method of random number table,they were divided into the observation group(n=30 cases,receiving moxibustion,MEBO combined with foam dressing)and the control group(30 cases,foam dressing applied externally).The score of Pressure Ulcer Scale for Healing(PUSH)and overall efficacy of two groups were compared.Results The score of PUSH was decreased at 15 days after treatment(P<0.05),and decease was more remarkable in the observation group than that in the control group(P<0.05).The therapeutic effect of the observation group was better than that of the control group,and the difference was statistically sig⁃nificant(86.67%vs.63.33%,P<0.05).Conclusion The combination of moxibustion,ME⁃BO and foam dressing is effective in treating pressure injuries after stroke,and can be popularized as a traditional Chinese Medicine treatment for pressure injuries.
作者 况红梅 万栗娟 王丹 KUANG Hongmei;WAN Lijuan;WANG Dan(Neurologic ICU,The First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi,330006;Department of General Surgery,Jiangxi Provincial Hospital of Integrated Traditional Chinese and Western Medicine,Nanchang,Jiangxi,330002)
出处 《中西医结合护理》 2025年第8期55-59,共5页 Chinese Journal of Integrative Nursing
基金 江西省中医药管理局科技计划(2023B0478)。
关键词 脑卒中 压疮 艾灸 湿润烧伤膏 泡沫敷料 中医护理 stroke pressure injuries moxibustion moist exposed burn ointment foam dressing Traditional Chinese Medicine nursing
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