摘要
目的:观察梅花针点刺放血联合湿润烧伤膏治疗压疮的临床效果。方法:选择2019年5月至2021年5月确诊的压疮(1~3期)患者40例作为研究对象,随机将其分为对照组和观察组,各20例。给予两组常规清创消毒处理,在此基础上观察组以梅花针点刺放血,然后涂布湿润烧伤膏,并用无菌纱布覆盖创面,对照组仅用凡士林油纱布覆盖创面。比较两组治疗前后的创面评分、治愈时间及临床疗效。结果:两组治疗前的创面评分相比,差异无统计学意义(P>0.05);治疗后5 d、10 d及15 d,观察组的创面评分均低于对照组,差异有统计学意义(P<0.05)。观察组的治愈时间为(16.30±1.21)d,显著短于对照组的(19.00±1.68)d,差异有统计学意义(P<0.05)。观察组的临床总有效率为95.00%,显著高于对照组的80.00%,差异有统计学意义(P<0.05)。结论:梅花针点刺放血联合湿润烧伤膏治疗压疮效果显著,能缩短治疗时间,促进创面愈合,值得推广。
Objective:To observe the clinical effect of Meihua needle puncture and bloodletting combined with MEBO in the treatment of pressure ulcer.Methods:40 patients with pressure ulcers(stage 1 to 3)diagnosed from May 2019 to May 2021 were selected as the study objects and randomly divided into control group and observation group,with 20 patients in each group.The two groups were treated with routine debridement and disinfection.On this basis,the observation group was punctured with plum flower needle and bled,then coated with MEBO and covered with sterile gauze,while the control group was only covered with vaseline gauze.The wound score,healing time and clinical efficacy of the two groups were compared before and after treatment.Results:There was no significant difference in wound score between the two groups before treatment(P>0.05).At 5,10 and 15 days after treatment,the wound scores of the observation group were lower than those of the control group,and the difference was statistically significant(P<0.05).The healing time of the observation group was(16.30±1.21)d,which was significantly shorter than that of the control group(19.00±1.68)d,and the difference was statistically significant(P<0.05).The total clinical effective rate of the observation group was 95.00%,which was significantly higher than that of the control group(80.00%),the difference was statistically significant(P<0.05).Conclusion:The combination of MEBO with Meihua needle point puncture and bloodletting is effective in the treatment of pressure sore,which can shorten the treatment time and promote wound healing.
作者
刘立刚
颜廷权
LIU Ligang;YAN Tingquan(Shandong Province Military Region Qingdao 12th demobilization Cadre Rest Center,Qingdao 266000,Shandong,China;The first Outpatient Department of 971 Navy Hospital,Qingdao 266000,Shandong,China)
关键词
梅花针
点刺放血
湿润烧伤膏
压疮
plum flower needle
Point bloodletting
Mebo
Pressure sore
