碧雪散在Ⅱ期压疮护理中的疗效观察

蒋文珍

摘 要 目的：观察自制的中药散剂碧雪散治疗Ⅱ期压疮的疗效。方法：将60例压疮患者分成实验组30例，对照组30例，对照组在常规消毒后外涂2.0%碘伏，实验组在常规消毒后外涂碧雪散。比较两组患者压疮治疗的效果和治愈时间。结果：实验组患者压疮总有效率为93.3%，对照组总有效率为80.0%，两组在治愈方面有同等的效果(P＞0.05),但实验组治疗压疮的愈合时间明显优于对照组，两组比较t＝12.232，P＜0.01，差异具有统计学意义。结论：自制中药散剂碧雪散治疗Ⅱ期压疮的疗效明显。

关键词压疮碧雪散护理

中图分类号：R473.6文献标识码：A文章编号：1006-1533（2012）12-0036-03

Clinical efficacy of self-made traditional Chinese medicine in the

treatment of II stage of bedsore

JIANG Wen-zhen

(Beicai Healthcare Service Centre, Pudong New Area, Shanghai, 201204)

ABSTRACTObjective: To observe the treatment effect of self-made traditional Chinese medicine Bi-Xue Powder of Ⅱstage of bedsore. Methdod: 60 patients with bedsore were divided into 2 groups each with 30 cases. The control group was treated with 2% iodophor after the routine disinfection, and the experiment group was coated with Bi-Xue Powder after the routine disinfection. The treatment effect and healing time of two groups were compared. Results: The effective percentage of the experiment group was 93.3%, and the one of the control group was 80% although the treatment effects between the two groups showed no difference (P>0.05). As for the healing time, the experiment group was significantly shorter than that of the control group (t=12.232, P<0.01). Conclusion: The self-made traditional Chinese medicine Bi-Xue Powder has significant treatment effect for the II stage bedsore.

KEY WORDSbedsore； Bixue powder； nursing

压疮是由于身体局部组织长时间受压，血液循环障碍，局部持续缺血、缺氧、营养不良而致组织溃烂和坏死[1]。调查显示：2007年美国638家医疗机构压疮患病率为13.7%，院内压疮患病率为6.1%[2]；加拿大家庭病房和康疗中心压疮患病率为29.9%，在综合性医院为15.1%，所有医疗机构的平均患病率为26.2%[3]。国内邵逸夫医院报道压疮患病率为1.1%[4]。每年与压疮有关的死亡病例达60 000例[5]。 因此，研究压疮的防治有着重要的意义。我中心自2009年2月-2012年2月对60例压疮患者采用自制的中药碧雪散外涂创面进行治疗，报道如下。

1对象与方法

1.1对象

对象为2009年2月-2012年2月在本中心和邻近的另一社区卫生服务中心住院的压疮患者。纳入标准：1）根据美国压疮顾问小组推荐分期标准，符合Ⅱ期压疮的患者。Ⅱ期压疮临床特征：表皮或真皮的损害表现为浅表溃疡,有粉红色基底面没有坏死组织或表现为水泡或炎性脱皮。2……