立奇膏治疗压疮的临床研究

Clinical Study on Liqi Ointment in Treating Bedsore

目的 探索一种对压疮治愈率高、疗程短且经济有效的药物治疗方法。方法 选择我院2005年10月至2007年10月住院的196例Ⅲ～Ⅳ期压疮患者，按入院先后分为2组，其中Ⅲ期压疮治疗组52例、对照组50例；Ⅳ期压疮治疗组46例、对照组48例。治疗组在压疮护理常规基础上采用自制的中药药膏“立奇膏”进行外敷换药，对照组采用0．02％呋喃西林抑菌液外敷的传统换药方法，观察两组压疮患者治疗的有效率。结果 治疗组4周后Ⅲ、Ⅳ期压疮总有效率分别为94．0％、78．3％，对照组总有效率分别为48．0％、37．5％，治疗组疗效明显优于对照组，差异有统计学意义（P〈0．01）。结论使用我院自制的“立奇膏”治疗Ⅲ～Ⅳ期压疮，缩短了愈合时间、提高了治愈率，具有很好的临床效果。

Objective To explore an effective and economic medicine method to treat bedsore with high cure rate and short treatment course. Methods One hundred and ninty-six bedsore patients staging Ⅲ-Ⅳ were enrolled in our hospital from October, 2005 to October,2007. According to the admission sequence, the stage Ⅲ bedsore patients were randomly divided into two groups： the experimental group（ n =52） and the control group（ n =50）;Also the stage 3 cases were divided into two groups：the experimental group（ n =46） and the control group（ n =48）. The experimental groups were treated with traditional Chinese medicine ＂Liqi ointment＂ self-made by our hospital under the basic nursing care, while the control groups were treated with external application of 0.02% furacilin. The clinical effects of these two methods were compared. ResuLts After 4- week＇s treatment, the total effective rates in the treatment group and the control group were 94.0% and 78.3% in stage Ⅲ patients,48.0% and 37.5% in stage Ⅳ patients,with significant difference（ P 〈0.01）. Conclusion The ＂Liqi ointment＂ self-made by our hospital is effective to treat bedsore staging Ⅲ-Ⅳ with a short clinical course and high cure rate.