中西医结合治疗脊髓损伤后褥疮的研究进展

Research Progress on Integrative Medicine in Treatment of Bedsores After Spinal Cord Injury

目的:简述近年来脊髓损伤后褥疮的中西医结合治疗的研究进展,以期能为褥疮合理而有效的治疗提供一定的参考信息。方法:本文对脊髓损伤后褥疮的中医、西医以及中西医结合疗法作简要介绍。结果:西医治疗脊髓损伤后褥疮采用消毒剂或抗生素,治疗目的是抑制褥疮疮面细菌的生长,效果虽好,但同时也阻碍了组织细胞的再生功能,伤口愈合减慢,疗程增长;建议中药外敷以解毒生肌、活血化瘀立法,西药配合治疗,可从虚实论治,进而标本兼治。结论:中西医结合治疗脊髓损伤后褥疮能标本兼治,效果好,伤口愈合快,值得临床推广应用。

Objective：To briefly summarize the research progress on treatment of bedsores, so as to provide some reference information for proper and effective treatment of bedsores. Methods： This paper briefly introduced the treatment methods on bedsores after spinal cord injury with Chinese medicine, Western medicine and Integrative Medicine. Results： Western medicine treatment on bedsores after spinal cord injury usually used disinfectants or antibiotics so as to inhibit the growth of bacteria on bedsore wound surface, which showed good effectiveness but also hindered the tissue regeneration, slowed down the course of curing; external application of Chinese medicine worked to detoxify and generate flesh, activate blood circulation and dissipate stasis; combined application of western and Chinese medicine could treat both root and tip. Conclusion： Integrative medicine in treating bedsores after spinal cord injury could treat both root and tip with satisfactory effectiveness and fast wound healing, which deserves clinical generalization.