祛腐生新膏治疗糖尿病难愈性创面的疗效观察及护理体会

Clinical observation and nursing care of Qu Fu Sheng new ointment in the treatment of diabetic refractory wound

目的:观察护理配合自制祛腐生新膏促进糖尿病难愈性创面的愈合作用。方法:选择我院收治的45例糖尿病难愈性创面的患者随机分为对照组(n=22)和治疗组(n=23)例,对照组采用常规治疗护理措施,治疗组在常规治疗护理的基础上予以自制中药祛腐生新膏,同时结合中医理论进行辨证护理。结果:治疗组的总有效率(91.30%)高于对照组(50.00%),差异具有统计学意义(P≤0.05);治疗周期内观察组创面平均换药次数、创面清洁时间以及每例压疮更换床单的次数较对照组比较具有优势,差异有统计学意义(P≤0.05);治疗第7天及第14天观察组创面分泌物细菌培养检测阳性患者明显低于对照组(P≤0.05);并且治疗后两组患者血常规、肝功能、肾功能均无因药物使用所造成的不良反应发生。结论:护理配合自制祛腐生新膏对糖尿病难愈性创面具有较好的促进愈合作用。

Objective： To investigate the nursing by Qu saprophytic new ointment in diabetic refractory wound healing. Methods： patients were randomly divided in our hospital 45 cases of diabetic refractory wound into the control group（ n = 22） and treatment group（ n = 23）,the control group with routine treatment and nursing,patients in the treatment group were treated with self-made Chinese medicine Qu Fu Sheng new cream on the basis of conventional treatment,combined with the theory of traditional Chinese medicine dialectical nursing. Results： the total efficiency of treatment group（ 91. 30%） was higher than the control group（ 50%）,the difference was statistically significant（ P≤0. 05）; treatment period of observation group the average wound dressing,wound cleaning time and the number of cases per change bed compared with pressure sore advantages compared with the control group,the difference was statistically significant（ P≤0. 05）; for seventh days and 14 days of observation group germiculture positive patients was significantly lower than the control group（ P≤0. 05）; and in two groups after the treatment,blood routine,liver function and renal function were not due to the occurrence of adverse drug reactions caused by the use of. Conclusion：nursing with self-made new saprophytic cured ointment has better effects to promote the healing of diabetic wound.