象皮生肌膏联合艾灸治疗Ⅲ期压疮合并糖尿病的疗效观察

The Curative Effect Observation of Xiangpi Shengji Paste(象皮生肌膏)Combined with Moxibustion in the Treatment of Stage Ⅲ Pressure Ulcer in Diabetes Patients

目的:观察象皮生肌膏联合艾灸在Ⅲ期压疮合并糖尿病患者中应用的疗效。方法:将90例Ⅲ期压疮(气滞血瘀证)合并糖尿病患者随机分为对照组、象皮生肌膏组、象皮生肌膏联合艾灸组,每组各30例。比较3组患者治疗前及治疗后第7、14、21天的创面愈合率,治疗前后的PUSH评分变化及3组人均换药耗材费用。结果:第7、14、21天3组间愈合率比较,差异有统计学意义(P<0.05),象皮生肌膏联合艾灸组及对照组愈合率高于象皮生肌膏组(P<0.05),象皮生肌膏联合艾灸组与对照组愈合率比较,差异无统计学意义(P>0.05)。治疗前3组间PUSH评分比较,差异无统计学意义(P>0.05)。治疗后3组PUSH评分均低于治疗前(P<0.05),3组间PUSH评分比较,差异有统计学意义(P<0.05),且对照组及象皮生肌膏联合艾灸组评分低于象皮生肌膏组(P<0.05),象皮生肌膏联合艾灸组与对照组比较,差异无统计学意义(P>0.05)。提示两组方法均对治疗Ⅲ期压疮有效,但对照组换药耗材费用明显高于象皮生肌膏联合艾灸组(P<0.05)。结论:象皮生肌膏联合艾灸能显著提高Ⅲ期压疮合并糖尿病患者的治疗效果,缩短创面愈合时间,同时成本低。

Objective： To observe the curative effect of Xiangpi Shengji Paste combined with moxibustion of stage IU pressure ulcer in diabetes patients and its application value. Methods： A total of 90 patients of stage m pressure ulcer （pattern of qi stagnation and blood stasis） in diabetic were randmnly assigned to the control group, the Xiangpi Shengji Paste group, and the Xiangpi Shengji Paste combined with moxibustion group, 30 cases in each group. The wound healing rate before and after treatment at day7, 14 and 21 were observed and compared, the PUSH scores before and after treatment and premedical consumptive costs of three groups were recorded and compared. Results： There had significant difference in healing rate of the three groups at day 7, 14 and 21 （P〈0.05）, the Xiangpi Shengji Paste combined with moxibustion group and the control group＇s cure rates were higher than the Xiangpi Shengji Paste group （P〈0.05）. There was no significant difference between the control group and the Xiangpi Shengji Paste combined with moxibustion group （P〉0.05）. There was no significant difference in PUSH scores of three groups before treatment （P〉0.05）. The PUSH scores of the three groups after treatment were lower than those before treatment（P〈0.05）. The difference of the PUSH scores of the three groups was statistically significant （P〈0.05）, and the control group and the Xiangpi Shengji Paste combined with moxi- bustion group were significantly lower than those of the Xiangpi Shengji Paste group（P〈0.05）. There was no sta- tistical difference between the control group and the Xiangpi Shengji Paste combined with moxibustion group （P〉 0.05）. Both methods were effective for treatment of stage m pressure ulcer, but the cost of the control group was clearly higher than that of the Xiangpi Shengji Paste combined with moxibustion group（P〈0.05）. Conclusions： ＂File Xiangpi Shengji Paste combined with moxibustion can significantly improve effect in treatment of patients with stage Ⅲ pressure ulcers in diabetes, shorten the healing time, and lower the cost.