抗生素治疗中联合黄芪药针液改善脑出血患者压伤的病例报告

G. Kim, Dabin Lee, Seon Uk Jeon, Han-Gyul Lee, Ki-Ho Cho, S. Moon, W. Jung, Seungwon Kwon
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摘要

背景:压迫性损伤是皮肤和/或底层组织的局部损伤,通常是由于压力引起的骨突。由于肢体瘫痪导致的不活动,脑血管疾病增加了压力损伤的风险。处理压伤患者的一般方法应包括缓解疼痛、治疗感染、优化营养摄入、适当的体位和预防污染。尽管如此,压伤的治疗时间因人而异。病例报告:一名80岁女性脑出血患者并发压迫性损伤。为了更快地改善损伤,将黄芪药针溶液应用于压疮。用尺子评估压伤的宽度、长度和深度,并评估渗出量和组织类型。治疗35 d。自黄芪药针溶液应用于压疮后,压疮大小减小的速度增加。压伤后组织类型改善,渗出物减少。压疮愈合工具3.0评分差异无统计学意义,因为压疮是用黄芪药针液治疗的。结论:本临床病例研究提示黄芪药针液有促进压伤愈合的作用。
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Case Report of Pressure Injury in Intracerebral Hemorrhage Patients Improved by Combining Radix Astragali Pharmacoacupuncture Solution during Antibiotic Treatment
Background: Pressure injuries are localized areas of damage to the skin and/or underlying tissue, usually over a bony prominence due to pressure. Cerebrovascular disease increases the risk of pressure injuries due to the immobility caused by physical paralysis. The general approach to managing a patient with pressure injuries should include pain relief, the treatment of the infection, optimizing nutritional intake, proper positioning, and contamination prevention. Nonetheless, the duration of treatment for pressure injuries varies from person to person.Case report: An 80-year-old female intracerebral hemorrhage patient developed a pressure injury. To improve the injury faster, a Radix Astragali pharmacoacupuncture solution was applied to the pressure sore. The pressure injury’s width, length, and depth was assessed using a ruler, and the exudate amount and tissue types were assessed. The treatment was performed for 35 days. The rate at which the size of the pressure sore lessened increased since the Radix Astragali pharmacoacupuncture solution was applied to the pressure sore. In addition, the tissue type of the pressure injury improved, and the exudates decreased. There was no significant difference in the Pressure Ulcer Scale for Healing Tool 3.0, since the Radix Astragali pharmacoacupuncture solution was applied to the pressure injury.Conclusion: This clinical case study suggests that the Radix Astragali pharmacoacupuncture solution might be effective in speeding up the healing of pressure injuries.
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