Traditional Chinese medicine for pressure ulcer: a meta‐analysis

To assess the effect of Traditional Chinese Medicine (TCM) [Chinese herbal medicine ointment (CHMO), acupuncture and moxibustion] on pressure ulcer. In this study, we searched MEDLINE, EMBASE, CENTER, CBM, CNKI, WAN FANG and VIP for articles published from database inception up to 4 April 2011. We included randomised controlled trials (RCTs), which compared the effects of TCM with other interventions. We assessed the methodological quality of these trials using Cochrane risk of bias criteria. Ten of 565 potentially relevant trails that enrolled a total of 893 patients met our inclusion criteria. All the included RCTs only used CHMO intervention, because acupuncture and moxibustion trials failed to meet the inclusive criteria. A meta‐analysis showed beneficial effects of CHMO for pressure ulcer compared with other treatments on the total effective rate [risk ratio (RR): 1·28; 95% confidence interval (CI): 1·20–1·36; P = 0·53; I² = 0%), curative ratio (RR: 2·02; 95% CI: 1·73–2·35; P = 0·11; I² = 37%) and inefficiency rate (RR: 0·16; 95% CI: 0·02–0·80; P = 0·84; I² = 0%). However, the funnel plot indicated that there was publication bias in this study. The evidence that CHMO is effective for pressure ulcer is encouraging, but due to several caveats, not conclusive. Therefore, more rigorous studies seem warranted.     

片仔癀在治疗褥疮中的应用

褥疮是临床工作中常见的护理问题，应早期发现．早期治疗。一旦发生，除应加强基础护理外，一些药物的应用也可以促进炎症的吸收，增强机体免疫力，使创面迅速愈合。现介绍片仔癀治疗褥疮中的作用。     

Engaging in the prevention of pressure injuries in spinal cord injury: A qualitative study of community-dwelling individuals’ different styles of prevention in Switzerland

Context: Spinal cord injury (SCI) is a complex chronic condition with multiple self-management requirements and a high prevalence of complications. Pressure injuries (PIs) are among the most common ones and represent a frequent reason for re-hospitalization. This study aimed to identify styles of prevention that individuals with SCI adopt to deal with the risk of developing PIs.

Design: Qualitative explorative interview study. Data was collected through semi-structured interviews, which were transcribed verbatim and analyzed following the principles of thematic analysis.

Setting: Switzerland.

Participants: The participants were a purposive sample of community-dwelling Swiss residents with SCI for at least five years.

Interventions: Not applicable.

Outcome measures: Not applicable.

Results: Although all participants (N?=?20) showed at least a basic knowledge of prevention of PIs by describing some preventive measures, they had different prevention styles characterized by different behavioral patterns (i.e. complying with all recommended measures, performing only a selection of them or delegating them to others) and different beliefs and attitudes towards prevention.

Conclusion: By identifying the style of prevention of an individual, it is possible to develop tailored interventions that have an impact on the factors which seem to play a role in determining the adoption of preventive behaviors (i.e. perceived susceptibility to PIs, attitudes towards prevention, and self-efficacy). Such interventions would constitute a concrete effort to support individuals with SCI during their self-management. Besides alleviating a frequent and disabling medical complication and contributing to an enhanced quality of life, these interventions might also help decrease healthcare costs.     

中西医结合治疗脊髓损伤后褥疮的研究进展

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。     

湿润烧伤膏治疗压疮的疗效与护理

目的探讨湿润烧伤膏治疗压疮的临床疗效与护理对策。方法 48例压疮患者创面全部采用湿润烧伤膏换药治疗,根据创面情况分别采取暴露疗法和包扎疗法,暴露疗法者每日换药4~6次,包扎疗法者每日换药1次,观察创面愈合效果。结果 48例患者中痊愈39例,好转9例,总有效率达100%。结论湿润烧伤膏具有保护创面,为创面持续营造湿润、微酸、洁净环境等作用,可促进压疮创面愈合。     

金黄膏治疗褥疮及静脉炎的临床观察

目的探讨金黄膏治疗褥疮及静脉炎的疗效。方法将我院ICU在2010年2月至2010年9月收治的15例褥疮及静脉炎患者设为对照组,采用25%硫酸镁外敷治疗,将2010年9月至2011年1月收治的15例褥疮及经脉炎患者设为观察组,采用金黄膏外用治疗,比较两组疗效。结果观察组有效率高于对照组,起效时间短于对照组。结论中药金黄膏治疗褥疮及经脉炎疗效满意。     

老年人脑血管病后遗症期褥疮临床护理分析

目的 探讨并分析正确的临床护理对老年人脑血管后遗症期褥疮康复的效果.方法 采用随机数字表法将入住我院接受治疗的院外患脑血管后遗症期褥疮100例老年患者分为实验组和对照组,每组各50人.实验组采用一般护理与心理护理、饮食护理相结合的护理方案,对照组采用单一的简单护理方案.结果 两组在Ⅰ期、Ⅱ期褥疮愈合率无明显差异（P＞0.05）,实验组Ⅲ期、Ⅳ期愈合率明显高于对照组（P＜0.05）.结论 正确的临床护理有利于老年人脑血管后遗症期褥疮的愈合.     

纳米银抗菌凝胶联合安普贴治疗不可分期压疮的临床研究

目的探讨纳米银抗菌凝胶＋安普贴治疗不可分期压疮患者的临床效果。方法将90处不可分期压疮随机分成三组,均用生理盐水清洗压疮创面,实验组30处清洗后外搽纳米银抗菌,然后敷盖安普帖;对照l组30处清洗压疮创面后敷上安普帖;对照2组30处清洗创面后敷上浸有1％聚维酮碘液的纱块,然后敷盖无菌纱块。比较三组疗效。结果5项指标观察组均显著优于对照1、2组,差异有统计学意义（P〈0．05或〈0．01）。结论纳米银抗菌凝胶＋安普贴治疗不可分期压疮患者,效果显著优于单纯安普贴换药和聚维酮碘换药。     

风险管理在预防骨科大手术病人压疮中的应用研究

目的:探讨风险管理在预防骨科大手术病人压疮中的作用。方法:将2009年1~12月住院的124例骨科大手术病人作为实验组,依据风险管理理念,建立压疮管理小组,术前进行压疮风险评级,按风险级别术中、术后给予相应护理和治疗措施;将2008年1~12月住院治疗110例病人作为对照组,按常规骨科术后护理,比较两组病人压疮发生率和投诉率。结果:实验组压疮发生率和投诉率分别为4.03%和1.61%,显著低于对照组的11.82%和8.18%(均P0.05)。结论:风险管理机制能显著降低压疮发生率和投诉率,减少护理风险事件的发生。     

四黄液治疗外科感染伤口的疗效观察与护理研究

目的：观察采用中药＂四黄液＂湿敷创面治疗外科感染伤口及褥疮的临床疗效。方法：收集100例因外科感染伤口或褥疮住院治疗的患者,随机分为治疗组及对照组,在常规治疗的基础上,治疗组采用中药＂四黄液＂湿敷创面,对照组采用呋喃西林溶液湿敷创面,观察两组疗效并对比。结果：100例住院患者分组治疗并观察共14d,两组病例对比,治疗组临床疗效明显优于对照组,同时治疗组创面细菌培养阴性率也明显优于对照组。结论：中药＂四黄液＂湿敷创面治疗外科感染伤口及褥疮能有效抑制创面细菌生长,促进伤口愈合,临床疗效确切,操作简单易行,适合临床推广。