氦氖激光联合云南白药外敷在治疗压疮中应用.docVIP

氦氖激光联合云南白药外敷在治疗压疮中应用 　　[摘要] 目的：探讨氦氖激光联合云南白药外敷治疗压疮的疗效。方法：将43例Ⅲ期即浅度溃疡期压疮患者随机分为对照组21例和治疗组22例。分别给予0.5%碘伏消毒加红外线灯照射，以及氦氖激光联合云南白药外敷治疗，观察15 d并记录2组患者压疮治疗情况及愈合时间。结果：治疗组治愈率及总有效率明显高于对照组，两组比较，差异有统计学意义?P＜0.05?。治疗组痊愈时间明显缩短，与对照组比较，差异有统计学意义?P＜0.01?。结论：氦氖激光联合云南白药外敷治疗压疮效果显著，值得在临床中推广应用。 　　[关键词] 氦氖激光；云南白药；压疮；疗效 　　[中图分类号] R473.5[文献标识码]C [文章编号]1673-7210（2009）05（a）-142－０2 　　 　　Application of helium-neon laser combined with Yunnan White Medicinal Powder in the treatment of pressure sores 　　SUN Hua 　　(Coal Hot Spring Sanatorium of Linyi City, Shandong Province, Linyi 276032,China) 　　[Abstract] Objective: To study the effect of helium-neon laser combined with Yunnan White Medicinal Powder in the treatment of pressure sores. Methods: 43 cases with stage Ⅲ namely shallow ulcer pressure sores were randomly divided into control group(21 cases) and treatment group(22 cases).Control group were treated with 0.5% iodine disinfection added the infrared lamp illumination,treatment group were treated with the helium-neon laser combinated with the Yunnan White Medicinal Powder, then after 15 days, recorded the curative effect and healing time of two groups. Results: The cure rate and total effective rate of treatment group were higher than that of the control group obviously,the difference had statistic significance ?P0.05?. The healing time of treatment group reduced obviously, had statistic significance ?P0.01?. Conclusion: Effects of helium-neon laser combinated with the Yunnan White Medicinal Powder in the treatment of pressure sores are remarkable,is worth being promoted and applied in clinic. 　　[Key words] Helium-neon laser; Yunnan White Medicinal Powder; Pressure sore; Effect 　　 　　压疮（pressure sores)是指局部组织长时间受压，血液循环障碍，组织营养缺乏，致使皮肤失去正常功能而引起的组织破坏和坏死[1]。压疮的发生增加患者痛苦和医疗费用，长期不愈还易并发骨髓炎、败血症和低蛋白血症，引发生命危险。而压疮的治疗和护理方法虽然很多但不尽理想，我院于2004年1月～2008年7月分别应用0.5%碘伏消毒加红外线灯照射以及氦氖激光联合云南白药外敷治疗压疮43例，进行观察对照，发现氦氖激光联合云南白药外敷治疗，疗效显著，现报道如下： 　　1 资料与方法 　　1.1 一般资料 　　共收集43例院外带入压疮患者，压疮共计114处，根据压疮的评定标准，压疮分期为Ⅲ期即浅度溃疡期[2]。压疮