A kind of wound surface nursing powder for the treatment of decubital ulcer
Technical field
The present invention relates to nursing care of decubitus ulcer field, be specifically related to a kind of wound surface nursing powder for the treatment of decubital ulcer.
Background technology
Decubital ulcer is due to patient's long-term bed and nurses the improper rotten downright bad ulcer region producing such as de-of body surface bulge region pressurized, local Hypoxia and ischemia, blood vessel embolism, tissue necrosis that causes.Primary disease is more common in the patient of the long-term beds such as stupor, hemiplegia, paralysis, is also found in the patients such as dressing compressing tension, the limbs stump of wearing artificial limb, various hands postoperative position limitation of activity.Up to the present, for the care method of decubital ulcer mainly: wound surface is shallow, little, and pus oozes out few person, first uses povidone iodine routine disinfection, with cotton swab, dip in normal saline and add gentamycin 80,000 U and from inside to outside repeatedly clean afterwards, fully expose 1 time/d; Wound surface is dark, large, and pus oozes out more person, slough blackout and frowziness person, first with 3% hydrogen peroxide liquid, thoroughly clean, prune slough, until expose fresh granulation tissue, then with physiological saline solution, add gentamycin 80,000 U and rinse wound surface, with aseptic dressing, cover 2 times/d.The weak point of the method is: 1. take partial sterilization as main, when middle and late stage granulation starts to form, povidone iodine etc. have produced stimulation to granulation, easily cause granulation dysplasia, and new meat is not raw; 2. rinse and add the therapeutic scheme that dressing covers, transudate is easy to and dressing adhesion, produces new wound while causing change dressings next time.
Summary of the invention
Technical assignment of the present invention is for above the deficiencies in the prior art, and the wound surface nursing powder of the sure treatment decubital ulcer of a kind of curative effect is provided.
The technical scheme that the present invention solves its technical problem is: a kind of wound surface nursing powder for the treatment of decubital ulcer, it is characterized in that being processed by plurality of Chinese, its composition of raw materials and weight proportion are: 6 ~ 10 parts of Sanguis Draxonis, 8 ~ 15 parts of Corium elephatiss, 8 ~ 15 parts of Olibanums, 6 ~ 10 parts of Myrrhas, 6 ~ 10 parts of Spora Lycopodiis, 8 ~ 15 parts of Herba Ipomoeae Pes-Capraes, 6 ~ 10 parts, catechu, 30 ~ 45 parts of the Radixs Angelicae Dahuricae, 30 ~ 40 parts of Rhizoma Atractylodis.
Its optimum weight proportioning is: 8 parts of Sanguis Draxonis, 10 parts of Corium elephatiss, 10 parts of Olibanums, 8 parts of Myrrhas, 8 parts of Spora Lycopodiis, 10 parts of Herba Ipomoeae Pes-Capraes, 8 parts, catechu, 40 parts of the Radixs Angelicae Dahuricae, 35 parts of Rhizoma Atractylodis.
Wherein said: Sanguis Draxonis, the resin oozing out for babassu Sanguis Draxonis Daemonorops draco Blume. fruit is through being processed into.Nature and flavor are sweet, salty, flat.GUIXIN, Liver Channel.Merit can removing blood stasis and relieving pain, hemostasia and promoting granulation.
Corium elephatis is the skin of Elephantidae animal elephant Elephas maximus L..Nature and flavor are sweet, salty, temperature.Merit can granulation promoting, sore.
Olibanum, the oleo-gum-resin of oozing out for trunk skin zone wounds such as Burseraceae Boswellia carterii platymiscium Boswellia carterii Boswellia carterii Birdw., medicine glue XIANGSHU B. bhawdajiana Birdw. and wild Boswellia carterii B. neglecta M. Moore.Nature and flavor are pungent, bitter, temperature.GUIXIN, liver, spleen channel.Merit can regulating qi and activating blood, and analgesic therapy, chases after poison.
Myrrha, for Burseraceae bdellium plant myrrh Commiphora myrrha Engl. and belong to the oleo-gum-resin that the trunk skin zone of his kind of plant oozes out together.Nature and flavor are bitter, flat.Return Liver Channel.The merit blood blood stasis removing that can fall apart, subduing swelling and relieving pain.
Spora Lycopodii is lycopsid Lycopodium clavatum copodium japonicum Thunb., Herba Lycopodii Obscuri Lycopodium clavatum Lycopodium centro-chinense Ching, Spora Lycopodii Palhinhaea cernua(L.) spore of Franco et Vasc. and single fringe Lycopodium clavatum Lycopodium cernuum L..Nature and flavor are bitter; Temperature.Return liver; Spleen channel.Merit can removing dampness; Sore; Cough-relieving.
Herba Ipomoeae Pes-Capraes, the herb of Convolvulaceae morning glory two leaf Radix Ipomoeae Ipomoea pescarpae (L.) Sweet.Pungent, the micro-hardship of nature and flavor, wet.Merit can expelling wind and removing dampness, the detumescence of drawing out pus by applying a plaster to the affected part.
Catechu, is pulse family albizzia plant catechu tree Acacia catechu(L. f.) the peeling branch of Willd., dry dry soft extracts.Nature and flavor are bitter, puckery, are slightly cold.Return lung meridian.Merit can removing dampness promoting tissue regeneration and ulcer healing.
Plant Radix Angelicae Dahuricae Angelica dahurica (Fisch.ex Hoffm.) the Benth. et Hook.f. of Radix Angelicae Dahuricae ,Wei umbellate form section or Radix angelicae dahuricae Angelica dahurica(Fisch.ex Hoffm.) Benth.et Hook.f. var.formosana(Boiss.) dry root of Shan et Yuan.Nature and flavor are pungent, temperature.Return stomach, large intestine, lung meridian.Can fall apart wind dehumidifying of merit, understand things pain-stopping, detumescence and apocenosis.
Rhizoma Atractylodis are the dry rhizome of feverfew Atractylodes lancea (Thunb.) DC. Atractylodes lancea (Thunb.) DC. or Atractylis chinensis Atractylodes chinensis (DC.) Koidz..Nature and flavor are pungent, bitter, temperature.Return spleen, stomach, Liver Channel.Merit can be drying damp and strengthening spleen, expelling wind and cold, improving eyesight.
Composition principle: the traditional Chinese medical science thinks that decubital ulcer is many because of deficient qi and blood, qi depression to blood stasis causes, prolonged illness is liied in bed in vain, pressurized position stagnation of QI-blood, blood vessels are obstructed, and meridians intercept, and deficiency of both QI and blood, invades in malicious heresy, and the mistake of muscle muscles and bones is supported the rotten skin ulcer that becomes of bursting, and touching difficulty heals.Treat at present multiplex cold and cool medicine removing the necrotic tissue and promoting granulation, but in the process for the treatment of patients with decubitus, wound surface granulation well being grown, is the key of decubital ulcer healing.Inventor, in clinical empirical summary discovery for many years, promotes local vascular newborn, corrects local organization ischemic state, improves blood circulation, for granulation tissue growth provides nutrition, is to be key.Meanwhile, should note effectively reducing and oozing out, prevent loss of proteins, can contribute to like this improvement of local microenvironment, promote healing.Therefore we get Sanguis Draxonis hemostasis by removing blood stasis granulation promoting, Olibanum regulating qi and activating blood, the loose blood blood stasis removing detumescence of Myrrha; Herba Ipomoeae Pes-Capraes, Rhizoma Atractylodis expelling wind and removing dampness; Corium elephatis, Spora Lycopodii, catechu removing dampness expelling pus and promoting granulation; The loose wind dehumidifying of the Radix Angelicae Dahuricae, detumescence and apocenosis.All medicines share above, play altogether the effect of invigorate blood circulation dehumidifying, expelling pus and promoting granulation, have promoted local blood circulation and angiogenesis, and minimizing is oozed out, and effectively prevents loss of proteins, thereby alleviate decubitus symptom, and have accelerated the healing of decubital ulcer.
The specific embodiment
Below in conjunction with practical situation, the specific embodiment of the present invention is elaborated.
Embodiment 1, crude drug weight proportion: Sanguis Draxonis 6g, Corium elephatis 8g, Olibanum 8g, Myrrha 6g, Spora Lycopodii 6g, Herba Ipomoeae Pes-Capraes 8g, catechu 6g, Radix Angelicae Dahuricae 30g, Rhizoma Atractylodis 30g.
Embodiment 2, crude drug weight proportion: Sanguis Draxonis 10g, Corium elephatis 15g, Olibanum 15g, Myrrha 10g, Spora Lycopodii 10g, Herba Ipomoeae Pes-Capraes 15g, catechu 10g, Radix Angelicae Dahuricae 45g, Rhizoma Atractylodis 40g.
Embodiment 3, crude drug weight proportion: Sanguis Draxonis 8g, Corium elephatis 10g, Olibanum 10g, Myrrha 8g, Spora Lycopodii 8g, Herba Ipomoeae Pes-Capraes 10g, catechu 8g, Radix Angelicae Dahuricae 40g, Rhizoma Atractylodis 35g.
During use, by Chinese medicine Resina draconis of the present invention, Corium elephatis, Olibanum, Myrrha, Spora Lycopodii, Herba Ipomoeae Pes-Capraes, catechu, Rhizoma Atractylodis and the Radix Angelicae Dahuricae, grind to the powder altogether, autoclave sterilization external application.
Effective combination of above-mentioned wound surface nursing powder, coordinates mutually, can effectively reach the object for the treatment of decubital ulcer, and side effect is less.The above results is that clinical data fully proves, interrelated data is as follows, and wherein studying the use of wound surface nursing powder is the crude drug weight proportion in embodiment 3.
1 object and method.
1.1 objects: the 71 examples decubital ulcer patients that are in hospital, male's 42 examples wherein, women's 29 examples; Age reckling 28 years old, the maximum 82 years old; The course of disease is the shortest 1 week, the longest 40 days; Minimum 2cm * the 2cm of area, maximum 10cm * 10cm.
1.2 method.
1.2.1 grouping: divide at random two groups, treatment group 41 examples, matched group 30 examples, clinical data there was no significant difference (P>0.05) between two groups.
1.2.2 Therapeutic Method: matched group: wound surface is shallow, little, pus oozes out few person, first uses povidone iodine routine disinfection, with cotton swab, dips in normal saline and adds gentamycin 80,000 U and from inside to outside repeatedly clean afterwards, fully exposes 1 time/d; Wound surface is dark, large, and pus oozes out more person, slough blackout and frowziness person, first with 3% hydrogen peroxide liquid, thoroughly clean, prune slough, until expose fresh granulation tissue, then with physiological saline solution, add gentamycin 80,000 U and rinse wound surface, with aseptic dressing, cover 2 times/d.The incrustation of skin ulcer face, can 1 time/d after fresh granulation grows.Treatment group data scheme is on matched group basis, to add the embodiment of the present invention 3 gained Chinese medicines to grind to the powder altogether again, and autoclave sterilization external application, every day 1 time, 7 days is 1 course for the treatment of, continuous 4 courses for the treatment of.
1.2.3 observation index: observe and record whether two groups of new meat of wounds grow, whether new meat tissue cover with, whether wound surface forms a scab, and whether purulent secretion reduces, and whether the swollen gesture of surrounding fades.Observe local skin and whether have anaphylaxis.
1.2.4 curative effect determinate standard: with reference to the < < traditional Chinese medical science disease Standardization of diagnosis and curative effect > > of State Administration of Traditional Chinese Medicine's issue in 1994, recovery from illness: medication 2 to 3 weeks, new meat grows, new meat tissue covers with, wound surface incrustation Quan More; Effective: purulent secretion reduces, the swollen gesture of surrounding fades; Invalid: symptom, sign changes little.
1.2.5 statistical analysis: carry out statistical analysis with SPSS 13.0, P< 0.05 indicates significant.
2 results.
The curative effect comparison of 2.1 liang of group cases: see the following form, cure rate and total effective rate treatment group are obviously better than matched group (P<0.05).
2.2 untoward reaction situations: two groups all without obvious adverse reaction case.
3. conclusion.
The demonstration of this result of study, the present invention treats decubital ulcer determined curative effect, is worthy of promotion and application.