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创疡再生医疗技术治疗慢性难愈性Ⅳ期压疮疗效分析
Clinical Efficacy of the Regenerative Medical Technology for Wounds and Ulcers in the Treatment of Chronic Refractory Stage Ⅳ Pressure Ulcers

杨安波,吴国斌,王炬,来士朝,许锋.创疡再生医疗技术治疗慢性难愈性Ⅳ期压疮疗效分析[J].中国烧伤创疡杂志,2025,(4):258~260.

DOI：

中文关键词: 创疡再生医疗技术压疮慢性难愈合创面伤口床评分压疮愈合评分表

英文关键词:The regenerative medical technology for wounds and ulcers Pressure ulcer Chronic refractorywound Wound bed score Pressure ulcer scale for healing

基金项目:

作者	单位
杨安波	050000 河北石家庄, 石家庄市人民医院外科
吴国斌
王炬
来士朝
许锋

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中文摘要:

【摘要】目的探讨创疡再生医疗技术治疗慢性难愈性Ⅳ期压疮的临床疗效。方法选取 2022 年 9 月至 2023 年 4 月石家庄市人民医院收治的 52 例慢性难愈性Ⅳ期压疮患者作为研究对象, 按照随机数表法将其分为试验组 (27 例) 和对照组 (25 例), 试验组患者局部创面于常规清创后应用创疡再生医疗技术治疗, 对照组患者局部创面于常规清创后应用凡士林油纱治疗, 对比两组患者创面面积、压疮愈合评分表 (PUSH) 评分、伤口床评分 (WBS)、临床疗效及创面愈合时间。结果治疗 20 d 后, 试验组患者创面面积小于对照组、PUSH 评分低于对照组、WBS 高于对照组、临床疗效优于对照组 ( t / Z = 2.205、3.226、3.193、- 2.594, P = 0.032、0.002?0.002、0.009); 试验组患者创面愈合时间短于对照组 (t = 3.331, P = 0.002)。结论创疡再生医疗技术可促进慢性难愈性Ⅳ期压疮创面愈合。

英文摘要:

【Abstract】 Objective To study the clinical efficacy of the regenerative medical technology for wounds and ulcers in the treatment of chronic refractory stage Ⅳ pressure ulcers. Methods 52 patients with chronic refractory stage Ⅳ pressure ulcers admitted to Shijiazhuang People’s Hospital from September 2022 to April 2023 were enrolled as research subjects, and divided, using the random number table, into the experimental group ( n = 27) and the control group ( n = 25). After conventional debridement, the local wounds of patients in the experimental group were treated with the regenerative medical technology for wounds and ulcers, while the control group patients were treated with Vaseline gauze. The wound area, pressure ulcer scale for healing (PUSH) score, wound bed score (WBS), clinical efficacy, and wound healing time were compared between the two groups. Results After 20 days of treatment, the wound area was smaller, the PUSH score was lower, and the WBS and clinical efficacy were higher in the experimental group than the control group ( t / Z = 2.205, 3.226, 3.193 and -2.594, P= 0.032, 0.002, 0.002 and 0.009). The wound healing time was shorter in the experimental group (t = 3.331, P= 0.002). Conclusion The regenerative medical technology for wounds and ulcers can promote the healing of chronic refractory stage IV pressure ulcers.