[논문]항생제 치료 중 드레싱과 황기 약침액 도포를 병행하여 호전된 뇌출혈 환자 욕창 1례

김근영; 이다빈; 전선욱; 이한결; 조기호; 문상관; 정우상; 권승원

doi:10.22246/jikm.2023.44.2.167

항생제 치료 중 드레싱과 황기 약침액 도포를 병행하여 호전된 뇌출혈 환자 욕창 1례
Case Report of Pressure Injury in Intracerebral Hemorrhage Patients Improved by Combining Radix Astragali Pharmacoacupuncture Solution during Antibiotic Treatment 원문보기

대한한방내과학회지 = The journal of internal Korean medicine, v.44 no.2, 2023년, pp.167 - 177

김근영 (경희대학교한방병원 순환신경내과) , 이다빈 (경희대학교 대학원 임상한의학과) , 전선욱 (경희대학교 대학원 임상한의학과) , 이한결 (경희대학교 대학원 임상한의학과) , 조기호 (경희대학교 대학원 임상한의학과) , 문상관 (경희대학교 대학원 임상한의학과) , 정우상 (경희대학교 대학원 임상한의학과) , 권승원 (경희대학교 대학원 임상한의학과)

Abstract ▼ AI-Helper

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.

주제어

표/그림 (8)

표 Table 1. Laboratory Test (Blood) at the Time of Hospitalization
표 Table 2. Bacteria Culture Test at the Time of Hospitalization
그림 Fig. 1. Case report timeline before combining Radix Astragali pharmacoacupuncture solution. Length×width : Measure the greatest length and the greatest width using a centimeter ruler. Exudate amount : Estimate the amount of exudate present after removal of the dressing and before applying any topical agent to the ulcer. Estimate the exudate as none, light, moderate, or heavy, Tissue type : This refers to the types of tissue that are present in the wound bed.
그림 Fig. 2. Case report timeline after combining Radix Astragali pharmacoacupuncture solution.
그림 Fig. 3. Changes in the size of the pressure injury.
그림 Fig. 4. Changes in Pressure Ulcer Scale for Healing tool 3.0. Tissue type : This refers to the types of tissue that are present in the wound bed. Score as a "4" if there is any necrotic tissue present. Score as a "3" if there is any amount of slough present and necrotic tissue is absent. Score as a "2" if the wound is clean and contains granulation tissue. A superficial wound that is reepithelializing is scored as a "1". When the wound is closed, score as a "0".
그림 Fig. 5. Changes in laboratory findings.
표 Table 3. Changes in Pus Culture

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