Treatment of bedsores

Many people may not have heard of what bedsores are. We have heard of hemorrhoids, acne, and acne, but we have never heard of bedsores. In fact, bedsores are a condition in which long-term pressure causes subcutaneous edema or ulceration, which results in obstruction of blood vessels under the skin. This disease is more common among some office workers or drivers because they spend most of their working time sitting.

Sitting for a long time is also a burden, because the blood vessels in the buttocks cannot be unblocked well, which will lead to blockage, making it easy to suffer from bedsores. The treatment of bedsores is relatively simple, as long as you learn more about it.

1. Western Medicine

1. Using an occipital bridge is a simple, inexpensive and effective way to relieve pressure on bony prominences. The pillow is positioned correctly and moderately, so that there is a gap between the patient's bony protuberance and the bed surface when supporting the patient on the bed. The technical advantage is that it is not only effective but also extremely low cost. It is easy for patients to bear, and easy for family members and other personnel to master and use well. The disadvantage is that it is time-consuming and laborious.

2. For bedridden patients who routinely use hospital mattresses, the oxygen partial pressure (PO2) drops to zero in the skin area below the sacrum and greater trochanter while the patient lies supine and in a 90-degree lateral position. Therefore, it is best to tilt 30 degrees when lying on your side, which is ideal for preventing bedsores. This side-lying tilted position can eliminate local pressure on the greater trochanter and sacrum. When using this position, the patient can be supported and protected by pillows on the sacrum and under the shoulder blades, and another pillow can be placed between the knees. If the body position is incorrect, consider reaching out to assist at the sacrum and supporting surface to help the patient correct the position.

3. Comprehensive systemic treatment and protective treatment of local compressed tissues must be carried out according to the patient's specific conditions. Only by taking comprehensive measures such as turning the patient over regularly, supplementing nutrition, preventing the body from decomposing more than it synthesizes, and using protective equipment can a relatively ideal rehabilitation effect be achieved.

4. Patients should maintain a high-protein diet to promote wound healing. Abnormal wound healing is manifested as wound separation. The wounds of patients with spinal cord injury often have delayed healing, while normal hyperemic reactive wounds do not have delayed healing. Common signs of wound infection include pain and fever in the wound, but paraplegic patients are unconscious. Increased muscle spasms or chills are common in sepsis.

1. Treatment

Treatment of bedsores should start early. The principle is to relieve pressure on the affected area, promote local blood circulation, and strengthen wound treatment. First-degree bedsores should be treated with regular massage, changes of body position, local application of alcohol or infrared irradiation. If inflammation is severe, 0.5% neomycin solution can be used for wet compresses. Second-degree bedsores can be treated with antibiotic ointment and covered with sterile gauze. Third-degree bedsores should be cleaned and treated. For small ulcers, 0.5% silver nitrate wet compresses can be applied externally to remove infection. At the same time, drugs that promote the formation of granulation tissue can be used externally. If the ulcer is large and clean, split-thickness skin grafts or full-thickness skin flaps can be used. For gangrenous ulcers, necrotic tissue should be removed and the above treatment should be performed after sufficient drainage. It is advisable to regularly culture and perform drug sensitivity tests on the pus on the wound surface to guide the selection of sensitive antibiotics for external use. If there are no signs of systemic infection, systemic antibiotics are generally not required. In addition, supportive therapy should be strengthened for critically ill patients.

2. Prognosis

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2. Traditional Chinese Medicine

1. Traditional Chinese Medicine:

Treatment method: Invigorate Qi, dredge meridians, nourish blood and moisturize the skin.

Prescription: 15g of Astragalus, 15g of Codonopsis, 10g of White Peony Root, 15g of Millettia Spatholobi, 10g of Angelica Sinensis, 5g of Ligusticum chuanxiong, 10g of Carthamus tinctorius, 15g of Salvia miltiorrhiza, 15g of Lycopodiella Cervi Pantotrichum, 15g of Lonicera japonica, 15g of Forsythia suspensa, and 10g of Tangerine Peel. If the flesh is rotten and festering, add Angelica dahurica and Platycodon grandiflorum to draw out the toxins and discharge the pus; if the flesh is rotten and does not fall off, add fried pangolin and fried soapberry.

Single prescription medicines: You can take Bazhen Pills and Ginseng Yangrong Pills.

2. Local treatment

(1) For local redness and swelling, apply lithospermum officinale oil or apply a thin layer of purple anti-edema ointment.

(2) In the early stages of ulceration, if the wound is superficial, apply Huadusan ointment or purple swelling-reducing ointment externally.

(3) For wounds, use the traditional Chinese medicine method of removing dead tissue and regenerating new tissue:

① If there is necrosis (dead flesh) on the sore surface and the inflammation is still spreading, and the boundary between the necrotic tissue and the healthy skin is unclear, it is advisable to use equal amounts of purple carbuncle ointment and detoxification ointment, mix well and apply externally.

② When the necrotic tissue (dead flesh) has reached deep into the muscle, or even deeper and formed a sinus tract, it is advisable to use a red blood medicine twist, dip it in purple carbuncle ointment and insert it into the sore, and then cover it with Huadusan ointment.

③ When the necrotic tissue is clearly separated from the normal skin and begins to fall off, it is advisable to use equal amounts of purple carbuncle ointment, Huadusan ointment, and Ganru ointment, mix well and apply externally.

④ When the necrotic tissue has fallen off and new granulation tissue begins to grow on the wound surface, it is advisable to use 80g of sweet milk ointment and 20g of purple carbuncle ointment, mix well and apply externally.

⑤ When the new granulation tissue grows well and epithelium has grown on the edge of the sore, it is advisable to sprinkle a thin layer of pearl powder on the sore surface, and then cover it with an oil gauze strip made of sweet milk ointment.

⑥ During the medication period, if eczema-like changes appear around the sore surface, you can use Qushisan and licorice oil to apply.

The above introduces the treatment methods of bedsores, including Western medicine and traditional Chinese medicine. I hope it can help people in need. When we are treating a disease, it is best not to make any rash judgments, because the disease requires the right medicine, and only in this way can the treatment effect be best. Even if you decide to treat it yourself, you should still consult your doctor.