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KMID : 1146520190200010065
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Journal of the Society of Stroke on Korean Medicine
2019 Volume.20 No. 1 p.65 ~ p.74
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A Clinical Case Report on Grade Four Pressure Ulcer Patients Treated with Hwangryunhaedok-tang Pharmacopunctue and Herbal Medicine Taklisodok-eum
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Jeong Hye-Seon
Kim Ha-Ri
Kim Seo-Young
Lee Sang-Hwa
Cho Seung-Yeon
Park Seong-Uk
Ko Chang-Nam
Park Jung-Mi
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Abstract
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Objectives: The purpose of this case study is to report the effectiveness of Korean medicine and pharmacopuncture in the treatment of pressure ulcer.
Methods: The patient with pressure ulcer was treated with herbal medicine, Hwangryunhaedoktang pharmacopuncture, acu-moxi treatment. We started herbal medicine mainly Taklisodok-um for pressure ulcer, but changed to Paljung-san due to urinary tract infection on Day 67. During the daily dressing, we inject pharmacopuncture solution subcutaneous ulcer area and spray solution on the cavity of right pressure ulcer. The severity of pressure ulcer was assessed using [NPUAP] pressure ulcer stage, healing rate of pressure ulcer and depth of right
side ulcer cavity on Day1, Day15, Day40, Day73, Day95.
Results: After treatment, the total size of the pressure ulcer was reduced from 90(10*9) to 56(8*7)cm2, healing rate of pressure ulcer increased to 37.8%, depth of pressure ulcer was reduced from 3.5 to 2cm. Though NPUAP stage(Gr 4) was not changed, size and color of pressure ulcer definitely improved compared to Day1.
Conclusion: ? This study suggested taht Korean medical treatment could be effective option for treating grade 4 pressure ulcer.
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KEYWORD
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Pressure ulcer, Sore, Korean medicine, Taklisodok-um, Hwangryunhaedoktang pharmacopuncture, NPUAP
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