Traditional Chinese medicine medical instrument system for preventing pressure injury and treating 1-3 stage pressure injury
Through the traditional Chinese medicine medical device system, including nursing pads, foam dressings and Chinese medicine ointments, combined with a variety of traditional Chinese medicine ingredients, the problem of poor prevention and treatment of pressure injuries in the existing technology has been solved, and the pressure injuries of 1 to 3 stages have been achieved Effective prevention and treatment significantly reduces the cost and cycle of treatment.
Patent Information
- Application Number
- CN202311795923.6
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2023-12-25
- Publication Date
- 2024-12-24
AI Technical Summary
The prior art has limited effectiveness in preventing and treating stress injuries, especially for stage 1 to 3 pressure injuries, and lack of effective drugs and medical devices, which leads to difficult treatment, long cycles and high cost.
A Chinese medicine medical device system is adopted, including a care pad, foam dressing and Chinese medicine ointment. The care pad is composed of a spunlace cotton cloth layer, a hydrophilic non-woven fabric layer, a water-absorbing layer and a PE film layer. The Chinese medicine layer contains cinnamon twig, rhubarb, Licorice, mint, angelica, etc.; the foam dressing consists of a non-woven layer, a hydrophilic polyurethane foam layer and a mixed layer of gel ointment, and the carrier contains Chinese medicine ingredients such as Codonopsis pilosula, cinnamon twig, rhubarb; the Chinese medicine ointment consists of Astragalus, Angelica, and Codonopsis pilosula and other compositions, which have the effect of promoting local blood circulation and skin regeneration.
The adsorption and spraying of the medium drug layer prevent pressure damage, the buffering of foam dressings and the multiple effects of gel ointment significantly relieve local pressure, promote blood circulation and skin regeneration, and the Chinese medicine ointment has good pressure damage in the 2-3 stages The therapeutic effect significantly reduces the incidence and treatment cycle of stress injury.
Smart Images

Figure CN119174673A_ABST
Abstract
Description
Technical Field
[0001] The present invention relates to the field of traditional Chinese medicine and medical devices, and in particular to a traditional Chinese medicine medical device system for preventing pressure injuries and treating stage 1 to 3 pressure injuries. Background Art
[0002] Pressure injury, also known as pressure ulcer, bedsore, and bedsore, is a common chronic and difficult-to-heal wound in clinical practice, and is more common in patients who are bedridden or in wheelchairs for a long time.
[0003] Recent studies have shown that the incidence and prevalence of pressure injuries are increasing year by year. The United States has conducted a national census of pressure injuries every two years since 1989, and the census has found that the prevalence of pressure injuries is 9.2%-15.5%; another cohort study of 323 nursing homes found that the prevalence of pressure injuries in nursing homes can reach 38.7%; there are about 2.5 million cases of pressure injuries in the United States each year; a multicenter clinical observation study in the United Kingdom found that the prevalence of pressure injuries in the community can be as high as 7.7%, and even after removing nursing home patients with a higher prevalence of pressure injuries, the prevalence is as high as 3.8%.
[0004] my country has entered an aging society. By the end of 2021, the number of people aged 60 and above in China has reached 267 million, accounting for 18.9% of the total population; the number of people aged 65 and above has reached more than 200 million, accounting for 14.2% of the total population; it is estimated that by 2035, the total number of people aged 60 and above in my country will exceed 400 million, accounting for more than 33%, and the incidence and prevalence of pressure injuries will also increase accordingly. A multicenter clinical observation of 12 teaching hospitals or general hospitals in my country found that the prevalence of pressure injuries in hospitalized patients was 1.58% and the incidence was 0.63%. It can be inferred that the incidence and prevalence of pressure injuries may be higher in primary hospitals, community clinics, nursing homes and other places.
[0005] Although there are differences in the statistical methods of the incidence and prevalence of pressure injuries, there is no doubt that patients with pressure injuries have formed a relatively large group, and their clinical treatment is relatively difficult, the treatment cycle is long, and the cost is high, which has brought a heavy medical burden to patients and society. The annual treatment cost of pressure injuries in the UK is about 1.4-2.1 billion pounds (accounting for 4% of the national medical expenditure), and in the United States it is about 11 billion US dollars.
[0006] Pressure injury refers to a disease in which local tissue is compressed, blood circulation is impaired, local persistent ischemia, hypoxia, malnutrition lead to soft tissue ulceration and necrosis. It is also called bedsores. It is more common in middle-aged and elderly people who are bedridden. It usually undergoes three pathological changes: erythema, blisters and ulcers. Specifically:
[0007] Stage 1: Non-blanchable erythema with intact skin. The skin is intact and a non-blanchable erythema appears. Darker skin may show different symptoms. The blanchable erythema or changes in sensation, skin temperature, or firmness may appear before the skin changes are observed. Color changes in this stage do not include purple or maroon changes, as these color changes may indicate deep tissue damage.
[0008] Stage 2: Partial-thickness skin loss with exposed dermis. Partial-thickness skin loss with exposed dermis. The wound bed is active, pink or red, moist, and may present as intact or broken serous blisters. Fat and underlying tissue are not exposed. No granulation tissue, slough, or eschar. Injuries at this stage are often caused by disruption of the pelvic skin microclimate and shear forces, as well as shear forces on the heel. This stage should not be used to describe moisture-related skin injuries, such as incontinence dermatitis, fold dermatitis, medical adhesive-related skin injuries, or traumatic wounds (skin avulsions, burns, abrasions).
[0009] Stage 3: Full-thickness skin loss. Full-thickness skin loss, often with fat, granulation tissue, and involuted edges. Slough and / or eschar may be present. The depth of tissue loss varies with the anatomic location; deep wounds may develop in areas of high fat content. Undermining or sinus tracts may be present. No fascia, muscle, tendon, ligament, cartilage, and / or bone are exposed. If slough or eschar obscures the depth of tissue loss, this is an unstageable pressure injury.
[0010] Stage 4: Full-thickness skin and tissue loss. Full-thickness skin and tissue loss with visible or directly palpable fascia, muscle, tendon, ligament, cartilage, or bone. Slough and / or eschar are visible. Involuted edges, sinus tracts, and / or undermining are common. The depth of tissue loss varies with the anatomic location. If slough or eschar obscures the depth of tissue loss, it is an unstageable pressure injury.
[0011] Unstageable: Full-thickness skin and tissue loss, the extent of the injury is obscured. Full-thickness skin and tissue loss, the extent of tissue loss cannot be determined because it is obscured by slough and / or eschar. Only when enough slough and / or eschar is removed can the injury be determined to be stage 3 or 4. Stable eschar (appears as dry, tightly adherent, intact without erythema and fluctuance) on ischemic extremities or heels should not be removed.
[0012] Deep Tissue Injury: Persistent nonblanchable dark red, maroon, or purple color. A persistent nonblanchable dark red, maroon, or purple color or epidermal separation of intact or broken skin with a black wound bed or blood-filled blister. Pain and temperature changes usually precede color changes. Color may vary in darker skin. This injury results from intense and / or prolonged pressure and shear forces at the bone-muscle interface. Wounds at this stage may progress rapidly to reveal the actual extent of tissue loss or may resolve without tissue loss. If necrotic tissue, subcutaneous tissue, granulation tissue, fascia, muscle, or other deeper structures are visible, this is a full-thickness pressure injury (Unstageable, Stage 3, or Stage 4). This stage is not used to describe vascular, traumatic, neuropathic wounds, or skin disorders.
[0013] Currently, there are few drugs and medical devices that have a definite effect on pressure injuries. The present invention uses nursing pads for effective prevention of high-risk groups of pressure injuries, uses foam excipients for stage 1 pressure injuries, and uses traditional Chinese medicine ointments for effective intervention in stages 2 and 3. Summary of the invention
[0014] The purpose of the present invention is to provide a traditional Chinese medicine medical device system for preventing pressure injuries and treating pressure injuries in stages 1 to 3, which has a significant therapeutic effect on preventing pressure injuries and treating pressure injuries in stages 1 to 3.
[0015] The above technical purpose of the present invention is achieved through the following technical scheme: a Chinese medicine medical device system for pressure injury and treatment of stage 1 to 3 pressure injury, including a nursing pad for preventing pressure injury, a foam dressing for treating stage 1 pressure injury and a Chinese medicine ointment for treating stage 2 and stage 3 pressure injury, wherein the nursing pad, foam dressing and Chinese medicine ointment all include cassia twig, rhubarb, licorice, mint, angelica dahurica, forsythia, phellodendron, wormwood, Sappan wood, Millettia reticulata, borneol and the like.
[0016] Preferably, the nursing pad comprises from top to bottom
[0017] A spunlace cotton fabric layer, wherein a Chinese medicine layer which can be dissolved in urine and has the functions of neutralizing and absorbing odor, promoting local blood circulation and killing bacteria is arranged inside or on the surface of the spunlace cotton fabric layer;
[0018] A hydrophilic non-woven fabric layer, wherein the hydrophilic non-woven fabric layer is arranged below the spunlace cotton fabric layer;
[0019] A water absorbing layer, wherein the water absorbing layer is mixed with crushed mint fiber;
[0020] The water-proof layer, the PE film layer is arranged at the bottom of the water-absorbing layer.
[0021] Preferably, the Chinese medicine layer is formed on the inner surface, outer surface or inside of the spunlace cotton fabric layer by spraying, coating or dipping, and the Chinese medicine layer is formed by drying the hot extract.
[0022] By adopting the above technical solution, the Chinese medicine layer can be formed in a variety of ways.
[0023] Preferably, the hot extract comprises the following components in parts by weight: 1-4.5 parts of cassia twig, 3-30 parts of rhubarb, 1.5-9 parts of licorice, 6-12 parts of burdock fruit, 3-6 parts of mint, 3-9 parts of angelica dahurica, 6-15 parts of forsythia, 5-30 parts of viola yedoensis, 3-12 parts of phellodendron, 3-9 parts of wormwood, 3-9 parts of sappan wood, 9-15 parts of millettia reticulata, 6-12 parts of julibrissin bark, and 0.1-0.3 parts of borneol.
[0024] Preferably, the foam dressing comprises, from bottom to top, a non-woven fabric layer, a foam layer, a gel ointment mixed layer and a sealing layer;
[0025] The non-woven fabric layer serves as a base to connect the foam layer and the gel paste layer;
[0026] The foam layer is a hydrophilic polyurethane foam, the bottom of the foam layer is connected to the top of the non-woven fabric layer, and the foam layer is evenly distributed on the upper surface of the non-woven fabric layer;
[0027] The gel ointment mixed layer is composed of a colloid and a carrier that has the functions of reducing swelling and relieving pain, promoting local blood circulation, and promoting the regeneration of local skin and subcutaneous muscle layer. The gel ointment mixed layer is arranged on the surface of the foam layer and distributed in an array. Adjacent gel ointment mixed layers are on the same plane to form channels for air flow.
[0028] Preferably, the carrier is in the form of an extract, powder or granules.
[0029] Preferably, the carrier components include Codonopsis pilosula, cinnamon twig, rhubarb, liquorice, white peony root, schizonepeta, mint, angelica dahurica, chrysanthemum, forsythia, viola yedoensis, dandelion, isatis indigotica, phellodendron, spatholobi, bletilla striata, wormwood, corydalis, frankincense, myrrh, safflower, sappan wood, dragon's blood, millettia reticulata, catechu, leech, and borneol.
[0030] Preferably, the carrier comprises the following components in parts by weight: 6-12 parts of Codonopsis pilosula, 1-4.5 parts of cinnamon twig, 3-300 parts of rhubarb, 1.5-9 parts of liquorice, 6-15 parts of white peony root, 4.5-9 parts of schizonepeta, 3-6 parts of mint, 3-9 parts of angelica dahurica, 4.5-9 parts of chrysanthemum, 6-15 parts of forsythia, 5-30 parts of Viola yedoensis, 9-15 parts of dandelion, 9-15 parts of isatis indigotica -15 parts, Phellodendron chinense 3-12 parts, Sargentodoxae 3-12 parts, Bletilla striata 6-15 parts, Artemisia argyi 3-9 parts, Corydalis yanhusuo 3-9 parts, frankincense 3-9 parts, myrrh 3-9 parts, safflower 3-9 parts, Sappan wood 3-9 parts, Sanguisorba officinalis 1-15 parts, Millettia spatholobi 9-15 parts, catechu 1-15 parts, leech 1-15 parts, borneol 0.1-0.3 parts, and aloe vera gel 150 parts-850 parts.
[0031] Preferably, the Chinese medicine ointment includes astragalus, angelica, codonopsis, cinnamon twig, rhubarb, liquorice, white peony root, schizonepeta, angelica dahurica, forsythia, isatis indigotica, spatholobi, bletilla striata, wormwood, corydalis, frankincense, myrrh, safflower, sappan wood, dragon's blood, millettia reticulata, catechu, leech, borneol, aloe gel, montmorillonite powder and medical vaseline.
[0032] Preferably, the preparation method of the Chinese medicine ointment is:
[0033] Step 1: Weigh the following components by weight:
[0034] 9-30 parts of Astragalus, 6-12 parts of Angelica, 6-12 parts of Codonopsis, 1-4.5 parts of Cassia Twig, 3-30 parts of Rhubarb, 1.5-9 parts of Licorice, 6-15 parts of White Peony, 4.5-9 parts of Schizonepeta, 3-9 parts of Angelica Dahurica, 6-15 parts of Forsythia, 9-15 parts of Isatis Indigotica, 3-12 parts of Sargentodon, 6-15 parts of Bletilla, 3-9 parts of Artemisia annua, 3-9 parts of Corydalis, 3-9 parts of Frankincense, 3-9 parts of Myrrh, 3-9 parts of Carthamus, 3-9 parts of Sappan Wood, 1-15 parts of Sanguisorba Officinalis, 9-15 parts of Millettia Spatholobi, 1-15 parts of Catechu, 1-15 parts of Leech, 0.1-0.3 parts of Borneol, 1-45 parts of Aloe Vera Gel, and 1-9 parts of Montmorillonite Powder.
[0035] Step 2: Mixing and grinding:
[0036] Mix and grind the astragalus, angelica, codonopsis, cinnamon twig, rhubarb, liquorice, white peony root, schizonepeta, angelica dahurica, forsythia, isatis indigotica, spatholobi, bletilla striata, wormwood, corydalis, frankincense, myrrh, safflower, sappan wood, dragon's blood, millet spatholobi, catechu, leech, and borneol in step 1 into powder;
[0037] Step 3: Reconcile:
[0038] Mix the powder in step 2 with montmorillonite powder, then add aloe vera gel and twice the weight of medical vaseline to make a paste.
[0039] In summary, nursing pads play a role in preventing people at high risk of pressure injuries, and have the following effects:
[0040] First, the nursing pad has a built-in mint fiber body in the water-absorbing layer to improve the support effect. It can be used as a cushion to avoid local blood circulation problems and prevent pressure injuries.
[0041] Second, the Chinese medicine layer and the crushed mint fiber body have a dual deodorizing effect, which can neutralize and absorb the odor in urine and feces to a certain extent;
[0042] Third, the structure of the spunlace cotton layer plays the role of loading the drug layer. At the same time, urine itself can be used as a solvent. When the discharged urine dissolves the drug layer, the drug plays a bactericidal role on the one hand, and on the other hand, it is absorbed through the skin to promote local microcirculation of the sacrum or hip, further preventing the occurrence of pressure injuries.
[0043] The foam dressing is used as a treatment device for stage 1 pressure injuries. The entire gel ointment mixed layer is distributed in a honeycomb shape through channels, which is more breathable and has a certain buffering effect. The foam layer and the gel ointment mixed layer relieve local pressure and have multiple functions of reducing swelling and relieving pain, promoting local blood circulation, and promoting the regeneration of local skin and subcutaneous muscle layer. At the same time, compared with the foam dressings in the prior art, the combination of colloid and carrier material has a stronger buffering effect. The foam layer plays the role of connecting the gel ointment mixed layer. At the same time, for the first time, Chinese medicine ingredients that can adjust the microenvironment, promote blood circulation, reduce swelling and relieve pain, promote blood circulation and blood stasis, and promote the regeneration of local skin and subcutaneous muscle layer are added to the carrier, which has a significant effect on pressure injuries. The Chinese medicine ointment has a good therapeutic effect on stage 2-3 pressure injuries. BRIEF DESCRIPTION OF THE DRAWINGS
[0044] Figure 1 is a cross-sectional schematic diagram of Example 1;
[0045] Figure 2 is a top view of Example 1;
[0046] Figure 3 is a cross-sectional schematic diagram of Example 2;
[0047] Figure 4 is a schematic cross-sectional view of the layered structure of Example 3;
[0048] Figure 5 The rectangular structure of the nursing pad of Example 3;
[0049] Figure 6 The hexagonal structure of the nursing pad of Example 3;
[0050] Figure 7This is a graph showing the therapeutic effects of patients using Example 1 from the first day to the seventh day;
[0051] Figure 8 is a graph showing the treatment effects of the patient of Example 1 on the first, third, fifth and seventh days using Example 1;
[0052] Fig. 9 is a graph showing the treatment effects of a patient using Example 1 on the first day, the third day, the fifth day, and the seventh day;
[0053] Fig.10 are graphs showing the treatment effects of patients using Example 1 on the first day, the third day, the fifth day, the seventh day, the ninth day and the eleventh day;
[0054] Fig.11 is a graph showing the treatment effects of patients using Example 1 on the first day, the third day, the fifth day and the ninth day;
[0055] Fig.12 is a diagram showing the therapeutic effect of Case 6 using the ointment of Example 4;
[0056] Fig.13 is a diagram showing the therapeutic effect of Case 7 using the ointment of Example 4;
[0057] Fig.14 is a diagram showing the therapeutic effect of Case 8 using the ointment of Example 4;
[0058] Fig.15 is a diagram showing the therapeutic effect of Case 9 using the ointment of Example 4;
[0059] Fig.16 is a diagram showing the therapeutic effect of Case 10 using the ointment of Example 4;
[0060] In the figure, 1, non-woven fabric layer; 2, foam layer; 3, gel ointment mixed layer; 31, channel; 4, sealing layer; 61, spunlace cotton fabric layer; 62, hydrophilic non-woven fabric layer; 63, water-absorbing layer; 64, waterproof layer; 65, connecting area; 66, mint grass crushed fiber body. DETAILED DESCRIPTION
[0061] The present invention is further described in detail below in conjunction with the accompanying drawings.
[0062] This specific embodiment is merely an explanation of the present invention and is not a limitation of the present invention. After reading this specification, those skilled in the art may make non-creative modifications to the present embodiment as needed. However, as long as they are within the scope of the claims of the present invention, they are protected by the patent law.
[0063] The pharmacology, effects and dosage recommendations of the Chinese medicines used in the examples are as follows:
[0064] Astragalus: Nature and flavor: warm in nature, sweet in taste; Pharmacology: enhances the physiological metabolism of cells and accelerates the division process of nucleated cells; Functions and indications: tonifies qi and consolidates the exterior, removes toxins and discharges pus, heals sores and promotes tissue regeneration; Dosage: 9-30g.
[0065] Angelica: Nature and flavor: warm, sweet and pungent; Pharmacology: inhibits platelet aggregation; Functions and indications: promote blood circulation and regulate menstruation, treat injuries from falls, carbuncles, furuncles and ulcers; Dosage: 6-12g.
[0066] Codonopsis: Nature and flavor: neutral, sweet, slightly bitter, slightly cold; Pharmacology: anti-ulcer, immune-enhancing, anti-hypoxia; Functions and indications: carbuncle, sore; Dosage: 6-12g.
[0067] Cinnamon twig: Nature and flavor: warm, pungent and sweet; Pharmacology: anti-platelet aggregation, anti-ulcer, anti-allergic, antibacterial (Staphylococcus aureus, Staphylococcus albus, Salmonella typhi, common pathogenic skin fungi, Shigella dysenteriae, Salmonella enteritidis, Vibrio cholerae, etc.); Functions and indications: dispel cold and relieve pain, promote blood circulation and unblock menstruation; Dosage: 1-4.5g.
[0068] Rhubarb: Nature and flavor: cold and bitter; Pharmacology: antibacterial effect (Gram-positive bacteria, Gram-negative bacteria), antibacterial effect (Staphylococcus aureus, Streptococcus, Diphtheria Corynebacterium, Bacillus subtilis, Anthrax Corynebacterium, Salmonella typhi, Salmonella paratyphi, Shigella dysenteriae, etc.); Functions and indications: cooling blood, detoxifying, removing blood stasis and dredging menstruation; Dosage: 3-30g.
[0069] Licorice: Nature and flavor: neutral, sweet; Pharmacology: has a significant protective effect on experimental ulcers in rats. Anti-inflammatory and anti-allergic effects; Functions and indications: clearing away heat and detoxifying, carbuncle, sore, harmonizing various drugs, alleviating drug toxicity and potency; Dosage: 1.5-9g.
[0070] White Peony Root: Nature and flavor: slightly cold, bitter and sour; Pharmacology: anti-inflammatory, enhances delayed-type hypersensitivity reaction, and has antibacterial effects; Functions and indications: soothes the liver and relieves pain, nourishes blood and regulates menstruation, and astringes yin and stops sweating; Dosage: 6-15g.
[0071] Burdock seeds: Nature and flavor: cold, pungent and bitter;: has inhibitory effects on various pathogenic fungi to varying degrees; Functions and indications: carbuncle, swelling and sore; Dosage: 6-12g.
[0072] Nepeta: Nature and flavor: slightly warm, pungent; Pharmacology: antibacterial (Staphylococcus aureus, Corynebacterium diphtheriae), antipyretic, hemostatic, analgesic, has a certain effect on smooth muscle, platelets, immune function and blood rheology; Functions and indications: relieving exterior symptoms, dispersing wind, clearing rashes. Used for the initial stage of sores and itching; Dosage: 4.5-9g.
[0073] Mint: Nature and flavor: cool and spicy; Pharmacology: local application can stimulate the nerves to cause a cool sensation, and inhibit pain nerves, antibacterial and antiviral effects; Functions and indications: evacuate wind-heat, induce sweating and relieve exterior symptoms; Dosage: 3-6g.
[0074] Angelica dahurica: Nature and flavor: warm, pungent; Pharmacology: antibacterial effect (Escherichia coli, Proteus, Pseudomonas aeruginosa, Vibrio cholerae, Mycobacterium tuberculosis), antipyretic, analgesic, anti-inflammatory, antispasmodic; Functions and indications: dissipate wind and dampness, open the orifices and relieve pain, reduce swelling and discharge pus. Used for sores and swelling; Dosage: 3-9g.
[0075] Chrysanthemum: Nature and flavor: slightly cold, sweet and bitter; Pharmacology: anti-pathogen effect, antibacterial effect (Gram-positive bacilli, human tuberculosis bacteria), antiviral effect, anti-spirochetal effect; enhances the resistance of capillaries, inhibits the permeability of capillaries, and thus has anti-inflammatory effect; Functions and indications: antipyretic and detoxifying, used for furuncles and carbuncles; Dosage: 4.5-9g.
[0076] Forsythia: Nature and flavor: slightly cold, bitter; Pharmacology: broad-spectrum antibacterial, antifungal and antiviral effects; Functions and indications: clearing away heat and detoxifying, reducing swelling and dispersing nodules; Dosage: 6-15g.
[0077] Viola yedoensis: Nature and flavor: cold, bitter and pungent; Pharmacology: antibacterial (streptococcus A, pneumococcus, catarrhalis, dysentery bacillus, Escherichia coli, Pseudomonas aeruginosa, Staphylococcus, etc.); Functions and indications: antipyretic, detoxifying, cooling blood and reducing swelling. Used for furuncle and carbuncle; Dosage: 5-30g.
[0078] Dandelion: Nature and flavor: cold, bitter and sweet; Pharmacology: bactericidal effect (Staphylococcus aureus, hemolytic streptococcus); Functions and indications: clearing away heat and detoxifying, relieving swelling and nodules; Dosage: 9-15g.
[0079] Folium Isatidis: Nature and flavor: cold, bitter; Pharmacology: anti-endotoxin effect; Functions and indications: clearing away heat and detoxifying, cooling blood and removing spots; Dosage: 9-15g.
[0080] Phellodendron chinense: Nature and flavor: cold and bitter; Pharmacology: antibacterial effect; Functions and indications: clearing away heat and dampness, detoxifying and treating sores; Dosage: 3-12g.
[0081] Sargentodoxae: Nature and flavor: neutral, bitter; Pharmacology: antibacterial effect, inhibits platelet aggregation and aggregation; Functions and indications: clearing away heat and detoxifying, promoting blood circulation, and dispelling wind; Dosage: 3-12g.
[0082] Bletilla striata: Nature and flavor: slightly cold, bitter, sweet and astringent; Pharmacology: hemostatic, antibacterial and antifungal; Functions and indications: astringent and hemostatic, detumescence and tissue regeneration; Dosage: 6-15g.
[0083] Mugwort: Nature and flavor: warm, pungent, bitter, slightly toxic; Pharmacology: antibacterial, antifungal; Functions and indications: dispelling cold and relieving pain, warming the meridians and stopping bleeding, external treatment of skin itching; Dosage: 3-9g.
[0084] Corydalis yanhusuo: Nature and flavor: warm, pungent and bitter; Pharmacology: analgesic; Functions and indications: promoting blood circulation, promoting qi circulation, and relieving pain; Dosage: 3-9g.
[0085] Frankincense: Nature and flavor: warm, pungent and bitter; Pharmacology: anti-inflammatory and antiseptic effect (promotes the increase of polynuclear leukocytes to phagocytize dead blood cells and cells, and improve metabolism); Functions and indications: promote blood circulation and relieve pain, reduce swelling and promote tissue regeneration; Dosage: 3-9g.
[0086] Myrrh: Nature and flavor: neutral, pungent and bitter; Pharmacology: antibacterial; Functions and indications: dispersing blood stasis, relieving pain, reducing swelling and promoting tissue regeneration; Dosage: 3-9g.
[0087] Safflower: Nature and flavor: warm in nature, pungent in taste; Pharmacology: anticoagulant, antithrombotic; Functions and indications: promoting blood circulation and menstruation, dispersing blood stasis and relieving pain; Dosage: 3-9g.
[0088] Sophora japonica: Nature and flavor: neutral, sweet and salty; Pharmacology: anti-inflammatory; Functions and indications: promoting blood circulation, removing blood stasis, reducing swelling and relieving pain; Dosage: 3-9g.
[0089] Dracaena: Nature and flavor: neutral, sweet and salty; Pharmacology: inhibits skin fungi; inhibits Staphylococcus aureus, Staphylococcus albus, etc.; Functions and indications: stops bleeding, promotes tissue regeneration, and heals sores; Dosage: 1-15g
[0090] Aloe vera: Nature and flavor: cold, bitter; Pharmacology: Aloe vera gel has the effects of activating cell vitality, delaying skin aging, astringing, harmonizing, nourishing and protecting the skin. Calcium isocitrate and other ingredients in aloe vera can dilate capillaries and promote microcirculation. Strengthen cell vitality. The free radical scavengers such as superoxide dismutase, peroxidase, vitamin C, vitamin E, carotene, etc. contained in aloe vera gel can remove free radicals that cause skin cell aging and delay skin cell aging. The amino acids, vitamins, minerals, enzymes, organic acids and water in it are essential nutrients for the skin. The natural astringent effect can make the skin firm and delicate, prevent skin sagging, effectively lock in moisture, and inhibit the production of melanin; Functions and indications: stop bleeding, promote tissue regeneration and heal sores; Dosage: 1-45g.
[0091] Millettia reticulata: Nature and flavor: warm, bitter and sweet; Pharmacology: promotes microcirculation; Functions and indications: promotes blood circulation, regulates menstruation and relieves pain, relaxes muscles and activates collaterals; Dosage: 9-15g.
[0092] Catechu: Nature and flavor: slightly cold, bitter and astringent; Pharmacology: analgesic; Functions and indications: promoting blood circulation and relieving pain, stopping bleeding and promoting tissue regeneration, absorbing moisture and healing sores; Dosage: 1-15g.
[0093] Leech: Nature and flavor: neutral, salty and bitter; Pharmacology: the water-soluble part has an inhibitory effect on both endogenous and exogenous coagulation, and can significantly prolong coagulation time and prothrombin time; Functions and indications: breaking up blood, removing blood stasis, and promoting menstruation; Dosage: 1-15g.
[0094] Albizzia julibrissin bark: Nature and flavor: mild, sweet; Pharmacology: anti-allergic effect; Functions and indications: promoting blood circulation and reducing swelling; Dosage: 6-12g.
[0095] Borneol: Nature and flavor: slightly cold, pungent and bitter; Pharmacology: anti-inflammatory, anti-inflammatory, antiseptic; Functions and indications: clearing heat and relieving pain; Dosage: 0.1-0.3g.
[0096] Montmorillonite powder: Nature and flavor: cold, sweet and light; Functions and indications: astringent; Dosage: 1-9g.
[0097] Embodiment 1:
[0098] like Figure 1 and Figure 2 As shown, a pressure injury foam dressing comprises, from bottom to top, a non-woven fabric layer 1, a foam layer 2, a gel-ointment mixed layer 3 and a sealing layer 4; wherein the non-woven fabric layer 1 mainly serves as ventilation of the side of the foam dressing away from the skin, the foam layer 2 serves as a single buffer, the gel-ointment mixed layer 3 not only serves as a carrier substance release function, but also serves as a double buffer function, and at the same time, through the viscosity of the colloid, the dressing is connected to the skin, and the channel 31 arranged on the surface of the gel-ointment mixed layer 3 serves as ventilation of the side in contact with the skin.
[0099] like Figure 1 As shown, the non-woven fabric layer 1 serves as a base to connect the foam layer 2 and the gel paste layer. The non-woven fabric layer 1 may protrude from the side of the foam layer 2 on the orthographic projection plane. The thickness of the non-woven fabric layer 1 is 0.1mm-2mm, and the surface of the non-woven fabric layer 1 has through holes to provide ventilation.
[0100] like Figure 1 As shown, the foam layer 2 is a hydrophilic polyurethane foam, the thickness of the foam layer 2 is 0.2cm-0.5cm, the bottom of the foam layer 2 is connected to the top of the non-woven fabric layer 1, and the foam layer 2 is evenly distributed on the upper surface of the non-woven fabric layer 1. The hydrophilic polyurethane foam can also be replaced by other foam materials with a cushioning effect.
[0101] The gel ointment mixed layer 3 is composed of a colloid and a carrier that can reduce swelling and relieve pain, promote blood circulation and remove blood stasis, promote local blood circulation and promote the regeneration of local skin and subcutaneous muscle layer. The carrier can be an extract, or it can be a powder or granules. There are many ways to combine it. The powdered carrier can be attached to the surface of the colloid, the powdered and granular carriers can fill the channel 31, or the powdered or granular or extract carrier can be mixed with the colloid. The colloid can be silica gel or aloe vera gel, preferably aloe vera gel. Aloe vera gel has better hemostatic, myogenic and ulcer-healing effects.
[0102] Carriers include Codonopsis pilosula, cinnamon twig, rhubarb, licorice, white peony root, schizonepeta, mint, angelica dahurica, chrysanthemum, forsythia, viola yedoensis, dandelion, isatis indigotica, phellodendron, spatholobi, bletilla striata, wormwood, Corydalis yanhusuo, frankincense, myrrh, safflower, sophora japonica, dragon's blood, millettia reticulata, catechu, leech and borneol.
[0103] The specific configuration method of the carrier is as follows: the following components by weight: 6-12 parts of Codonopsis pilosula, 1-4.5 parts of cinnamon twig, 3-300 parts of rhubarb, 1.5-9 parts of liquorice, 6-15 parts of white peony root, 4.5-9 parts of schizonepeta, 3-6 parts of mint, 3-9 parts of angelica, 4.5-9 parts of chrysanthemum, 6-15 parts of forsythia, 5-30 parts of Viola yedoensis, 9-15 parts of dandelion, and 1.5-9 parts of licorice root. 9-15 parts, Phellodendron chinense 3-12 parts, Sargentodoxae 3-12 parts, Bletilla striata 6-15 parts, Artemisia argyi 3-9 parts, Corydalis yanhusuo 3-9 parts, frankincense 3-9 parts, myrrh 3-9 parts, safflower 3-9 parts, Sappan wood 3-9 parts, Sanguisorba officinalis 1-15 parts, Millettia spatholobi 9-15 parts, catechu 1-15 parts, leech 1-15 parts, borneol 0.1-0.3 parts, and aloe vera gel 150 parts to 850 parts.
[0104] Preparation and implementation method: Weigh 9g of Codonopsis pilosula, 3g of cinnamon twig, 30g of rhubarb, 9g of liquorice, 9g of white peony root, 6g of schizonepeta, 6g of mint, 6g of angelica dahurica, 6g of chrysanthemum, 9g of forsythia, 15g of Viola yedoensis, 9g of dandelion, 12g of isatis indigotica, 9g of phellodendron, 9g of spatholobi, 9g of bletilla striata, 6g of wormwood, 6g of Corydalis yanhusuo, 6g of frankincense, 6g of myrrh, 6g of safflower, 6g of sophora japonica, 9g of blood clotting, 12g of millettia reticulata, 9g of catechu, 6g of leech, 0.3g of borneol, and 500g of aloe vera gel for later use.
[0105] The above-mentioned codonopsis, cinnamon twig, rhubarb, liquorice, white peony root, schizonepeta, mint, angelica dahurica, chrysanthemum, forsythia, viola yedoensis, dandelion, isatis indigotica, phellodendron, spatholobi, bletilla striata, wormwood, corydalis, frankincense, myrrh, safflower, sappan wood, dragon's blood, millettia, catechu, leech are weighed, add 8 times the amount of water, boil for 1 hour, and filter; add 6 times the amount of water to the filter residue, boil for half an hour, and filter; add 4 times the amount of water to the filter residue, boil for half an hour, and filter; combine the filtrate, concentrate, dry and mix into aloe vera gel.
[0106] The gel ointment mixing layer 3 is arranged on the surface of the foam layer 2 and distributed in an array. A channel 31 for air flow is formed between adjacent gel ointment mixing layers 3 in the same plane. The gel ointment mixing layer 3 is evenly distributed on the surface of the foam layer 2 in a hexagonal shape. The channel 31 evenly divides the gel ointment mixing layer 3 into a honeycomb shape on the horizontal plane.
[0107] The sealing layer 4 is arranged on the upper surface of the gel-ointment mixed layer 3. The sealing layer 4 is a plastic film. The sealing layer 4 is heat-pressed and sealed or bonded to the outer side of the non-woven fabric layer 1. When in use, the sealing layer 4 is torn off and then the gel-ointment mixed layer 3 is attached to the wound.
[0108] like Figures 7 to 11 As shown:
[0109] Case 1: If Figure 7 As shown, Zhang, male, 82 years old, was bedridden during the recovery period after hip replacement. He had a pressure injury about 4 cm from the anus to the left buttocks of the sacrum and coccyx, with a range of 2 cm×2 cm, and stage 1. After disinfecting the wound, the gel foam excipient of the present invention was given, and the dressing was changed once a day. The wound healing was observed. From the second to the sixth day, it was seen that the wound was swollen and scabs formed, and no purulent secretions were exuded; on the seventh day, the scabs fell off by themselves, and the surface was flat and without boundaries.
[0110] Case 2: If Figure 8 As shown, Peng, male, 84 years old, was bedridden for a long time after cerebral infarction, with multiple pressure injuries in the sacral coccyx, stage 2. After cleaning the wound, the gel foam excipient of the present invention was given, and the dressing was changed once a day. The wound healing was observed. On the third and fifth days, the wound was obviously swollen, healed, and scabbed, without purulent secretion; on the seventh day, the scab fell off by itself, and the surface was flat and without boundaries.
[0111] Case 3: If Fig. 9 As shown, Chen, female, 80 years old, was bedridden due to left hemiplegia after cerebral infarction, and pressure injury was produced in the posterior part of the left lower limb, with a range of 3cm×2cm, and stage 2. After disinfection and cleaning of the wound, the gel foam auxiliary material of the present invention was given, and the dressing was changed once a day. The wound healing was observed. On the third and fifth days, the wound was obviously healed and scabbed, and no purulent secretions were exuded; on the seventh day, the scab fell off by itself, and the surface was flat and without boundaries.
[0112] Case 4: If Fig.10 As shown, Zhu, male, 87 years old, has been bedridden for a long time after cerebral infarction, with a sacral and coccygeal area of 10cm×14cm, and stage 2. After disinfection and cleaning of the wound, the gel foam excipient of the present invention was given, and the dressing was changed once a day. The wound healing was observed. On the third, fifth, seventh, and ninth days, the redness and swelling around the wound surface significantly subsided, the wound surface healed and scab formed, and no purulent secretion exuded; on the eleventh day, the scab fell off by itself, and the surface was flat and borderless.
[0113] Case 5: Fig.11 As shown, Ju Moumou, female, 84 years old, has been bedridden for a long time after cerebral infarction, with a sacral and coccyx area of 3cm×2cm, stage 2. After disinfection and cleaning of the wound, the gel foam auxiliary material of the present invention was given, and the dressing was changed once a day. The wound healing was observed. On the third and fifth days, the redness and swelling around the wound surface significantly subsided, the wound surface healed and scab formed, and no purulent secretions were exuded; on the ninth day, the scab was completely formed, and the edge had fallen off by itself, and the surface of the fallen part was flat.
[0114] Embodiment 2:
[0115] like Figure 3As shown, the difference between Example 1 and Example 2 is that the structure of the foam layer 2 is different. The foam layer 2 corresponds to the gel ointment mixed layer 3 and both are hexagonal, that is, the structure of the channel 31 penetrates the surface of the non-woven fabric layer 1, increasing the depth of the channel 31 and improving the overall breathability effect.
[0116] Embodiment 3:
[0117] like Figures 4 to 6 As shown, a nursing pad containing traditional Chinese medicine ingredients is composed of a four-layer structure from top to bottom, which includes a spunlace cotton cloth layer 61, a non-woven fabric layer, a water-absorbing layer 63 and a waterproof layer in sequence. The sides of the four-layer structure are connected by a connecting area 65. The nursing pad is rectangular or hexagonal as a whole, that is, the spunlace cotton cloth layer 61, the non-woven fabric layer, the water-absorbing layer 63 and the waterproof layer are all rectangular or hexagonal.
[0118] The nonwoven fabric layer is disposed below the spunlace cotton fabric layer 61 .
[0119] The water-absorbing layer 63 is mixed with crushed mint fiber body 66, and the water-absorbing layer 63 is a water-absorbing cotton layer or a fluff pulp layer. The thickness of the water-absorbing layer 63 is 0.5mm-5mm, the diameter of the crushed mint fiber body 66 is 0.1mm-0.3mm, and the length of the crushed mint fiber body 66 is 1mm-2mm. The diameter and length of the crushed mint fiber body 66 vary according to the crushing fineness and material selection. At the same time, the water-absorbing layer 63 can also be replaced by a non-woven fabric blended with mint fiber, but the supporting and deodorizing and cooling effects are poor.
[0120] The waterproof layer 64 is arranged at the bottom of the water-absorbing layer 63. The waterproof layer 64 is a PE film. The waterproof layer 64, the hydrophilic non-woven fabric layer 62 and the spunlace cotton fabric layer 61 are bonded and fixed in the connecting area 65 by adhesive. The waterproof layer 64 and the hydrophilic non-woven fabric layer 6 are connected outside the positive projection area of the water-absorbing layer 63. A gap is formed between the hydrophilic non-woven fabric layer 62 and the spunlace cotton fabric layer 61. The gap allows air to flow, thereby ensuring the breathability of the nursing pad.
[0121] like Figure 4 As shown, a Chinese medicine layer is arranged inside or on the surface of the spunlace cotton cloth layer 61; the spunlace cotton cloth layer 61 is not a spunlace non-woven fabric, and the spunlace non-woven fabric has the advantages of being breathable and having holes on the inner surface, which can prevent the skin from being suffocated on the surface of the care pad. During the molding process of the spunlace cotton cloth layer 61, hollow holes are formed in the spunlace cotton cloth layer 61. Since the hollow holes are randomly distributed, the density of the hollow holes in the embodiment is 20-40 / cm2, and the diameter of the hollow holes is 1mm-3mm. The Chinese medicine layer is arranged as follows.
[0122] The preparation method of the Chinese medicine layer is as follows: the following components in parts by weight: 1-4.5 parts of cassia twig, 3-30 parts of rhubarb, 1.5-9 parts of liquorice, 6-12 parts of burdock fruit, 3-6 parts of mint, 3-9 parts of angelica dahurica, 6-15 parts of forsythia, 5-30 parts of viola yedoensis, 3-12 parts of phellodendron, 3-9 parts of wormwood, 3-9 parts of sappan wood, 9-15 parts of millettia reticulata, 6-12 parts of julibrissin bark, and 0.1-0.3 parts of borneol.
[0123] Preparation and implementation method: Weigh 3 parts of cinnamon twig, 9 parts of rhubarb, 3 parts of liquorice, 9 parts of burdock fruit, 6 parts of mint, 6 parts of angelica dahurica, 9 parts of forsythia, 15 parts of viola yedoensis, 9 parts of phellodendron, 9 parts of wormwood, 6 parts of sappan wood, 12 parts of millettia reticulata, 9 parts of julibrissin bark, 0.1 part of borneol, and 450 parts of water.
[0124] The above-mentioned cassia twig, rhubarb, liquorice, burdock fruit, mint, angelica dahurica, forsythia suspensa, viola yedoensis, phellodendron, wormwood, sappan wood, millettia reticulata, julibrissin bark, borneol, and aloe were mixed and crushed, boiled for 1 hour, and filtered; 6 times the amount of water was added to the filter residue, boiled for half an hour, and filtered; 4 times the amount of water was added to the filter residue, boiled for half an hour, and filtered; the filtrates were combined to form a hot extract.
[0125] The hot extract can be bonded to the spunlace cotton fabric layer 61 in a variety of ways.
[0126] The first method is to spray the hot leaching liquid on the inner side of the spunlace cotton fabric layer 61 during the conveying process of the spunlace cotton fabric layer 61 by the guide roller, and then dry it after spraying;
[0127] The second method is to apply a certain concentration of hot leached liquid to the inner side surface or both sides of the spunlace cotton fabric layer 61 by roller coating during the conveying of the spunlace cotton fabric layer 61 by the guide roller, and then dry the leached liquid after coating.
[0128] The third method is to immerse the spunlaced cotton fabric layer 61 in a water pool containing hot leaching liquid during the conveying process of the guide roller, and then pass through a drying box for drying during the conveying process;
[0129] The fourth method is to dry the hot leaching liquid to form particles. During the transportation process, the spunlace cotton fabric layer passes through the particles on the inner side, and a certain amount of particles adhere to the inner side of the spunlace cotton fabric layer.
[0130] Then, through the above four methods (manual dipping or coating of the hot extract solution may also be adopted), a Chinese medicine layer is formed on the inner surface, outer surface or inside of the Chinese medicine layer.
[0131] When in use, the nursing pad should be replaced every 8 to 12 hours, or if it is contaminated after urination or defecation.
[0132] The beneficial effects of the present invention are described below in conjunction with clinical trial data.
[0133] Data: From May 2018 to May 2023, the inventor collected 120 long-term bedridden patients with high risk of Braden score (10-12 points), including 68 males and 52 females, aged 67-98 years old, with an average observation period of 12 months. They were randomly divided into an experimental group of 64 cases and a control group of 56 cases. There was no significant difference in gender, age, weight, etc. between the two groups, and they were comparable.
[0134] Treatment method: The experimental group was implemented according to the implementation method, with long-term use and an observation period of 12 months. The control group used non-drug-loaded adult nursing pads, with long-term use and an observation period of 12 months. Both groups of patients used the same air mattress.
[0135] Observation items: The incidence of pressure injuries during the observation period
[0136] Comparison of the therapeutic effects between the two groups: Within 12 months, 3 cases of pressure injury occurred in the experimental group, with an incidence rate of 4.69%; Within 12 months, 6 cases of pressure injury occurred in the control group, with an incidence rate of 10.71%. It can be seen that the nursing pad can effectively prevent pressure injuries.
[0137] Embodiment 4:
[0138] The formula and preparation method of the Chinese medicine ointment for treating pressure injury are
[0139] Step 1: Weigh the following components by weight:
[0140] 9-30 parts of Astragalus, 6-12 parts of Angelica, 6-12 parts of Codonopsis, 1-4.5 parts of cinnamon twig, 3-30 parts of Rhubarb, 1.5-9 parts of Licorice, 6-15 parts of White Peony, 4.5-9 parts of Schizonepeta, 3-9 parts of Angelica Dahurica, 6-15 parts of Forsythia, 9-15 parts of Isatis, 3-12 parts of Phellodendron, 3-12 parts of Sargentodon, 6-15 parts of Bletilla, 3-9 parts of Artemisia argyi, 3-9 parts of Corydalis, 3-9 parts of Frankincense, 3-9 parts of Myrrh, 3-9 parts of Carthamus, 3-9 parts of Sappan, 1-15 parts of Sanguisorba officinalis, 9-15 parts of Millettia, 1-15 parts of Catechu, 1-15 parts of Leech, 0.1-0.3 parts of Borneol, 1-45 parts of Aloe Vera gel, and 1-9 parts of Montmorillonite powder.
[0141] Step 2: Mixing and grinding:
[0142] Mix and grind the astragalus, angelica, codonopsis, cinnamon twig, rhubarb, liquorice, white peony root, schizonepeta, angelica dahurica, forsythia, isatis indigotica, phellodendron, spatholobi, bletilla striata, wormwood, corydalis, frankincense, myrrh, safflower, sappan wood, dragon's blood, millet spatholobi, catechu, leech, and borneol in step 1 into powder;
[0143] Step 3: Reconcile:
[0144] Mix the powder in step 2 with montmorillonite powder, then add aloe vera gel and twice the weight of medical vaseline to make a paste.
[0145] For example:
[0146] Preparation and implementation method: 1. Weigh 15g of Astragalus, 9g of Angelica, 9g of Codonopsis, 3g of Cinnamon Twig, 30g of Rhubarb, 9g of Licorice, 9g of White Peony, 6g of Schizonepeta, 6g of Angelica Dahurica, 9g of Forsythia, 12g of Isatis Indigofera, 9g of Phellodendron, 9g of Sargentophylla, 9g of Bletilla, 6g of Artemisia annua, 6g of Corydalis, 6g of Frankincense, 6g of Myrrh, 6g of Carthamus, 6g of Sappanwood, 9g of Sanguisorba Officinalis, 12g of Millettia Spatholobi, 9g of Catechu, 6g of Leech, 0.3g of Borneol, 35g of Aloe Vera Gel, and 6g of Montmorillonite Powder for later use.
[0147] The above-mentioned astragalus, angelica, codonopsis, cinnamon twig, rhubarb, liquorice, white peony, schizonepeta, angelica dahurica, forsythia, isatis indigotica, phellodendron, spatholobi, bletilla striata, wormwood, corydalis, frankincense, myrrh, safflower, sophora japonica, blood clotting, millettia reticulata, catechu, leech, and borneol are mixed and ground into powder, mixed into montmorillonite powder, and then added with aloe vera gel and twice the weight of medical vaseline (about 500 g) to form a uniform paste.
[0148] Usage: After cleaning the pressure injury wound with saline or iodine, take an appropriate amount of the ointment and apply it evenly to the affected area. The coating should completely cover the affected area and be slightly higher than the surrounding healthy skin tissue (at least the thickness of a coin). Cover it with 4 to 8 layers of sterile gauze or contact wound dressings. After 24 hours, remove the gauze or dressings and repeat the above steps to change the dressing. Wash off the previous drug residue as much as possible each time you change the dressing. Wait for the scab to form and fall off by itself until it is healed.
[0149] like Figures 12 to 16 It is the therapeutic effect diagram of the Chinese medicine ointment using Example 4:
[0150] Case 6: Yan Moumou, Fig.12 As shown in the figure, a 88-year-old woman was paralyzed after cerebral infarction and had been bedridden for a long time. The dorsolateral part of the left forearm was compressed by the bedside auxiliary device, with a range of 10cm×6cm and stage 3. After disinfecting and cleaning the wound, the ointment of the present invention was given, and the dressing was changed once a day. The wound healing was observed. On the 7th, 14th and 21st days, the redness and swelling around the wound surface significantly subsided, and the new granulation tissue gradually filled the wound surface. No purulent secretion was exuded during the treatment period; on the 28th day, the surface of the scab was flat, and the tissue under the scab was normal when pressed. After that, avoid pressure until the scab gradually fell off by itself, and clinical cure was achieved.
[0151] Case 7: Mr. Fan, Fig.13As shown, a 91-year-old woman was paralyzed after cerebral infarction and was bedridden for a long time. Pressure injury occurred in the sacral coccyx, with a range of 2 cm in diameter and 1.5 cm in diameter, and stage 3. After disinfection and cleaning of the wound, the ointment of the present invention was given, and the dressing was changed once a day. The wound healing was observed. On the 7th day, the redness and swelling around the wound surface significantly subsided, and the new granulation tissue gradually filled the wound surface, and no purulent secretion oozing out; on the 14th day, the scab fell off, and clinical cure was achieved.
[0152] Case 8: Mr. Wang, Fig.14 As shown in the figure, a 91-year-old woman was paralyzed after cerebral infarction and had been bedridden for a long time. She had a pressure injury on her left buttocks, with a range of 10 cm × 12 cm and stage 3. After disinfecting and cleaning the wound, the ointment of the present invention was given, and the dressing was changed once a day. The wound healing was observed. On the 4th, 7th, 10th and 13th days, the redness and swelling around the wound were significantly subsided, and the new granulation tissue gradually filled the wound until the wound healed and scabbed, and no purulent secretions were exuded; on the 16th day, the surface of the scab was flat, and the tissue under the scab was normal when pressed. Then avoid pressure until the scab gradually fell off by itself, and clinical cure was achieved.
[0153] Case 9: Mr. Li, Fig.15 As shown in the figure, a 92-year-old male was paralyzed after cerebral infarction and was bedridden for a long time. Pressure injury occurred on the outside of the left heel, with a diameter of 1.5 cm and stage 4. After disinfecting and cleaning the wound, the ointment of the present invention was given, and the dressing was changed once a day. The wound healing was observed. On the 7th day, 14th day, 21st day, 28th day, 35th day, and 42nd day, the redness and swelling around the wound surface were significantly subsided, and the new granulation tissue gradually filled the wound surface until the wound surface healed and scabbed, and no purulent secretions were exuded; on the 49th day, the scab fell off by itself, and clinical healing was achieved.
[0154] Case 10: Bao Moumou, Fig.16 As shown, a 67-year-old male had multiple fractures of the right lower limb caused by a car accident. After plaster fixation, the right heel was compressed and pressure injury occurred. The medical device-related pressure injury ranged from 3cm×4cm and was divided into 4 stages. After disinfection and cleaning of the wound, the ointment of the present invention was given, and the dressing was changed once a day. The wound healing was observed. On the 7th day, 14th day, 21st day, 28th day, and 35th day, it was seen that the redness and swelling around the wound surface significantly subsided, and the new granulation tissue gradually filled the wound surface until the wound surface healed and scabbed, and no purulent secretions were exuded; on the 42nd day, most of the scabs fell off by themselves, and clinical healing was achieved.
Claims
1. A Chinese medicine medical device system for preventing pressure injuries and treating stage 1 to 3 pressure injuries, characterized in that: The invention comprises a nursing pad for preventing pressure injury, a foam dressing for treating stage 1 pressure injury and a Chinese medicine ointment for treating stage 2 and stage 3 pressure injury. The nursing pad, foam dressing and Chinese medicine ointment all comprise cassia twig, rhubarb, liquorice, mint, angelica dahurica, forsythia, phellodendron, wormwood, sappan wood, millet blood vine, borneol and the like.
2. The Chinese medicine medical device system for preventing pressure injuries and treating stage 1 to 3 pressure injuries according to claim 1, characterized in that: The nursing pad includes from top to bottom A spunlace cotton fabric layer, wherein a Chinese medicine layer which can be dissolved in urine and has the functions of neutralizing and absorbing odor, promoting local blood circulation and killing bacteria is arranged inside or on the surface of the spunlace cotton fabric layer; A hydrophilic nonwoven fabric layer, wherein the hydrophilic nonwoven fabric layer is arranged below the spunlace cotton fabric layer; A water absorbing layer, wherein the water absorbing layer is mixed with crushed mint fiber; The water-proof layer, the PE film layer is arranged at the bottom of the water-absorbing layer.
3. The Chinese medicine medical device system for preventing pressure injuries and treating stage 1 to 3 pressure injuries according to claim 2, characterized in that: The Chinese medicine layer is formed on the inner surface, outer surface or inside of the spunlace cotton fabric layer by spraying, coating or dipping, and the Chinese medicine layer is formed by drying the hot leaching liquid.
4. The Chinese medicine medical device system for preventing pressure injuries and treating stage 1 to 3 pressure injuries according to claim 3, characterized in that: The hot extract comprises the following components in parts by weight: 1-4.5 parts of cassia twig, 3-30 parts of rhubarb, 1.5-9 parts of liquorice, 6-12 parts of burdock fruit, 3-6 parts of mint, 3-9 parts of angelica dahurica, 6-15 parts of forsythia, 5-30 parts of viola yedoensis, 3-12 parts of phellodendron, 3-9 parts of wormwood, 3-9 parts of sappan wood, 9-15 parts of millettia reticulata, 6-12 parts of julibrissin bark, and 0.1-0.3 parts of borneol.
5. The Chinese medicine medical device system for preventing pressure injuries and treating stage 1 to 3 pressure injuries according to claim 1, characterized in that: The foam dressing comprises, from bottom to top, a non-woven fabric layer, a foam layer, a gel ointment mixed layer and a sealing layer; The non-woven fabric layer serves as a base to connect the foam layer and the gel paste layer; The foam layer is a hydrophilic polyurethane foam, the bottom of the foam layer is connected to the top of the non-woven fabric layer, and the foam layer is evenly distributed on the upper surface of the non-woven fabric layer; The gel ointment mixed layer is composed of a colloid and a carrier that can reduce swelling and relieve pain, promote blood circulation and remove blood stasis, promote blood circulation and promote regeneration of local skin and subcutaneous muscle layer. The gel ointment mixed layer is arranged on the surface of the foam layer and distributed in an array. Adjacent gel ointment mixed layers are on the same plane to form channels for air flow.
6. The Chinese medicine medical device system for preventing pressure injuries and treating stage 1 to 3 pressure injuries according to claim 5, characterized in that: The carrier may be in the form of a leachate, powder or granules.
7. The Chinese medicine medical device system for preventing pressure injuries and treating stage 1 to 3 pressure injuries according to claim 6, characterized in that: The carrier components also include codonopsis pilosula, white peony root, schizonepeta tenuifolia, dandelion, isatis indigotica, spatholobi, bletilla striata, corydalis yanhusuo, frankincense, myrrh, safflower, viola yedoensis, dragon's blood, catechu, leech, and scorpion.
8. The Chinese medicine medical device system for preventing pressure injuries and treating stage 1 to 3 pressure injuries according to claim 7, characterized in that: The carrier comprises the following components in parts by weight: 6-12 parts of Codonopsis pilosula, 1-4.5 parts of cinnamon twig, 3-300 parts of rhubarb, 1.5-9 parts of liquorice, 6-15 parts of white peony root, 4.5-9 parts of schizonepeta, 3-6 parts of mint, 3-9 parts of angelica, 4.5-9 parts of chrysanthemum, 6-15 parts of forsythia, 5-30 parts of Viola yedoensis, 9-15 parts of dandelion, 9-15 parts of isatis indigotica. 3-12 parts, Phellodendron chinense 3-12 parts, Sargentodoxae 6-15 parts, Artemisia argyi 3-9 parts, Corydalis 3-9 parts, frankincense 3-9 parts, myrrh 3-9 parts, safflower 3-9 parts, Sappan wood 3-9 parts, Sanguisorba officinalis 1-15 parts, Millettia 9-15 parts, catechu 1-15 parts, leech 1-15 parts, borneol 0.1-0.3 parts, aloe gel 150 parts to 850 parts.
9. The Chinese medicine medical device system for preventing pressure injuries and treating stage 1 to 3 pressure injuries according to claim 1, characterized in that: The Chinese medicine ointment also includes astragalus, angelica, codonopsis, white peony root, schizonepeta, isatis indigotica, safflower, bletilla striata, corydalis, frankincense, myrrh, safflower, dragon's blood, catechu, leech, scorpion, montmorillonite powder, aloe gel and medical vaseline.
10. The Chinese medicine medical device system for preventing pressure injuries and treating stage 1 to 3 pressure injuries according to claim 9, characterized in that: The preparation method of the Chinese medicinal ointment is Step 1: Weigh the following components by weight: 9-30 parts of Astragalus, 6-12 parts of Angelica, 6-12 parts of Codonopsis, 1-4.5 parts of cinnamon twig, 3-30 parts of Rhubarb, 1.5-9 parts of Licorice, 6-15 parts of White Peony, 4.5-9 parts of Schizonepeta, 3-9 parts of Angelica dahurica, 6-15 parts of Forsythia, 9-15 parts of Isatis indigotica, 3-12 parts of Sargentodon, 6-15 parts of Bletilla, 3-9 parts of Artemisia argyi, 3-9 parts of Corydalis, 3-9 parts of Frankincense, 3-9 parts of Myrrh, 3-9 parts of Carthami, 3-9 parts of Sappanwood, 1-15 parts of Sanguisorba officinalis, 9-15 parts of Millettia reticulata, 1-15 parts of Catechu, 1-15 parts of Leech, 0.1-0.3 parts of Borneol, 1-45 parts of Aloe Vera gel, and 1-9 parts of Montmorillonite powder. Step 2: Mixing and grinding: Mix and grind the astragalus, angelica, codonopsis, cinnamon twig, rhubarb, liquorice, white peony root, schizonepeta, angelica dahurica, forsythia, isatis indigotica, spatholobi, bletilla striata, wormwood, corydalis, frankincense, myrrh, safflower, sappan wood, dragon's blood, millet spatholobi, catechu, leech, and borneol in step 1 into powder; Step 3: Reconcile: Mix the powder in step 2 with montmorillonite powder, then add aloe vera gel and twice the weight of medical vaseline to make a paste.
