대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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4도 욕창 환자에 대한 가미십전대보탕 투여 및 침치료와 습윤드레싱의 병행 효과 : 치험 1례

Combined Effects of Gami-sipjeondaebo-tang Administration, Acupuncture, and Wet Dressing in a Patient with Grade 4 Pressure Ulcer: A Case Report

  • 강선이 (원광대학교 한의과대학 내과학교실) ;
  • 송주환 (원광대학교 한의과대학 내과학교실) ;
  • 지상호 (원광대학교 한의과대학 내과학교실) ;
  • 김철현 (원광대학교 한의과대학 내과학교실) ;
  • 이상관 (원광대학교 한의과대학 내과학교실)
  • Sunny Kang (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Ju-hwan Song (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Sang-ho Ji (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Cheol-hyun Kim (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University) ;
  • Sang-kwan Lee (Dept. of Internal Medicine, College of Korean Medicine, Wonkwang University)
  • 투고 : 2023.09.14
  • 심사 : 2023.12.12
  • 발행 : 2023.12.30
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초록

Introduction: Pressure ulcers, often found in patients with mobility issues, particularly elderly patients, are increasing in prevalence. Their treatment is complex, with recovery more challenging in advanced stages, and certain factors can delay healing. Case Presentation: An 87-year-old male developed a grade IV pressure ulcer on his left greater trochanter following lumbar fractures and subsequent percutaneous vertebroplasty in 2021. Despite potential surgical recommendations, his treatment consisted of daily wet dressings, acupuncture from July 2021 to February 2022, and Gami-sipjeondaebo-tang beginning August 2021. The ulcer, initially measuring 6 cm×6 cm and showing a red wound without necrosis, healed completely and showed no signs of recurrence as of August 2023. Conclusion: A grade IV pressure ulcer was effectively treated using wet dressing, acupuncture, and Gami-sipjeondaebo-tang, demonstrating no recurrence over a 1.5-year period.

키워드

과제정보

This paper was supported by Wonkwang University in 2023.

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