Journal of Physiology & Pathology in Korean Medicine (동의생리병리학회지)

The Physiological Society of Korean Medicine and The Society of Pathology in Korean Medicine (대한동의생리학회·한의병리학회)
권호 표지
DOI QR코드

DOI QR Code

A Case Report of 2 Cases of Severe Sacral Stage IV Pressure Ulcer in the Elderly Who Were Cured by Treatment with Jaungo and Acupuncture and Debridement

자운고와 침 치료 및 변연절제술로 완치된 고령자의 천골부위 4기 중증욕창 2례에 대한 증례보고

  • Seo, Jung Bok (Myungil Medical Foundation Daejung Care Hospital) ;
  • Lee, Tae Jong (Myungil Medical Foundation Daejung Care Hospital) ;
  • Lee, Ji Won (Myungil Medical Foundation Daejung Care Hospital) ;
  • Kim, Kyoung Ah (Myungil Medical Foundation Daejung Care Hospital) ;
  • Yoon, Jung Jeh (Myungil Medical Foundation Daejung Care Hospital)
  • 서정복 (명일의료재단 대정요양병원) ;
  • 이태종 (명일의료재단 대정요양병원) ;
  • 이지원 (명일의료재단 대정요양병원) ;
  • 김경아 (명일의료재단 대정요양병원) ;
  • 윤정제 (명일의료재단 대정요양병원)
  • Received : 2021.09.04
  • Accepted : 2021.12.26
  • Published : 2022.02.25
Download PDF
⟨ Previous Next ⟩

Abstract

The purpose of this study is to report the effect of Jaungo and acupuncture and debridement for severe pressure ulcer in the elderly. Two Elderly patients with stage 4 pressure ulcer in the sacral region were eligible to participate in this study. Dressing using Jaungo was applied twice a day, and acupuncture was applied 4 times a week along the boundary between the normal epidermis and the pressure ulcer granulation tissue in contact with the pressure ulcer interface. Debridement was performed after partial or total removal, if necessary, under the judgment of the attending physician.In both cases, stage 4 pressure sores in the sacrum covered with crusts were cured in 193 days and 223 days, respectively, and no side effects were reported during treatment. This study shows that Jaungo and acupuncture and debridement may represent effective to treat pressure ulcer. but further studies are needed.

Keywords

References

  1. Seo HS, Yoon HJ, Ko WS, Kim KJ, Kim NG, Kim YB, et al. Text of Traditional Korean Dermatology & Surgery. 1st ed. Busan:Sunwo Publishing Co. 2007;376-80.
  2. Kim MO. Prevention and treatment of pressure sore following spinal cord injury. J Korean Med Assoc 2020;63:623-32. https://doi.org/10.5124/jkma.2020.63.10.623
  3. Wilson JR, Arnold PM, Singh A, Kalsi-Ryan S, Fehlings MG. Clinical prediction model for acute inpatient complications after traumatic cervical spinal cord injury: a subanalysis from the Surgical Timing in Acute Spinal Cord Injury Study. J Neurosurg Spine 2012;17(1 Suppl):46-51. https://doi.org/10.3171/2012.4.AOSPINE1246
  4. Wu Q, Ning GZ, Li YL, Feng HY, Feng SQ. Factors affecting the length of stay of patients with traumatic spinal cord injury in Tianjin, China. J Spinal Cord Med 2013;36:237-42. https://doi.org/10.1179/2045772313Y.0000000090
  5. Galhardo VA, Garroni Magalhaes M, Blanes L, Juliano Y, Masako Ferreira L. Health-related quality of life and depre-ssion in older patients with pressure ulcers. Wounds 2010;22:20-6.
  6. Gorecki C, Nixon J, Madill A, Firth J, Brown JM. What influences the impact of pressure ulcers on health-related quality of life? A qualitative patient-focused exploration of contributory factors. J Tissue Viability 2012;21:3-12. https://doi.org/10.1016/j.jtv.2011.11.001
  7. World Union of Wound Healing Societies. Role of dressings in pressure ulcer prevention. London: Wounds International. 2016.
  8. Jaul, E. Assessment and Management of Pressure Ulcers in the Elderly. Drugs Aging 2010;27:311-25. https://doi.org/10.2165/11318340-000000000-00000
  9. Seo HS, Yoon HJ, Ko WS, Kim KJ, Kim NG, Kim YB, et al. Text of Traditional Korean Dermatology & Surgery. 1st ed. Busan:Sunwo Publishing Co. 2007;376-80
  10. Shisudomyoung. Hanbang Chiryo Backhaw. Seoul:Dongnam Publisher. 1991;412-31.
  11. Wu P-C, Huang Y-B, Lin I-C, Tsai Y-H. A rapid, simple high performance liquid chromatography method for the determination of traditional Chinese medicine ointment Shiunko. J Food Drug Anal. 2004;12:311.
  12. Lee jae hui. Essential Formulae in Oriental Medicine with Illustrations(Revised Edition). Uibang Publishing Company. 2007:633-4.
  13. Haesler E; European Pressure Ulcer Advisory Panel; National Pressure Ulcer Advisory Panel; Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers/injuries: clinical practice guideline. The international guideline 2019. 3rd ed. Prague: European Pressure Ulcer Advisory Panel; 2019.
  14. Boynton PR, Jaworski D, Paustian C. Meeting the challenges of healing chronic wounds in older adults. Nurs Clin North Am 1999;34:921-32. https://doi.org/10.1016/S0029-6465(22)02430-6
  15. Gillian SA, Michael AH, Mark WJF. The effects of ageing on wound healing: immunolocalisation of growth factors and their receptors in a murine incisional model. J Anat 1997;190:351-65. https://doi.org/10.1046/j.1469-7580.1997.19030351.x
  16. Eo KJ, Ko WS, Kim YK. The effects of Jowoongo on the artificial wound on rat skin. J Korean Med Ophthalmol Otolaryngol Dermatol. 1998;11(1):54-68.
  17. Lee YT. The effects of jawoongo mixture on wound healing. Dong-Eui university Dong-Eui Papers. 1998;28(1):547-58.
  18. Kerstein MD. The scientific basis of healing. Adv Wound Care 1997;10:30-6.
  19. Kramer JD, Kearney M. Patient, wound, and treatment characteristics associated with healing in pressure ulcers. Adv Skin Wound Care 2000;13:17-24.
  20. korean academy of geriatric rehabilitation medicine. Geriatric rehabilitation medicine. KOONJA Publishing Inc.;2016; p.558.
  21. Hii-Sun Jeong. Non-surgical treatment for pressure ulcer. J Korean Med Assoc 2021 January; 64(1):26-33. https://doi.org/10.5124/jkma.2021.64.1.26