The Journal of Internal Korean Medicine (대한한방내과학회지)

The Society of Internal Korean Medicine (대한한방내과학회)
권호 표지
DOI QR코드

DOI QR Code

Case Report of Pressure Injury in Intracerebral Hemorrhage Patients Improved by Combining Radix Astragali Pharmacoacupuncture Solution during Antibiotic Treatment

항생제 치료 중 드레싱과 황기 약침액 도포를 병행하여 호전된 뇌출혈 환자 욕창 1례

  • Geun Young Kim (Dept. of Cardiology and Neurology, Kyung Hee University Korean Medicine Hospital) ;
  • Dabin Lee (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seon Uk Jeon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Han-Gyul Lee (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Ki-Ho Cho (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Sang-Kwan Moon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Woo-Sang Jung (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Seungwon Kwon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 김근영 (경희대학교한방병원 순환신경내과) ;
  • 이다빈 (경희대학교 대학원 임상한의학과) ;
  • 전선욱 (경희대학교 대학원 임상한의학과) ;
  • 이한결 (경희대학교 대학원 임상한의학과) ;
  • 조기호 (경희대학교 대학원 임상한의학과) ;
  • 문상관 (경희대학교 대학원 임상한의학과) ;
  • 정우상 (경희대학교 대학원 임상한의학과) ;
  • 권승원 (경희대학교 대학원 임상한의학과)
  • Received : 2023.04.06
  • Accepted : 2023.05.31
  • Published : 2023.05.30
Download PDF
⟨ Previous Next ⟩

Abstract

Background: Pressure injuries are localized areas of damage to the skin and/or underlying tissue, usually over a bony prominence due to pressure. Cerebrovascular disease increases the risk of pressure injuries due to the immobility caused by physical paralysis. The general approach to managing a patient with pressure injuries should include pain relief, the treatment of the infection, optimizing nutritional intake, proper positioning, and contamination prevention. Nonetheless, the duration of treatment for pressure injuries varies from person to person. Case report: An 80-year-old female intracerebral hemorrhage patient developed a pressure injury. To improve the injury faster, a Radix Astragali pharmacoacupuncture solution was applied to the pressure sore. The pressure injury's width, length, and depth was assessed using a ruler, and the exudate amount and tissue types were assessed. The treatment was performed for 35 days. The rate at which the size of the pressure sore lessened increased since the Radix Astragali pharmacoacupuncture solution was applied to the pressure sore. In addition, the tissue type of the pressure injury improved, and the exudates decreased. There was no significant difference in the Pressure Ulcer Scale for Healing Tool 3.0, since the Radix Astragali pharmacoacupuncture solution was applied to the pressure injury. Conclusion: This clinical case study suggests that the Radix Astragali pharmacoacupuncture solution might be effective in speeding up the healing of pressure injuries.

Keywords

References

  1. Slawomirski L, Auraaen A, Klazinga N. The Economics of Patient Safety: Strengthening a Value-Based Approach to Reducing Patient Harm at National Level. OECD Health Working Papers 96. Paris: OECD Publishing; 2017.
  2. Moore Z, Johanssen E, Etten M. A review of PU prevalence and incidence across Scandinavia, Iceland and Ireland (part I). J Wound Care 2013;22(7):361-8. https://doi.org/10.12968/jowc.2013.22.7.361
  3. Gorecki C, Brown JM, Nelson EA, Briggs M, Schoonhoven L, Dealey C, et al. Impact of pressure ulcers on quality of life in older patients: a systematic review. J Am Geriatr Soc 2009;57(7):1175-83. https://doi.org/10.1111/j.1532-5415.2009.02307.x
  4. Kranke P, Bennett MH, Martyn-St James M, Schnabel A, Debus SE, Weibel S. Hyperbaric oxygen therapy for chronic wounds. Cochrane Database Syst Rev 2015;2015(6):Cd004123.
  5. Polak A, Taradaj J, Nawrat-Szoltysik A, Stania M, Dolibog P, Blaszczak E, et al. Reduction of pressure ulcer size with high-voltage pulsed current and high-frequency ultrasound: a randomised trial. J Wound Care 2016;25(12):742-4. https://doi.org/10.12968/jowc.2016.25.12.742
  6. Polak A, Kloth LC, Blaszczak E, Taradaj J, Nawrat-Szoltysik A, Walczak A, et al. Evaluation of the Healing Progress of Pressure Ulcers Treated with Cathodal High-Voltage Monophasic Pulsed Current: Results of a Prospective, Double-blind, Randomized Clinical Trial. Adv Skin Wound Care 2016;29(10):447-59. https://doi.org/10.1097/01.ASW.0000493164.75337.de
  7. 원승환, 위종성, 최은주, 권기록. 욕창의 침 치료 1례. 대한침구학회 임상논문집 2003;1(2):94-9.
  8. Rhim EK, Lee YJ, Lee SK, Kim JH, Ji DH, Song CM, et al. A Clinical Observation of two cases of Pressure Sore complicated by cerebrovascular diseases. The Journal of Korean Oriental Internal Medicine 2004;25(4-2):426-32.
  9. Cho GI, Yang MR, Choi JY, Shin HS, Jung YJ, Kim KS, et al. Two cases of Pressure sore treated by Talcum(滑石) powder. The Journal of Internal Korean Medicine 2001;22(4):709-15.
  10. Hwang EH, Song J, Jang JH, Jeong HS, Yang CS, Jang IS. 2 Cases of Decubitus Ulcer Treated with Laser Therapy and Oriental Medicine. Journal of Oriental Rehabilitation Medicine 2007;17(4):243-53.
  11. Jo SE, Lee H, Hong SJ, Kang JH. Two Cases of Pressure Ulcer Patients Treated with Acupuncture and Light Emitting Diode Light Therapy. Journal of Acupuncture Research 2015;32(3):211-20.
  12. 황재웅, 김창현, 민인규, 최창민, 고창남. 탄소봉을 이용한 욕창 환자의 치험 1례. 대한중풍학회지 2006;7(1):83-7.
  13. Lee DH, Nam JS, Jeong HS, Jang IS, Seo ES. Two Cases of Grade Four Pressure Ulcer Patients Treated with Pharmacopuncture Soyeom and Herbal Medicine Taklisodok-eum. Korean J Orient Int Med 2010;31(2):388-94.
  14. Doo KH, Lee JH, Lee DH, Kim SK, Cho SY, Park SU, et al. Effect of Hwangyeonhaedok-tang Pharmacopuncture on Pressure Ulcer: A case report. The Journal of Korean Oriental Internal Medicine 2013;1(1):367-73.
  15. Heo JW, Eom TM, Oh JM, Choi KE, Kim HT, Seol IC, et al. Three Cases of Pressure Ulcer Treated with Hwangryunhaedok-tang Pharmacopuncture and Jaungo. J Int Korean Med 2015;36(3):419-26.
  16. Kang NR, Yoon HJ, Ko WS. Effects of Microneedle Therapy System(MTS) and Hwangryeonhaedoktang Pharmacopuncture Solution on Hair Growth in an Alopecia Model of C57BL/6N Mouse. J Korean Med Ophthalmol Otolaryngol Dermatol 2016;29(1):47-64. https://doi.org/10.6114/jkood.2016.29.1.047
  17. Thomas DR, Rodeheaver GT, Bartolucci AA, Franz RA, Sussman C, Ferrell BA, et al. Pressure ulcer scale for healing: derivation and validation of the PUSH tool. Adv Wound Care 1997;10(5):96-101.
  18. 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, p. 376-80.
  19. 전연이, 지선영. 蓐瘡의 外治法에 대한 考察. 東西醫學 1999;24(4):18-32.
  20. 김홍진, 최정화. 蓐瘡의 治療에 관한 文獻的 考察. 大韓外官科學會誌 1999;12(2):104-21.
  21. Shin MK. Clinical Traditinoal Herbalogy. Seoul: Younglimsa; 1997, p. 169-71.
  22. Han DO, Kim GH, Choi YB, Shim IS, Lee HJ, Lee YG, et al. Healing Effects of Astragali Radix Extracts on Experimental Open Wounds in Rats. Korean journal of oriental physiology & pathology 2005;19(1):92-7.
  23. Seo DM, Choi DY, Lee JD. Effects of Astragalus Membranaceus on Angiogenesis. Journal of Korean Acupuncture and Moxibustion Society 2008;24(2):113-23.
  24. Kim JH, Jung TY, Lee BH, Lee YK, Kim JS, Lee KM, et al. Effects of Astragali Radix Herbal Acupuncture Extracts on the Collagenase Activity and Procollagen Synthesis in HS68 Human Fibroblasts and Tyrosinase Activity. The journal of Korean Acupuncture & Moxibustion Society 2011;28(3):13-20.
  25. Mou JC, Lee SN, Kim MG, Kim HJ, Jo HJ, Leem KH. Effects of Astragali Radix Extracts on the Elastase Activity and DPPH and NO Scavenging Activities. The Korea journal of herbology 2011;26(1):59-63.
  26. Lee PJ, Kim HT, Yoon KS, Park HC, Ha HY. The effect of Astragalus membranaceus methanol extract on hyaluronic acid production in HaCaT cells. The journal of Korean Medicine Ophthalmology & Otolaryngology & Dermatology 2013;26(1):75-81. https://doi.org/10.6114/jkood.2013.26.1.075
  27. Hong CH, Kang KH, Yoon HJ, Yoon HM, Song CH, Kim CH. Effect of Astragali Radix Pharmacocupuncture for Wound Healing of Full-Thickness Skin Wound in Mouse. J Korean Med Ophthalmol Otolaryngol Dermatol 2018;31(1):22-31.
  28. Seo JB, Lee TJ, Lee JW, Kim KA, Yoon JJ. 9 Cases of Pressure Ulcers Cured b Acupuncture Treatment and Open Wet Dressing Therap. J Physiol & Pathol Korean Med 2020;34(5):269-78.  https://doi.org/10.15188/kjopp.2020.10.34.5.269