Nursing Experience of Combined Herbal Dressing Changes in an Elderly Patient with Bacterial Pneumonia Complicated by Stage IV Sacrococcygeal Pressure Ulcer Infection

ZHANG Yingying; ZHANG Junling; SUN Wei

doi:10.12209/CAIM202506170008

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Nursing Experience of Combined Herbal Dressing Changes in an Elderly Patient with Bacterial Pneumonia Complicated by Stage IV Sacrococcygeal Pressure Ulcer Infection

更新时间：2025-09-29

- Nursing Experience of Combined Herbal Dressing Changes in an Elderly Patient with Bacterial Pneumonia Complicated by Stage IV Sacrococcygeal Pressure Ulcer Infection
- Clinical Archives of Integrative Medicine (2025)
- 作者机构：
  
  北京市丰台中西医结合医院老年科，北京， 100072
- 作者简介：
- 基金信息：
- DOI：10.12209/CAIM202506170008
  CLC：
- Received：17 June 2025，
  
  Revised：2025-07-29，
  
  Accepted：30 July 2025，
  
  Published Online：29 September 2025，
- 稿件说明：
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ZHANG Yingying, ZHANG Junling, SUN Wei. Nursing Experience of Combined Herbal Dressing Changes in an Elderly Patient with Bacterial Pneumonia Complicated by Stage IV Sacrococcygeal Pressure Ulcer Infection[DB/OL].Clinical archives of integrative medicine, 2025.
DOI：

ZHANG Yingying, ZHANG Junling, SUN Wei. Nursing Experience of Combined Herbal Dressing Changes in an Elderly Patient with Bacterial Pneumonia Complicated by Stage IV Sacrococcygeal Pressure Ulcer Infection[DB/OL].Clinical archives of integrative medicine, 2025. DOI： 10.12209/CAIM202506170008.

摘要

目的

探讨老年细菌性肺炎患者合并骶尾部Ⅳ期压疮感染多种中药联合换药的临床效果及护理要点。

方法

回顾性分析1例74岁细菌性肺炎患者合并骶尾部Ⅳ期压疮的护理过程，采用血竭粉、复方黄柏液涂剂、康复新液及解毒生肌膏交替换药，结合体位管理、营养支持及呼吸道护理等综合干预措施。

结果

经过8周治疗，患者压疮创面愈合率达58%，肺部感染得到控制，炎症指标降低。

结论

多种中药联合换药结合个体化护理可有效促进Ⅳ期压疮愈合，改善合并症预后，体现中西医结合护理的优势。

Abstract

Objective

To explore the clinical efficacy and nursing key points of combined herbal dressing changes in an elderly patient with bacterial pneumonia complicated by stage IV sacrococcygeal pressure ulcer infection.

Methods

A retrospective analysis was conducted on the nursing process of a 74-year-old patient with bacterial pneumonia and stage IV pressure ulcer. The intervention included alternating topical applications of Dragon's Blood Powder （Xuejie Fen）， Compound Huangbai Liniment， Kangfuxin Liquid， and Jiedu Shengji Ointment， combined with comprehensive measures such as position management， nutritional support， and respiratory care.

Results

After 8 weeks of treatment， the patient achieved a 58% wound healing rate， controlled pulmonary infection， and reduced inflammatory markers.

Conclusion

Combined herbal dressing changes integrated with individualized nursing can effectively promote healing of stage IV pressure ulcers and improve prognosis of comorbidities， demonstrating the advantages of integrated Traditional Chinese and Western Medicine nursing.

关键词

Keywords

references

刘碧晴，张晓彤，王可，等 . 385例多重用药的老年细菌性肺炎住院患者药品不良反应特点及影响因素分析［J］. 中国药物警戒， 2025 ， 22 （ 2 ）： 206 - 210， 216 .

LIU B Q ， ZHANG X T ， WANG K ， et al . Adverse drug reaction in 385 elderly inpatients with bacterial pneumonia under polypharmacy ［J］. Chin J Pharmacovigil ， 2025 ， 22 （ 2 ）： 206 - 210， 216 . （in Chinese）

荀孔富，朱金伍 . 炎症指标联合检测对鉴别细菌性和病毒性肺炎的临床意义［J］. 实用检验医师杂志， 2024 ， 16 （ 2 ）： 104 - 107 .

XUN K F ， ZHU J W . Clinical significance of combined detection of inflammatory markers in differential diagnosis of bacterial and viral pneumonia ［J］. Chin J Clin Pathol ， 2024 ， 16 （ 2 ）： 104 - 107 . （in Chinese）

陈雅倩，姬长存，杨洪卫 . 头孢哌酮舒巴坦联合阿奇霉素治疗老年细菌感染性重症肺炎的临床效果分析［J］. 中国社区医师， 2024 ， 40 （ 34 ）： 16 - 18 .

CHEN Y Q ， JI C C ， YANG H W . Clinical effect analysis of cefoperazone and sulbactam combined with azithromycin in treatment of senile severe pneumonia with bacterial infection ［J］. Chin Community Dr ， 2024 ， 40 （ 34 ）： 16 - 18 . （in Chinese）

黄林林，刘亭亭 . 老年卧床患者压疮预防护理实践［C］// 2025精神医学与心理健康系列研讨会论文集（一） . 重庆， 2025 ： 222 - 225 .

王丽娟 . 以专科护士为主导的老年压力性损伤高危患者家庭随访方案的构建及应用研究［D］. 合肥：安徽医科大学， 2024 .

马娟，李晓含，李琳 . 电子支气管镜肺泡灌洗治疗细菌性肺炎患者的效果分析［J］. 临床医学工程， 2025 ， 32 （ 3 ）： 257 - 260 .

MA J ， LI X H ， LI L . Analysis on the effect of electronic bronchoscopic alveolar lavage in the treatment of patients with bacterial pneumonia ［J］. Clin Med Eng ， 2025 ， 32 （ 3 ）： 257 - 260 . （in Chinese）

吉晓丹，赵顺英 . 肺炎支原体坏死性肺炎和细菌性坏死性肺炎临床特征分析［J］. 临床儿科杂志， 2024 ， 42 （ 3 ）： 193 - 197 .

JI X D ， ZHAO S Y . Clinical characteristics analysis of Mycoplasma pneumoniae necrotizing pneumonia and bacterial necrotizing pneumonia ［J］. J Clin Pediatr ， 2024 ， 42 （ 3 ）： 193 - 197 . （in Chinese）

李沛瑾，侯丽，王前，等 . 穴位刺激治疗成人癌因性疲乏的系统评价再评价［J］. 中国中医药信息杂志， 2023 ， 30 （ 10 ）： 48 - 55 .

LI P J ， HOU L ， WANG Q ， et al . Acupoint stimulation for cancer-related fatigue in adults： an overview of systematic reviews ［J］. Chin J Inf Tradit Chin Med ， 2023 ， 30 （ 10 ）： 48 - 55 . （in Chinese）

孟祥辉，郝良燕，周琦，等 . 耳穴压丸辅助治疗肝阳上亢型高血压合并焦虑状态临床观察［J］. 北京中医药， 2023 ， 42 （ 6 ）： 689 - 691 .

MENG X H ， HAO L Y ， ZHOU Q ， et al . Clinical observation on auricular point pressing pill in adjuvant treatment of hypertension complicated with anxiety of hyperactivity of liver Yang type ［J］. Beijing J Tradit Chin Med ， 2023 ， 42 （ 6 ）： 689 - 691 . （in Chinese）

陈丽婷，董卫国 . “肚腹三里留” 的中医理论发微［J/OL］. 中医临床研究， 2025 ： 1 - 6 . （ 2025-06-11 ）. https：//kns.cnki.net/kcms/detail/11.5895.R.20250611.1010.004.html https://kns.cnki.net/kcms/detail/11.5895.R.20250611.1010.004.html .

CHEN L T ， DONG W G . An In-depth Analysis of the Traditional Chinese Medicine Theory of "Three Inches Below the Abdomen Should Be Left Uninjured" ［J/OL］. Clin. J. Chin. Med. ， 2025 ： 1 - 6 . （ 2025-06-11 ）. https：//kns.cnki.net/kcms/detail/11.5895.R.20250611.1010.004.html https://kns.cnki.net/kcms/detail/11.5895.R.20250611.1010.004.html .

刘海涛，韩志新，牛大伟 . 复方黄柏液涂剂负压滴灌对压疮创面的治疗效果及对相关炎症因子的影响［J］. 中国中西医结合外科杂志， 2024 ， 30 （ 3 ）： 391 - 395 .

LIU H T ， HAN Z X ， NIU D W . The therapeutic effect of negative pressure drip irrigation with compound Huangbai liquid coating on pressure ulcer wounds and the influence of related inflammatory factors ［J］. Chin J Surg Integr Tradit West Med ， 2024 ， 30 （ 3 ）： 391 - 395 . （in Chinese）

黄海虹，宋莉芳 . 解毒生肌膏联合医护协作护理干预对慢性创面愈合进程的影响［J］. 西部中医药， 2025 ， 38 （ 2 ）： 136 - 140 .

HUANG H H ， SONG L F . Influence of detoxifying granulation-promoting ointment joined with doctor-nurse cooperation nursing intervention on chronic wound healing process ［J］. West J Tradit Chin Med ， 2025 ， 38 （ 2 ）： 136 - 140 . （in Chinese）

黄沛君，冯进进 . FMEA模式下构建急诊危重症患者临床护理路径管理研究［J］. 中国急救复苏与灾害医学杂志， 2024 ， 19 （ 5 ）： 667 - 672 .

HUANG P J ， FENG J J . Study on clinical care pathway management of emergency critical patients under FMEA ［J］. China J Emerg Resusc Disaster Med ， 2024 ， 19 （ 5 ）： 667 - 672 . （in Chinese）

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