摘要
目的:对比研究竹栀五黄液外敷与西医常规碘伏换药在治疗急性感染性创面的临床疗效。方法:纳入2016年1月至2016年7月我科收治的急性感染性创面患者共70例,随机分为试验组35例,对照组35例。均予常规碘伏消毒后,试验组采用竹栀五黄液浸润无菌纱布外敷,对照组则采用等渗生理盐水浸润无菌纱布外敷,隔日换药一次,观察期为14天。评比两组患者VAS疼痛评分、创面皮温降至正常范围的时间、创面分泌物量、创面面积缩小情况和创面颜色与光泽,检验标准а<0.05。结果:试验组治愈19例,显效13例,有效3例,无效0例,总有效100%,治愈率54.23%;对照组治愈10例,显效7例,有效4例,无效4例,总有效率91.18%,治愈率28.57%。治愈率及总有效率比较试验组明显优于对照组(P<0.05)。两组患者VAS疼痛评分、创面皮温降至正常范围的时间、创面分泌物量、创面面积缩小情况和创面颜色与光泽比较治疗组均优于对照组(P<0.05)。结论:在常规换药的基础上,应用竹栀五黄液外敷治疗急性感染性创面,可有效提高创面治愈率、缩短愈合时间,明显缓解患处疼痛,患者依从性好,安全性高,值得临床推广应用。
Objective:Comparing the clinical efficacy between Self-made Zhuzhi Wuhuang Liquid for external application and western medicine routine iodophor dressing in healing acute infected wounds.Methods:From January 2016 to July 2016,70 patients with acute infectious wound were randomly divided into observation group with 35 cases and controlled group with35 cases.After the convational iodophor disinfection,the observtion gronp with Self-made Zhuzhi Wuhuang Liquid for external application,the controlled group with physiological saline infiltration steril gauze compress,dressing was changed every other day and the observation period for 14 days.Recording the VAS pain scores and pain disappear time,wound size,skin temperature,skin restore normal time and wound area and wound color and luster.Results:Contrasting the differences within the group and between groups.The standard0.05 test.The observation group cured 19 cases,13cases were markedly effective,3cases were effective,0case was ineffective,the total effective rate was 100%,the cure rate was 54.23%;the controlled group cured 10 cases,7cases were markedly effective,4cases were effective,4cases were ineffective,the total effective rate was 91.18%,the cure rate was 28.57%.The observation group was better than that of the controlled group,the difference was statistcally significant(P〈0.05).At the VAS pain score,wound skin temperature dropped to the normal range of time,wound secretions,wound area and wound color and luster of the treatment group was better than the controlled group(P〈0.05).Conclusions:On the basis of routine dressing and application of treatment of wound infection,Self-made Zhuzhi Wuhuang Liquid can improve the cure rate,effectively shorten the wound healing time,relieve pain,has no obvious toxic and side effects and compliance of patients with good,worthy of clinical application.
作者
黄晓蓉
董国良
尉伟卫
吴逢斌
余洋
唐建军
刘运忠
欧光林
杜伟民
罗详飞
HUANG Xiaorong DONG Guoliang WEI Weiwei et al(Department of Orthopaedics, Department of orthopaedics, Traditional Chinese Medicine Hospital of Xindu District (Chengdu Sichuan 610500, China)
出处
《四川中医》
2017年第7期165-168,共4页
Journal of Sichuan of Traditional Chinese Medicine
关键词
竹栀五黄液
急性感染性创面
中医外治法
Zhuzhi Wuhuang Liquid
Acute infective wound
External therapy of TCM