中药配合治疗特大面积烧伤的临床观察

Clinical Observation of Chinese Medicine Treatment of Burns

目的 探讨中医药在大面积烧伤治疗中的作用及其机理。方法 2 8例烧伤面积 80 %以上或Ⅲ度烧伤 5 0 %以上的病人随机分成治疗组 (15例 )和对照组 (13例 ) ,前者根据中医辩证施治分别于伤后初、中期及恢复期采用不同中药汤剂配合常规西医药进行治疗 ,后者则采用常规西医药治疗。对两组死亡率、全身感染发生率以及治愈时间等进行对照。结果 治疗组死亡率、并发症发生率低于对照组 ,治愈时间较对照组短 ,且静脉输入营养液比对照组少。结论 中药具有调整肠蠕动、促进营养物质摄取 ,增强机体免疫调理作用 ,减轻脂质过氧化损害的作用。

Objective To search the efficacy and mechanism of Chinese medicine in curing burns Method 28 patients of 80% TBSA or Ⅲ° 50% were divided randomly into the cure group ( n =15) which was treated by therapy of different Chinese medicines combined with routine therapy and compared group ( n =13) which was treated by routine therapy Result The mortality and complications of treated group were lower Conclusion Chinese medicines have the efficacy of regulating intestinal crawl and substance absortption, and can enhance the curative effect of large area burns