中西医治疗体表慢性溃疡的疗效比较

Comparison of curative effect of Chinese and western medicine on chronic skin ulcers

目的通过中西医治疗体表慢性溃疡的疗效比较,探讨治疗体表慢性溃疡的较好方法。方法将120例慢性溃疡患者随机分成4组,每组30例。A组采用湿润烧伤膏(MEBO)治疗,B组采用祛腐生肌散治疗,C组采用贝复济治疗,D组采用西医换药治疗。观察各组换药过程中疼痛程度、用药后疼痛缓解程度,统计创面愈合时间及瘢痕情况。结果A组、B组在换药过程中疼痛程度及创面疼痛明显较C组、D组轻,A组、B组之间无显著性差异;A组、B组愈合时间短于C组、D组,创面瘢痕明显少于于C组、D组。A组愈合时间与B组比较无显著性差异,但预防创面瘢痕形成方面优于B组。结论中医治疗体表慢性溃疡具有优势;湿性医疗技术(MEBT/MEBO)是治疗体表慢性溃疡的主要方法;中西医结合是体表慢性溃疡治疗方法的研究方向。

Objective It is to compare the curative effect of Chinese and western medicine on chronic skin ulcers to fine a better way of the treatment for this disease.Methods 120 patients with chronic ulcers were randomly divided into four groups.Each group included 30 cases.Group A was treated with MEBO,Group B was treated with RNAPGP,Group C was treated with bFGF,Group D was treated with WDM.Pain during dressing change,the degree of pain relief after administration,wound healing time and scar were observed.Results Dressing change pain and wound pain in groups A and B was significantly less than that in group C and D,but there was no significant difference between group A and group B.Groups A and B is better than Groups C and D in healing time and wound scar formation prevention.Groups A and B have no significant differences in healing time,but Group A is better than Group B in the prevention of scar formation.Conclusion Treatment with Chinese medicine for chronic skin ulcers is superior.MEBT/MEBO is the main way of treatment for chronic ulcers of body surface,and Chinese medicine combined with western medicine is the direction of treatment for this disease.