摘要
目的:探讨双黄连粉外敷配合高压氧治疗慢性皮肤溃疡的效果及护理方法。方法:将65例(106处)慢性皮肤溃疡患者分为观察组36例(56处)和对照组29例(50处)。对照组采用传统的治疗方法,即清创、换药、敷料覆盖及包扎,每日换药2～3次。观察组行生理盐水冲洗、外科清创后,用蜂蜜做基质将双黄连粉调成糊状涂于创面,敷料覆盖包扎,每日换药2～3次,然后配合高压氧治疗。观察、比较两组患者治疗效果、溃疡愈合时间。结果:两组患者整体治疗效果比较差异有统计学意义(P<0.01)。观察组患者溃疡愈合时间较对照组短(P<0.01)。结论:采用双黄连粉外敷配合高压氧治疗慢性皮肤溃疡效果满意,值得临床推广应用。
Objective： To explore the effect of external application of Shuanghuanglian powder combined with hyperbaric oxygen therapy and nursing methods in the treatment of chronic skin ulcer.Methods： 65 patients with chronic skin ulcer（106 pieces of skin ulcer） were divided into observation group（n=36 patients,56 pieces） and control group（n=29 patients,50 pieces）.The patients in the control group were given such conventional treatment as debridement,dressing and bandaging,and dressing was changed 2 to 3 times daily.The patients in the observation group were treated with external application of honey-matrix paste made of Shuanghuanglian powder after treatment of saline irrigation and surgical debridement,the dressing was changed 2 to 3 times daily and then hyperbaric oxygen therapy was adopted.The treatment effect was observed and compared between the two groups.Results： The overall treatment effect was statistically significant different between the two groups（P〈0.01）;the healing time in the observation group was shorter than that in the control group（P〈0.01）.Conclusion： It is satisfied to use external application of Shuanghuanglian powder combined with hyperbaric oxygen therapy to treat chronic skin ulcer,the method is reliable and recommended to be widely used in clinical practice.
关键词
慢性皮肤溃疡
双黄连粉外敷
高压氧
Chronic skin ulcer
External application of Shuanghuanglian powder
Hyperbaric oxygen
