中西医结合治疗大面积深度烧伤残余创面

Integrated Traditional Chinese and Western Medicine in Treating Residual Deep Burn Wounds

目的:比较中西医结合换药与应用SD-Ag治疗深度烧伤残余创面的临床效果。方法:128例大面积深度烧伤后残余创面患者随机分为两组,治疗组70例中药浸泡,采用中西药联合换药;对照组58例采用洗必泰溶液清洁创面,外涂SD-Ag。结果:与对照组比较,治疗组止痛效果明显,创面愈合时间明显缩短(P<0.05);创面愈合2周后,治疗组瘢痕出现率(15例,21.4%)明显少于对照组(35例,60.3%)(P<0.05)。结论:中西医结合治疗大面积深度烧伤残余创面,具有愈合快、疼痛轻、瘢痕少、住院时间短等优点。

Objective To compare the clinical effect of dressings by integrated Traditional Chinese Medicine（TCM） and Western medicine（WM）（ITCWM） after Chinese herbal bath and by the silver sulfadiazine cream （SD-Ag） in treating residual deep burn wounds. Methods A total of 128 cases of residual burn wounds were randomly divided into 70 cases ITCWM treatment group and 58 cases WM control group. In the treatment group, the patients had a bath with Chinese herbal medicine and the wounds were treated with dressing changes of ITCWM. In the control group, the wounds were treated with SD-Ag ＂after cleaning the wound with chlorhexidine solution. Results Compared with the control group, patient＇s pain in the treatment group was obviously reduced （P 〈 0.05）, and the wound healing time was about 10-25 d and significant differences（P 〈 0.05）. Conclusion On the base of TCM bath, an integration of TCM-WM for residual burn wounds is obviously superior to SD-Ag treatment, with the advantages of rapid healing, minimal pain, no obvious scar, and short hospitalization.