香油在变应性血管炎患者干痂类皮损愈合中的应用

Application of sesame oil to healing dried scab in patients with allergic vasculitis

目的探讨香油用于变应性血管炎患者干痂类皮损的护理效果。方法将2009-12至2012-05在解放军总医院风湿科住院治疗的61例皮肤干痂性破损严重的变应性血管炎患者随机分为常规护理组和干预护理组。常规护理组(n=26)采用生理盐水清创,外敷银离子抗菌敷料的方法进行普通护理,干预护理组(n=35)在普通护理的基础上应用香油浸泡脱痂后外敷银离子抗菌敷料。观察干痂的愈合情况。结果采用干预护理方法后,患者的皮损恢复时间缩短,一般小伤口干痂(5.3±1.0)d脱落,(13.2±1.2)d愈合小面积创口(≤6 cm2)或缩小创伤面积;两组干痂脱落时间比较,差异有统计学意义(P<0.01)。与常规护理组比较,干预护理组干痂脱痂和愈合的患者及疼痛减轻和明显减轻的患者显著增多(P<0.01);且干预护理对血痂和脓痂的治疗效果差异无统计学意义。结论香油可促进变应性血管炎患者皮肤干痂的愈合,减轻患者的疼痛,可用于临床护理。

Objective To study the effect of sesame oil on healing care of dried scab skin lesions in patients with allergic vas- culitis. Methods Sixty - one patients with allergic vasculitis and severe dried - crab skin lesion were studied ; they were hospitalized in Department of Rheumatology in PLA General Hospital from December, 2009 to May, 2012. The patients were divided into 2 groups randomly. The patients in normal healing group （n = 26） were treated with physiological saline debridement, then external application of silver ion antibacterial dressing. The patients in trial group （ n = 35） were treated with application of sesame oil to soak the scabs off after the normal procedure, then application of silver ion antibacterial dressing. Their healing status was observed. Results In the tri- al group, the recovering time was shortened ; the small wound dry scabs normally dropped off within （ 5.3 ± 1.0） days, healing of small area wound（ ≤〈6 em2 ） or decrease in area of the wound was observed within（ 13.2 ± 1.2） days. There were significant differences be- tween the two groups in their dried scab drop -off time （P 〈 0, 01 ）. Compared with the normal healing group, the trial group had much more cases whose dried scabs dropped off or healed up, and more cases whose pain feelings were relieved or significantly relieved （ P 〈 0.01 ）. The healing intervention effects had no significant differences between blood scabs and the pus scabs. Conclusions Sesame oil promotes the healing process of dried scab skin lesions in patients with allergic vasculitis, also relieves their pain, and can be alp- plied to scab healing in clinical care.