中药浸浴联合换药治疗大面积深度烧伤后残余创面的临床疗效

Observation on the Clinical Effect of Treatment of Residual Wounds after Mass Depth Burn with Chinese Medicine Bathing Combined with Dressing Change

目的:探讨中药浸浴联合换药治疗大面积深度烧伤后残余创面的临床疗效。方法:选取2015年2月至2018年2月在北京积水潭医院烧伤科收治的大面积深度烧伤治疗后有残余创面的患者80例。按照随机数字表法随机分为观察组和对照组,每组40例。对照组采用常规西医治疗,观察组采用中药浸浴联合换药治疗。观察2组患者创面用药后有效率、疼痛缓解、细菌清除率、瘢痕发生率及创面愈合时间。结果:观察组临床有效率(97.5%)大于对照组有效率(72.5%)(P<0.05);观察组疼痛缓解优良率(75.0%)大于对照组优良率(40.0%)(P<0.05);观察组细菌清除率(82.5%)大于对照组细菌清除率(40.0%)(P<0.05);观察组瘢痕发生率(17.5%)明显优于对照组(52.5%)(P<0.05);观察组创面愈合时间(12.49±2.51)d明显优于对照组(23.42±3.51)d(P<0.05)。结论:大面积深度烧伤后存在残余创面的患者采用中药浸浴联合换药治疗能够提高其临床疗效,改善创面疼痛,有效清除创面细菌,减少瘢痕发生率,缩短创面愈合时间。

Objective： To investigate the clinical effect of traditional Chinese medicine bathing combined with changing medicine on the residual wound after extensive deep burn.Methods： A total of 80 patients with residual wounds after extensive deep burn treatment from February 2015 to February 2018 in the Burn Department of Beijing Jishuitan Hospital.The patients were randomly divided into observation group（ N = 40） and control group（ N = 40） according to the random table method.The control group was treated with conventional Western medicine,and the observation group was treated with Chinese traditional medicine bathing combined with dressing change.The efficiency,pain relief,bacterial clearance rate,scar incidence and wound healing time were observed in both groups.Results： Clinical efficiency in observation group（ 97.5 %） was higher than that in control group（ 72.5%）（ P〈0.05）.The good rate of pain relief in observation group（ 75.0 %） was higher than that in control group（ 40.0 %）（ P〈0.05）.The bacterial clearance rate in observation group（ 82.5 %） was higher than that in control group（ 40.0 %）（ P〈0.05）.The incidence rate of scar in observation group（ 17.5 %） was significantly better than in control group（ 52.5 %）（ P〈0.05）.The healing time（ 12.49 ± 2.51） was significantly better than that of the control group（ 23.42 ± 3.51）（ P〈0.05）.Conclusion： It is worth popularizing to use Chinese traditional medicine bathing combined with dressing change for treatment of residual wound after extensive deep burn to improve its clinical treatment,improve wound pain,effectively remove wound bacteria,reduce scar incidence and shorten wound healing time.