橡皮生肌膏治疗手足外伤术后创口不愈合的临床疗效观察

Observation on treating non-healing wounds in patients after limb trauma surgery with the Xiangpi Shengji ointment

目的:观察分析手足外伤术后创口不愈合患者采用橡皮生肌膏治疗的临床疗效。方法:选取我院2014年1月-2017年8月期间收治的70例手足外伤术后创口不愈合患者,将所有患者按照不同治疗方式采用随机抽签法分为治疗组(35例,采用橡皮生肌膏治疗)和对照组(35例,采用无菌凡士林纱布治疗),对比两组患者治疗效果以及创面愈合时间。结果:治疗组治愈19例,共治疗有效32例,对照组治愈4例,共治疗有效26例,治疗组患者治疗总有效率为91.4%,显著高于对照组的74.3%,χ2=6.55,P <0.05。治疗组患者创面愈合时间为(25.59±1.99)d,明显短于对照组的(38.11±3.09)d,t=21.32,P<0.05。治疗组患者硬度、颜色、张力等评分均低于对照组(P <0.05)。结论:手足外伤术后创口不愈合患者采用橡皮生肌膏治疗的效果良好,不仅价格低廉,而且使用方便,生肌长皮效果佳,可有效促进创口愈合,值得在临床上广泛推广应用。

Objective： To observe the clinical efcacy of the Xiangpi Shengji ointment （ 橡皮生肌膏 ） on patients with non-healing wounds after limb trauma surgery. Methods： 70 patients were randomly divided into the treatment groups and control group according to diferent treatment methods, 35 cases in each. The treatment group was treated with the Xiangpi Shengji ointment; the control group was given sterile Vaseline gauze. Results： In the treatment group, 19 cases were cured; 32 cases were efective. In the control group, 4 cases were cured; 26 cases were efective. The total efcicency in the treatment group was 91.4%, and signifcantly higher than 74.3% in the control group （χ2=6.55, P〈0.05）. The wound healing time in the treatment group was （25.59±1.99） days, and signifcantly shorter than （38.11±3.09） days in the control group, t=21.32, P〈0.05. The scores of hardness, color and tension in the treatment group were lower than the control group （P〈0.05）. Conclusion： The Xiangpi Shengji ointment on non-healing wound shows a better efect, is cheap and easy to use, can efectively promote wound healing, and is worthy of widespread application.