益气活血汤联合负压封闭引流术治疗慢性伤口38例

38 Cases of Clinical Observation of Yiqi Huoxue Decoction Combined with VSD in Treating Chronic Wounds

目的:研究中药益气活血汤联合负压封闭引流术(VSD)治疗骨科患者慢性伤口的临床疗效。方法:回顾性分析2017年1月至2020年10月因慢性伤口接受益气活血汤联合负压封闭引流术治疗的38例患者资料。所有患者慢性伤口清创及抗感染处理后予以负压封闭引流术及口服益气活血汤治疗,2周后观察分析患者创面肉芽生长、伤口愈合情况,最终观察患者的愈合情况。结果:治疗第2周后,患者创面肉芽评分均比治疗前明显降低,差异有统计学意义(P<0.05);治疗2周后观察组患者创面肉芽组织覆盖率比治疗前高,差异有统计学意义(P<0.05);治疗后总有效率为92.11%,38例最终全部愈合,愈合时间为(3.12±0.15)周。结论:中药益气活血汤联合VSD治疗慢性伤口可明显改善创面条件,提高慢性伤口愈合率。

Objective:To study the clinical efficacy of Yiqi Huoxue decoction combined with negative pressure sealing drainage(VSD)for patients with chronic wounds.Methods:38patients with chronic wounds underwent treatment with Yiqi Huoxue decoction combined with negative pressure sealing drainage from January 2017to October 2020.One course occupied 2weeks,and retrospective analysis about this treatment were carried out.The growth of granulation and wound healing condition were documented and analyzed.The final healing of the patients was observed.Results:After 2weeks of treatment,the wound granulation score was significantly lower than that before treatment(P<0.05).After 2weeks'treatment,the wound healing degree was obviously better than that of before treatment(P<0.05).After treatment of two weeks,the total effective rate was 92.11%.Chronic wounds of 38cases all healed in this study,the healing time was(3.12±0.15)weeks.Conclusion:The traditional Chinese medicine Yiqi Huoxue decoction combined with VSD can obviously improve the chronic wound healing rate.