蒙药嘎木朱尔在动物咬伤伤口愈合中的疗效及优势

Advantages of Mongolian medicine Gamuzhuer on the healing process of animal bite wounds

以重度动物咬伤的患者作为研究对象,通过回顾性队列研究,比较了急诊术后单纯使用常规外科抗菌敷料与联合外用嘎木朱尔对动物咬伤伤口的疗效差异,以明确蒙药嘎木朱尔的临床价值及治疗优势。指标包括引流时间、伤口愈合时间、外周血红细胞沉降率、C反应蛋白(CRP)、伤口愈合等级以及伤口并发症。结果显示,外用嘎木朱尔散可促进动物咬伤(Ⅲ级暴露)的伤口愈合过程,对Ⅰ期缝合伤口具有显著的抗炎作用,对Ⅱ期缝合伤口可发挥显著的抗感染、抗炎作用,可显著缩短伤口愈合时间、降低伤口并发症发生率,说明联合外用嘎木朱尔的疗效优于单纯常规外科抗菌敷料。

Animal bite wound is common in the primary medical system,which has a relatively high risk of wound complications and needs an emergency medical intervention.Mongolian medicine Gamuzhuer powder is one of the classic traditional prescriptions of Mongolian medicine for complex wound infection treatment.Through a retrospective parallel control study,the efficacy of conventional surgical antibacterial dressing on animal bite wounds was compared with that of conventional surgical antibacterial dressing combined with external Gamuzhuer.Indicators included drainage time,wound healing time,peripheral blood erythrocyte sedimentation rate,C-reactive protein(CRP),wound healing grade,and wound complications.The results showed that Gamuzhuer powder for external use can promote the wound healing process of animal bite(level III exposure),has significant anti-inflammatory effect on stage I suture wound,has significant anti-inflammatory and antiinflammatory effects on stage II suture wound,significantly shortens the wound healing time and reduces the incidence of wound complications,indicating that the efficacy of Gamuzhuer powder for external use is better than that of conventional surgical antibacterial dressing.