祛湿解毒膏在婴幼儿红臀中的临床应用效果分析

Analysis of clinical application effect of Qushi Jiedu ointment in infant red buttocks

目的 探讨观察解毒祛湿膏对婴幼儿红臀的疗效,为下一步推广奠定基础。方法 64例红臀患儿,使用祛湿解毒膏治疗。观察患儿的疗效、治疗有效患儿的治疗时间,比较治疗前后患儿症状积分。结果 64例患儿中,临床控制51例,显效7例,有效4例,无效2例,未发现恶化病例,总有效率为96.88%。62例治疗有效患儿中,治疗时间为2 d的占比最高, 3、4 d次之,治疗时间主要集中在2~4 d。治疗后,患儿臀部及(或)会阴部皮肤红肿、皮疹积分分别为(0.5313±1.2468)、(0.6250±0.3507)分,均低于治疗前的(4.5625±1.4461)、(0.7500±1.5736)分,差异有显著统计学意义(P<0.01);皮肤破溃积分(0.0313±0.2500)分低于治疗前的(0.2813±0.9995)分,差异有统计学意义(P<0.05);渗出液积分与治疗前比较差异无统计学意义(P>0.05)。结论 祛湿解毒膏为纯天然中药临方加工制剂,在婴幼儿红臀的临床使用中操作简单、安全,疗效显著,携带方便,故值得推广使用。

Objective To investigate the efficacy of Qushi Jiedu ointment on infant red buttocks,and lay the foundation for the next promotion.Methods 64 cases of red buttock infants were treated with Qushi Jiedu ointment.The therapeutic effect of the children and the treatment course of children with effective treatment were observed,and the symptom score of the children before and after treatment was compared.Results Among the 64 children,51 cases were clinically controlled,7 cases had obvious effect,4 cases were effective,2 cases were ineffective,and no deterioration cases were found,and the total effective rate was 96.88%.Among the 62 children with effective treatment,the percentage of patients with treatment course of 2 d was the highest,followed by 3 and 4 d,and the treatment course was mainly concentrated in 2-4 d.After treatment,the scores of hip and/or perineal skin redness and rash were(0.5313±1.2468)and(0.6250±0.3507)points,which were lower than(4.5625±1.4461)and(0.7500±1.5736)points before treatment,and the difference was statistically significant(P<0.01).The skin rupture score was(0.0313±0.2500)points after treatment,which was lower than(0.2813±0.9995)points before treatment,and the difference was statistically significant(P<0.05).There was no significant difference in exudate score before and after treatment(P>0.05).Conclusion Qushi Jiedu ointment is a pure natural Chinese medicine processing preparation.It is simple,safe,effective and convenient to carry in clinical use,so it is worth promoting and use.