自拟中药方治疗手足火器伤后慢性化脓性骨髓炎临床观察  

Clinical observation of self Chinese herbal medicine prescription in the treatment of chronic suppurative osteomyelitis after firearm wound of hand and foot

作　　者：于爱军 丁海生 周志玲[2] 袁进国[3] 丁英奇[2] 

机构地区：[1]河北省张家口市宣化区医院骨科,075100 [2]河北北方学院附属第二医院骨科,河北省张家口市075100 [3]中国人民解放军第251医院外科,河北省张家口市075000

出　　处：《临床合理用药杂志》2014年第25期9-10,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的探讨自拟中药方外敷治疗手足火器伤后慢性化脓性骨髓炎的临床效果。方法将66例手足火器伤后慢性化脓性骨髓炎患者随机分为治疗组和对照组各33例。对照组给予常规治疗和护理措施,治疗组在对照组基础上加用自拟中药方外敷患处。比较2组术前症状控制情况、急性期症状消退时间、术后创口愈合情况及不良反应情况。结果治疗组待术时间短于对照组,术前症状控制及术后创口愈合情况均优于对照组,差异均有统计学意义(P<0.05)。结论自拟中药方外敷治疗手足火器伤后慢性化脓性骨髓炎可有效控制临床症状,缩短疗程,提高疗效及生存质量,值得临床推广应用。Objective To discussion the clinical effect of self Chinese herbal medicine prescription in the treatment of chronic suppurative osteomyelitis after firearm wound of hand and foot. Methods 66 cases of patients with chronic suppurative osteomyelitis after firearm wound of hand and foot were randomly divided into treatment group and control group,each of 33 ca-ses. Control group received conventional treatment and care measures,treatment group were given with self Chinese herbal med-icine prescription based on control group. Compared the symptom control situation before surgery,acute symptoms subside time,postoperative wound healing situation and adverse reactions of two groups. Results The time to be surgery of treatment group was shorter than control group,the postoperative symptom control situation and wound healing situation were better than control group,the differences were statistically significant（P ﹤ 0. 05）. Conclusion The treatment of self Chinese herbal medi-cine prescription for chronic suppurative osteomyelitis after firearm wound of hand and foot can effectively control symptoms and shorten the course of treatment,improve the efficacy and quality of life,worthy of clinical application.

关 键 词：火器伤 骨髓炎化脓性 慢性 中药外敷 

分 类 号：R274.9[医药卫生—中西医结合]