解毒洗药治疗皮肤溃疡30例临床观察  

Clinical observation on the effect of detoxifying lotion in the treatment of 30 patients with skin ulcer

作　　者：刘淑娟[1] 

机构地区：[1]山东中医药大学附属医院,山东济南250014

出　　处：《齐鲁护理杂志》2014年第20期24-26,共3页Journal of Qilu Nursing

摘　　要：目的:通过观察皮肤溃疡患者使用解毒洗药治疗前后临床症状的改变,为解毒洗药治疗皮肤溃疡病提供理论依据。方法:将60例患者按照随机数字表法分为治疗组和对照组各30例,治疗组上药研为粗末,纱布包好,加水煎15 min后,滤去药渣,先将创面置于盛药液的器皿上方熏10 min,待药液温度在45℃左右时外洗,并用纱布拭去创面上的脓液及腐败组织,完成熏洗后,晾干,无菌纱布覆盖,1次/d,2周为1个疗程。对照组先用75%乙醇创面周围消毒,后用生理盐水棉球拭去创面脓性分泌物及腐败组织,晾干后无菌纱布覆盖,1次/d,2周为1个疗程。结果:治疗组总显效率、总有效率与对照组比较差异有统计学意义(P<0.05)。结论:解毒洗药治疗皮肤溃疡(湿热型)具有较为满意的临床疗效。Objective ：To find the change of clinical symptoms of patients with skin ulcer before and after the use of detoxifying lotion in order to provide the theoretical basis for treatment of skin ulcer with detoxifying lotion. Methods ：60 patients were randomly divided into the treatment group and the control group （ 30 cases in each group ）. The detoxifying lotion was made of coarse powder of herbs by decocting with water. In the treatment group,the surface of wound of the patients was first fumigated above the boiling detoxifying lotion for 10 mi- nutes and then the wound was washed out with detoxifying lotion when it was at 45 ~C, and pus and putrid tissues were debrided one time per day and the course lasted 2 weeks. In the control group,75% ethanol and normal saline was used for wound disinfection and debride- ment,the treatment course was the same as that in the treatment group. Results：There were statistically significant differences in the com- parison of the total effectual rate and the total effective rate between the two groups （ P 〈 0.05 ）. Conclusion： Detoxifying lotion has the sat- isfactory clinical efficacy in the treatment of （damp -heat type） skin ulcer.

关 键 词：皮肤溃疡 解毒洗药 治疗前后 临床观察 无菌纱布 生理盐水棉球 药液温度 腐败组织 

分 类 号：R473.75[医药卫生—护理学]