蒲公英辅助治疗皮肤软组织扩张器置入术后轻度感染的临床疗效观察  

Clinical effect of adjuvant treatment of the postoperative infection of the expander implantation with dandelion

作　　者：蒯飞[1] 简彩[1] 马显杰[1] 郭树忠[1] 苏映军[1] 

机构地区：[1]第四军医大学西京医院全军整形外科研究所,西安710032

出　　处：《天津中医药》2015年第7期405-409,共5页Tianjin Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(30830102)

摘　　要：[目的]探讨蒲公英乙醇糊状物外敷在皮肤软组织扩张器置入术后轻度感染时期的临床疗效。[方法]对2009年6月—2014年7月行皮肤软组织扩张器置入术后轻度感染的患者病例进行临床疗效观察。56例单枚扩张器置入术后轻度感染皮瓣采用随机数字表法分为对照组(A组)和治疗组(B组),每组28例。两组均应用抗生素头孢甲肟1 g静脉滴注,每日2次。对照组扩张皮瓣应用75%乙醇纱布湿敷,每日2次;治疗组扩张皮瓣应用蒲公英乙醇糊状物纱布湿敷,每日2次。[结果]两组治疗前后红、肿症状评分、视觉模拟评分法(VAS评分)、皮温、白细胞计数水平均较治疗前有所改善,差异具有统计学意义(P<0.05)。治疗组以上检测指标改善明显优于对照组,差异具有统计学意义(P<0.05)。经治疗后,治疗组的治愈率为92.9%,有效率为100%,对照组的治愈率为71.4%,有效率为82.1%。治疗组的治愈率及有效率明显优于对照组,差异具有统计学意义(P<0.05)。[结论]蒲公英乙醇糊状物外敷能有效辅助治疗皮肤软组织扩张器置入术后轻度感染。[Objective] To investigate the clinical effect of the postoperative mild infection of the expander implantation with the mixture of Dandelion and 75% alcohol. [Methods] Retrospective study with the cases between June 2009 to July 2014 which had postoperative mild infection, totally 58 cases were divided randomly into the control group （A group） with 28 cases and the treatment group （B group） with 28 cases. Both groups were treated with 1 g of antibiotic Cefmenoxime injection and NS 250 ml through intravenous drip twice a day. The expansion flap of control group were wet compressed with 75% alcohol gauze twice a day, the expansion flap of the treatment group were wet compressed with the mixture of Dandelion and 75% alcohol twice a day. [Results] The symptom scores, VAS scores, skin temperature and WBC count after treatment in the two groups improved compared with before treatment, it had statistical difference （P〈0.05）. The effect of the treatment group was better than that in the control group （P〈0.05）. The curative ratio of the treatment group was 92.9%, the effective ratio was 100%; the curative ratio of the control group was 71.4%; the effective ratio was 82.1%. The cure rate and the effective rate of the treatment group was better than that in the control group （P〈0.05）. [Conclusion] External application of mixture of Dandelion and 75% alcohol can observably improve the therapeutic effect of the postoperative mild infection of the expander implantation.

关 键 词：蒲公英 扩张术 感染 术后并发症 

分 类 号：R751.05[医药卫生—皮肤病学与性病学]