中西医结合治疗深度烧伤后残余创面的临床观察  

Clinical Observation on Integrative Chinese and Western Medicine in Treating Residual Wounds after Deep Burn

作　　者：温春泉[1] 

机构地区：[1]北京积水潭医院烧伤科,北京100035

出　　处：《世界中医药》2017年第3期573-575,共3页World Chinese Medicine

基　　金：国家自然科学基金项目(编号:81101428)--虎杖苷通过抑制内在凋亡信号改善烧伤后血管通透性增高

摘　　要：目的:与常规疗法比较,考察经中西医结合治疗方案对深度烧伤后残余创面治疗的临床效果。方法:选择2014年8月至2016年8月于我院就诊的68例深度烧伤后残余创面患者,随机分为2组,对照组经洗必泰溶液清洁创面后外涂磺胺嘧啶银霜,观察组经中药浸浴后给予中西药联合换药。比较2组疗效。结果:观察组治疗总有效率为97.1%,显著高于对照组(73.5%)(χ~2=8.039,P<0.05);观察组疼痛缓解优良率为76.5%,显著高于对照组(35.3%)(χ~2=11.102,P<0.05);观察组创面愈合时间为(13.2±3.4)d,愈合创面瘢痕发生率为17.6%,均显著低于对照组(P<0.05)。结论:深度烧伤后残余创面经中西医结合治疗方案可促进创面愈合,减轻伤口疼痛,控制创面生成愈合瘢痕,患者的预后良好。Objective：To observe the clinical effect of integrative Chinese and Western Medicine in treating residual wounds after deep bum. Methods ： Selecting 68 cases of patients with residual wounds after deep burn who were treated in our hospital from Au- gust 2014-2016, then randomly divided them into two groups. The control group was given chlorhexidine solution after cleaning the wound which was coated with silver sulfadiazine cream; while the observation group was given western medicine combined with tra- ditional Chinese medicine bath dressing. To compare the efficacy of the two groups. Results ：The total efficiency of the observation group was 97.1%, significantly higher than that of the control group （73.5%） （χ2 = 8. 039, P 〈 0. 05 ）. Pain relief rate of the observation group was 76. 5% , significantly higher than that of the control group （35.3%） （χ2 = 11. 102, P 〈0.05）. The wound healing duration of the observation group was （ 13.2 ±3.4）d, incidence rate of scar was 17.6% , significantly lower than that of the control group （P 〈 0. 05 ）. Conclusion： Integrative Chinese and western medicine can be effectively used in treating residual wounds after deep burn. It can accelerate healing, control scar formation and reduce pain. Also, the prognosis is great.

关 键 词：深度烧伤 残余创面 中西医结合治疗 

分 类 号：R644[医药卫生—外科学]