中药黑膏联合压力疗法治疗增生性瘢痕的疗效观察  

Clinical Observation of Traditional Chinese Medicine Black Plaster Combined with Compression Therapy in Treatment of Hypertrophic Scars

作　　者：雷艳 王霞 王耀华 段鹏[1] LEI Yan;WANG Xia;WANG Yao-hua;DUAN Peng(General Hospital of Tisco,Taiyuan Shanxi 030009)

机构地区：[1]太原钢铁(集团)有限公司总医院,山西太原030009

出　　处：《世界中西医结合杂志》2024年第5期963-966,970,共5页World Journal of Integrated Traditional and Western Medicine

基　　金：山西省卫生厅科研课题(201302035)。

摘　　要：目的 观察中药黑膏联合压力疗法治疗增生性瘢痕的临床效果。方法 选取2016年7月—2019年6月期间山西省烧伤救治中心康复科门诊及烧伤科住院的36例烧伤后增生性瘢痕患者,选取同一患者体表的烧伤深度、创面愈合时间及方式均相同的两处瘢痕分别以治疗方法不同分为压力组和中药黑膏组。压力组给予压力疗法治疗,中药黑膏组给予中药黑膏联合压力疗法治疗。治疗6个疗程后,观察比较两组患者临床疗效、不良反应情况,治疗前后温哥华瘢痕量表评分(Vancouver Scar Scale,VSS)、视觉模拟评分(Visual Analogue Scale,VAS)。结果 治疗后中药黑膏组临床总有效率87.50%(28/32)明显高于压力组68.75%(22/32),差异有统计学意义(P<0.05)。治疗后两组患者VSS瘢痕色泽、瘢痕硬度、瘢痕厚度评分均较治疗前降低,差异有统计学意义(P<0.05);且中药黑膏组VSS瘢痕色泽、瘢痕硬度、瘢痕厚度评分均较压力组明显降低,差异有统计学意义(P<0.05)。治疗后两组患者VAS瘙痒、疼痛评分均较治疗前降低,差异有统计学意义(P<0.05);且中药黑膏组VAS瘙痒、疼痛评分均较压力组明显降低,差异有统计学意义(P<0.05)。治疗期间,2例患者因中药黑膏使用后出现湿疹未完成治疗,其余均无不良反应情况发生。结论 中药黑膏联合压力疗法治疗能有效改善烧伤后增生性瘢痕患者瘢痕色泽、瘢痕硬度、瘢痕厚度,降低瘙痒、疼痛程度。Objective To observe the clinical efficacy of traditional Chinese medicine(TCM)black plaster combined with compression therapy in the treatment of hypertrophic scars.Methods From July 2016 to June 2019,36 patients with hypertrophic scars post-burn were selected from the Rehabilitation Outpatient Department and the Burn Department of Shanxi Burn Treatment Center.Scars with the same burn depth,wound healing time,and method on the same patient′s body were divided into two groups based on different treatment methods:the compression group and the TCM black plaster group.The compression group received compression therapy alone,while the TCM black plaster group received TCM black plaster combined with compression therapy.After six treatment courses,the clinical efficacy and adverse reactions of the two groups were observed and compared.The Vancouver Scar Scale(VSS)and Visual Analogue Scale(VAS)scores were evaluated before and after treatment.Results After treatment,the total clinical effective rate in the TCM black plaster group was 87.50%(28/32),significantly higher than 68.75%(22/32)in the compression group(P<0.05).Both groups showed significant reductions in VSS scores for scar color,hardness,and thickness compared to those before treatment(P<0.05).Moreover,the TCM black plaster group had significantly lower VSS scores for scar color,hardness,and thickness than the compression group(P<0.05).Both groups also showed significant reductions in VAS scores for itching and pain compared to those before treatment(P<0.05),with the TCM black plaster group having significantly lower VAS scores for itching and pain than the compression group(P<0.05).During the treatment,two patients in the TCM black plaster group developed eczema and did not complete the treatment,while no other adverse reactions occurred in the remaining patients.Conclusion TCM black plaster combined with compression therapy can effectively improve the color,hardness,and thickness of hypertrophic scars in burn patients and reduce itching and pain levels.

关 键 词：压力疗法 增生性瘢痕 中药黑膏 

分 类 号：R619.6[医药卫生—外科学]