四黄水蜜冷敷治疗下肢丹毒急性期皮损的疗效观察与护理  

The Curative Observation and Nursing Care of Cold Compress with si-huang Honeyed Powder in the Treatment of Acute Skin Lesions that Suffered from Erysipelas

作　　者：陈熳妮[1] 沈玉珍[1] 黄珍霞 朱进[2] 

机构地区：[1]广东省中医院,广东广州510120 [2]重庆市中医院,重庆400021

出　　处：《中国中医急症》2015年第4期678-680,共3页Journal of Emergency in Traditional Chinese Medicine

基　　金：岭南皮肤病院派传承工作室(LPGZS2013-45)

摘　　要：目的观察四黄水蜜冷敷辅助治疗丹毒的疗效观察与护理。方法 63例下肝丹毒患者随机数字表法分为观察者32例,对照组31例。在常规抗炎治疗和中医护理的基础上,对照组采用3%硼酸溶液湿敷患处,每日2次,每次20 min,观察组采用四黄水蜜冷敷患处,每日1次,每次4 h,两组均以7 d为1疗程。结果治疗后第3日、第7日两组疼痛数字评分量表(NRS)得分均较治疗前改善,且观察组NRS得分低于对照组(均P<0.05)。观察组总有效率96.88%明显优于对照组的77.42%(P<0.05);观察组平均治愈时间短于对照组(P<0.05)。两组治疗期间均未出现不良反应。结论在抗炎药物静滴治疗和中医护理基础上,采用四黄水蜜冷敷丹毒急性期皮损,能够显著提高疗效、缩短治愈时间,具有较高的临床价值。Objective: To observe the curative observation and nursing care of Si-huang honeyed powder in the treatment of erysipelas. Methods: 63 cases were divided into the observation group with 32 cases and control group with 31 cases. On the basis of conventional anti-inflammatory treatment and nursing of TCM,the control group were applied 3% boric acid solution over the infected part 20 minutes a time and twice a day. The observation group were applied Si-huang honeyed powder over the affected part 4 hours a time and once a day. The two groups all were set seven days as a course of the treatment. Results: Three and seven days after the treatment,the NRS scores of the two groups made marked progress,however,the observation group′s NRS score lower than the control group′s(P < 0.05). The total effective rate of the control group was significantly higher than that of the observation group by 96.9% to 77.42%(P < 0.05). The average healing time of the observation group was shorter than that of the control group(P < 0.05). No adverse reactions occurred during the treatment of the two groups.Conclusion: On the basis of intravenous drip therapy with intravenous drip and nursing care with traditional Chinese medicine,applying Si-huang honeyed powder over the acute skin lesions that suffered from erysipelas will improve curative effect and shorten the healing time significantly and it has a high clinical value. In truth,it is worth being popularized.

关 键 词：丹毒 四黄水蜜 冷敷 中医护理 

分 类 号：R248[医药卫生—中医临床基础]