首页|珠香散联合新型敷料对慢性伤口愈合的效果观察

珠香散联合新型敷料对慢性伤口愈合的效果观察

扫码查看
目的 观察珠香散联合新型敷料对慢性伤口愈合的效果.方法 选取2021 年6 月到2023 年1 月收治的100 例慢性伤口患者为研究对象,按照随机数字表法分为2 组,对照组50 例予西医常规治疗干预,治疗组50 例在对照组的基础上加用珠香散联合新型敷料治疗干预.2 组均治疗干预1 个月后统计疗效,比较2 组治疗前后疼痛视觉模拟评分法(VAS)评分及炎症因子血清白细胞介素6(IL-6)及肿瘤坏死因子α(TNF-α)水平变化情况,比较 2 组住院时间、换药次数、伤口愈合时间及治疗满意度评分情况,比较2 组治疗期间不良反应发生情况.结果 治疗组总有效率 96.00%(48/50),对照组总有效率72.00%(36/50),治疗组总有效率高于对照组(P<0.05).与本组治疗前比较,2 组治疗后疼痛VAS评分均降低(P<0.05),且治疗组治疗后疼痛VAS评分低于对照组(P<0.05).与本组治疗前比较,2 组治疗后炎症因子血清IL-6 及TNF-α水平均降低(P<0.05),且治疗组治疗后血清IL-6 及TNF-α水平均低于对照组(P<0.05).治疗组住院时间、换药次数及伤口愈合时间均少于对照组,治疗满意度评分高于对照组,比较差异均有统计学意义(P<0.05).治疗组不良反应总发生率4.00%(2/50),对照组不良反应总发生率18.00%(9/50),治疗组不良反应总发生率低于对照组(P<0.05).结论 珠香散联合新型敷料治疗慢性伤口疗效确切,可有效减轻患者疼痛症状,降低IL-6及TNF-α水平,抑制炎症反应,从而缩短住院时间及伤口愈合时间,减少换药次数,提高治疗满意度,安全可靠.
Effect of Zhuxiang Powder combined with novel dressing on healing of chronic wound
Objective To investigate the promotive effect of Zhuxiang Powder combined with novel dressing on healing of chronic wound(CW).Methods A total of 100 CW patients treated in our hospital from June 2021 to January 2023 were ran-domly assigned into treatment group(n =50)and control group(n =50).All patients were managed by routine Western medi-cine,and those in treatment group additionally received Zhuxiang Powder combined with novel dressing.Treated for 1 month,the aim was to compare visual analogue scale(VAS)for pain,inflammatory factors including interleukin-6(IL-6)and tumor necrosis factor-alpha(TNF-α),hospitalization time,frequency of dressing changes,wound healing time,satisfaction.The curative effect and adverse reactions were assessed.Results The overall effective rate in the treatment group was better than that in the control group(96.00%[48/50]vs72.00%[36/50],[P<0.05],respectively).After treatment,the patients in the two groups presented significantly lower VAS score,decreased levels of IL-6,TNF-α(all P<0.05)than those before treat-ment,and the improvements were more pronounced in the treatment group than those of the control group(all P<0.05).Pa-tients in the observation group presented significantly shorter hospitalization time,frequency of dressing changes,wound healing time,significantly higher satisfaction than those of control group(P<0.05).The total incidence of adverse reactions in the treatment group was significantly lower than that in the control group(4.00%[2/50]vs 18.00%[9/50],[P<0.05],re-spectively).Conclusion For CW patients,Zhuxiang Powder combined with novel dressing has definite curative effect,which can effectively reduce pain symptoms,reduce IL-6 and TNF-α levels,inhibit inflammatory response,thereby shortening hospitali-zation time and wound healing time,reducing frequency of dress-ing changes,improving satisfaction,and it is safe and reliable.

Wounds and injuriesWound healingDressingTraditional Chinese medicine therapy

鄢婧、王意菊、齐艳霞、李金月、贾汝福

展开 >

河北省沧州市中心医院伤口门诊,河北 沧州 061000

河北省沧州市中心医院门诊护理部,河北 沧州 061000

河北省沧州市中心医院急诊ICU,河北 沧州 061000

河北省沧州市中心医院,河北 沧州 061000

展开 >

创伤和损伤 伤口愈合 敷料 中药疗法

河北省中医药局中医药类科研计划(2023)

2023455

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(4)
  • 22