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

Effect of Zhuxiang Powder combined with novel dressing on healing of chronic wound

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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.
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

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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

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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)
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