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五味消毒饮对甲沟炎患者疼痛、炎症因子的影响分析

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目的 分析甲沟炎患者手术治疗后行五味消毒饮联合莫匹罗星治疗的临床效果及对疼痛、血清炎症因子水平影响。方法 纳入三明市中西医结合医院 2019 年 4 月—2023 年 4 月符合研究要求的足部甲沟炎患者 90 例行对比性治疗研究,将患者随机分为对照组与研究组,各 45 例。患者均行甲床甲母质部分切除术治疗,术后对照组行莫匹罗星软膏局部治疗,研究组行五味消毒饮外敷+莫匹罗星软膏局部治疗。比较 2 组的创面康复指标、术后疼痛评分、血清炎症因子、创面感染、红肿发生率及治疗满意度。结果(1)研究组较对照组创面干燥时间、红肿消退时间、创面愈合时间缩短,且换药次数减少,创面红肿(2。22%)、感染发生率(6。67%)降低,差异有统计学意义(P<0。05)。(2)术后治疗期间患者创面疼痛均缓解,术后 7、14 d时数字评价量表(numerical rating scale,NRS)较术后 1 d均显著下降(P<0。05);研究组术后 7、14 d时NRS评分低于同期对照组,差异有统计学意义(P<0。05)。(3)患者术后 7 d时血C-反应蛋白(C-reaction protein,CRP)、降钙素原(procalcitonin,PCT)、白细胞(white blood cell,WBC)较术后 1 d下降显著(P<0。05);研究组术后 7 d时血CRP、PCT、WBC低于同期对照组,差异有统计学意义(P<0。05)。(4)研究组满意度为 97。78%,高于对照组的 84。44%,差异有统计学意义(P<0。05)。结论 甲沟炎患者手术治疗后行五味消毒饮联合莫匹罗星软膏局部治疗,可积极促进创面愈合,降低创面感染、红肿风险,缓解创面疼痛表现,纠正血清炎症因子水平。
Analysis of the Effects of Wuwei Disinfection Drink on Pain and Inflammatory Factors in Patients With Paronychia
Objective To analyze the clinical effect of Wuwei Disinfection Drink combined with mopirocin on pain and serum inflammatory factor levels in patients with paronychia after surgical treatment.Methods A comparative study was conducted on 90 patients with foot paronychia who met the research requirements in Sanming Hospital of Integrated Traditional Chinese and Western Medicine from April 2019 to April 2023.The patients were randomly divided into a control group and a study group,with 45 cases in each group.All patients underwent partial excision of the nail bed and nail matrix.After surgery,the control group received local treatment with mupirocin ointment,while the study group received external application of Wuwei Disinfection Drink and local treatment with mupirocin ointment.The wound rehabilitation indicators,postoperative pain scores,serum inflammatory factors,wound infection,incidence of redness and swelling,and treatment satisfaction between two groups were compared.Results(1)The study group had shorter wound drying time,redness and swelling resolution time,wound healing time,and fewer dressing changes compared to the control group.The incidence of wound redness and swelling(2.22%)and infection(6.67%)were also reduced,and the difference was statistically significant(P<0.05).(2)During the postoperative treatment period,the patient's wound pain was relieved,and the numerical rating scale(NRS)significantly decreased at 7 and 14 days postoperatively compared to 1 day postoperatively(P<0.05).The NRS score of the study group was lower than that of the control group at 7 and 14 days after surgery,and the difference was statistically significant(P<0.05).(3)On the 7th day after surgery,the levels of C-reaction protein(CRP),procalcitonin(PCT),and white blood cell(WBC)in the patient's blood significantly decreased compared to the 1st day after surgery(P<0.05).At 7 days post surgery,the levels of CRP,PCT,and WBC in the study group were lower than those in the control group at the same period,and the differences were statistically significant(P<0.05).(4)The satisfaction rate of the research group was 97.78%,which was higher than the control group's 84.44%,and the difference was statistically significant(P<0.05).Conclusion After surgical treatment,patients with paronychia can receive local treatment with Wuwei Disinfection Drink combined with mupirocin ointment,which can actively promote wound healing,reduce the risk of wound infection and redness,alleviate wound pain,and correct serum inflammatory factor levels.

Wuwei Disinfection Drinkmopirocinparonychiainflammatory factorspostoperative painwound healing

黄承应、许锚、汤期辉

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三明市中西医结合医院急诊科,福建 三明 365001

三明市中西医结合医院药剂科,福建 三明 365001

五味消毒饮 莫匹罗星 甲沟炎 炎症因子 术后疼痛 创面愈合

三明市引导性科技项目

2021-S-43

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(5)
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