發(fā)布時(shí)間：2018-05-27 12:38

  本文選題：中藥 + 燒傷��； 參考：《廣東醫(yī)學(xué)》2017年10期

【摘要】：目的對(duì)比觀察中藥浸浴配合換藥療法在中度燒傷患者中的治療效果。方法用大黃30 g、紫草30 g、乳香15 g、黃連30 g、當(dāng)歸30 g、沒(méi)藥15 g、黃柏30 g、虎杖15 g、地榆30 g、白芷15 g這10味中藥材,按劑量稱取,加水1 000 m L于煎藥機(jī)高壓煎煮30 min,藥液200 m L分裝成一袋,4℃冰箱保存?zhèn)溆�。�?40例中度燒傷患者隨機(jī)分為觀察組和對(duì)照組,每組各70例,對(duì)照組采取燒傷常規(guī)換藥療法,觀察組在每次換藥前用含中藥成分的浴液全身/局部浸浴30 min,比較兩組患者的換藥疼痛度、換藥持續(xù)時(shí)間、創(chuàng)面感染發(fā)生率、創(chuàng)面愈合率、住院時(shí)間、治療費(fèi)用等情況。結(jié)果觀察組0級(jí)和1級(jí)疼痛病例次數(shù)明顯多于對(duì)照組,而隨著疼痛的加劇,觀察組的病例次數(shù)逐漸少于對(duì)照組同疼痛等級(jí)時(shí)的病例次數(shù),差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組換藥持續(xù)時(shí)間在30 min以內(nèi)的病例數(shù)明顯多于對(duì)照組,而在30~60 min以及60 min以上的病例數(shù)明顯少于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組創(chuàng)面分泌物細(xì)菌或真菌陽(yáng)性檢出率低于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組創(chuàng)面愈合率明顯高于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組住院時(shí)間明顯短于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05);觀察組住院治療費(fèi)用明顯少于對(duì)照組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論每次換藥前用含中藥成分的浴液浸浴30 min,有效緩解患者換藥時(shí)的疼痛、縮短了換藥持續(xù)時(shí)間、降低了創(chuàng)面感染率、提高了創(chuàng)面愈合率、縮短了患者住院時(shí)間、減少了住院治療費(fèi)用,在臨床有推廣意義。
[Abstract]:Objective to observe the therapeutic effect of traditional Chinese medicine immersion bath combined with dressing change therapy in moderate burn patients. Methods 10 Chinese herbal medicines, including rhubarb 30 g, purple herb 30 g, frankincense 15 g, Coptis chinensis 30 g, Angelica sinensis 30 g, myrrh 15 g, Cortex Phellodendri 30 g, Polygonum cuspidatum 15 g, Ulmus officinalis 30 g, Radix angelicae dahurica 15 g, were used. Water 1 000 mL was added to the decoction machine for 30 min at high pressure, and 200 mL solution was packed into a bag of 4 鈩，

本文編號(hào)：1942119