临床普外科电子杂志 ›› 2023, Vol. 11 ›› Issue (1): 27-.

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三氧联合中药贴敷治疗慢性创面的临床疗效观察

  

  1. 同济大学附属东方医院胶州医院 普外科,山东 胶州 266300
  • 出版日期:2023-01-01 发布日期:2023-03-07

The clinical curative effect of trioxygen combined with traditional Chinese medicine sticking for the treatment of the patients with chronic wounds

  1. General Surgery Department of Affiliated Jiaozhou Hospital of Tongji University, Shandong Jiaozhou 266300, China
  • Online:2023-01-01 Published:2023-03-07

摘要:

目的 研究三氧联合中药贴敷治疗慢性创面的临床疗效。方法 选取2021年1月至2022年9月胶州市人民医院收治的80 例慢性创面患者,按照随机数字表法分为两组。对照组40 例采用常规清创、抗感染、换药等治疗,研究组40 例在常规治疗的基础上采用三氧联合中药贴敷治疗,两组均治疗3 周。比较两组患者创面愈合时间、症状评分、临床疗效、炎性因子、氧化应激指标水平,并评价两组治疗安全性。结果 研究组总有效率(95.00%)较对照组(72.50%)高,而创面愈合时间较对照组短(P < 0.05)。两组治疗3 周后水肿、疼痛、出血、分泌物评分,血清白介素-1、白介素-6、肿瘤坏死因子-α、丙二醛、晚期氧化蛋白产物水平均显著降低,研究组较对照组更低,而超氧化物歧化酶显著升高,研究组较对照组更高(P < 0.05)。两组患者均未出现不良反应及实验室指标异常情况。结论 三氧联合中药贴敷治疗慢性创面疗效确切,可有效缩短创面愈合时间,减轻症状,抑制炎症反应,减轻氧化应激,且治疗安全性良好。

关键词: 慢性创面, 中药贴敷, 三氧, 氧化应激, 炎性因子

Abstract:

Objective To study the clinical curative effect of trioxygen combined with traditional Chinese medicine sticking for the treatment of the patients with chronic wounds. Method 80 patients with chronic wounds in Jiaozhou Hospital of Tongji University from January 2021 to September 2022 were randomly divided into two groups according to the random number table method. Forty cases in the control group were treated with the method of routine debridement, anti-infection and dressing change. Forty cases in the study group were treated with the method of trioxygen combined with traditional Chinese medicine stricking on the basis of routine curative method treatment with a curative time 3 weeks in these two groups. The wound healing time, symptom score, clinical

efficacy, inflammatory factors and oxidative stress indexes of the two groups were observed and the treatment safety of the two groups was also evaluated. Result The total effective rate in the study group (95.00%) was higher than those of the control group (72.50%), but the wound healing time in the study group was shorter than those of the control group (P < 0.05). After 3 weeks of treatment, The levels of various parameters including edema, pain, hemorrhage, secretion score, serum interleukin-1, interleukin -6, tumor necrosis factor-α, malondialdehyde, advanced oxidation protein products were significantly decreased, especially in the study group , the level of superoxide dismutase was significantly higher in the study group (P < 0.05). There were no adverse reactions and abnormal laboratory indexes in both groups. Conclusion Trioxygen combined with traditional Chinese medicine was effective in treating chronic wounds and could effectively promote wound healing, relieve symptoms, inhibit

inflammatory reaction and reduce oxidative stress.

Key words: Chronic wound, Traditional Chinese medicine sticking, Trioxygen, Oxidative stress, Inflammatory factor