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象皮粉外敷治疗下肢静脉性溃疡的临床对照观察研究
张美君,于文慧,高原,赵钢
0
黑龙江中医药大学(哈尔滨 150040);黑龙江中医药大学附属第一医院周围血管病科(哈尔滨 150040)
摘要:
目的:观察象皮粉外敷治疗下肢静脉性溃疡的临床疗效。方法:78 例下肢静脉性溃疡患者随机分为治疗组和对照组各 39 例,治疗组采用象皮粉外敷治疗,对照组采用湿润烧伤膏纱条外敷治疗,疗程均为 60 d,比较 2 组溃疡面积和渗出、肉芽形态、疼痛的积分情况。结果:治疗组和对照组总有效率分别为 87.18% 和 66.67%(P<0.05);治疗组在改善肉芽组织、渗出方面较对照组更加明显(P<0.05),两组治疗后疼痛积分比较差异无统计学意义(P>0.05)。结论:象皮粉外敷治疗下肢静脉性溃疡可改善局部组织渗液外排和肉芽组织生长,具有良好的改善和增强创面愈合的作用。
关键词:  象皮粉  下肢静脉性溃疡  臁疮  外敷疗法
DOI:10.3969/j.issn.1007-6948.2019.05.023
基金项目:
Clinical Study of Elephant-skin Powder with External Application in Treatment of Venous Ulcer in Lower Limb
ZHANG Mei-jun,YU Wen-hui,GAO Yuan
Heilongjiang University of Traditional Chinese Medicine, Haerbin (150040), China
Abstract:
Objective To observe the clinical effect of elephant-skin powder on venous ulcer of lower extremity. Methods Patients with venous ulcer of lower extremities ( 78 cases) were randomly divided into treatment group and control group (n=39). The patients in treatment group were treated with external application of elephant-skin powder, and the patients in control group were treated with external application of MEBO gauze. The duration of treatment was 60 d. Results The total effective rates of treatment and control groups were 87 . 18 % and 66 . 67 %, respectively (P < 0 . 05 ). The improvement of granulation tissue and exudation in the treatment group was more obvious than that in the control group (P < 0 . 05), and there was no statistically signi?cant difference in the pain score between the two groups after treatment (P>0.05). Conclusion External application of elephant skin powder in the treatment of venous ulcers of lower extremities can improve local tissue effusion and granulation tissue growth, and has a good effect on improving and enhancing wound healing.
Key words:  Elephant skin powder  venous ulcer in lower limb  ecthyma  external application

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