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自拟药方联合西医治疗对感染性伤口患者的效果分析
作者:王焕英1 刘云霞2 
单位:山东省寿光市人民医院门诊手术室1消化内科2 山东 潍坊 262700 
关键词:自拟解毒愈疡汤 抗生素 感染性伤口 溃疡面大小 治疗有效率 
分类号:R 63
出版年,卷(期):页码:2023,40(3):253-255
摘要:

 摘要:目的 分析自拟药方联合西医治疗对感染性伤口患者的治疗效果。方法 将2021年6月—2022年2月于我院治疗的感染性伤口患者60例作为研究对象,按照随机数字表法将其分为对照组与观察组,每组各30例。对照组采用常规处理联合抗生素治疗,观察组在对照组基础上增加自拟解毒愈疡汤治疗。比较两组的临床疗效,以及治疗前后溃疡面大小、溃疡面深度、伤口状况评分。结果 观察组的临床疗效优于对照组,组间比较差异有统计学意义(χ2=6.667,P<0.05);观察组治疗后第3、7、11 d的溃疡面大小、伤口状况评分均优于对照组,组间比较差异均有统计学意义(t=3.172、4.256、4.117、2.872、3.405、9.133,均P<0.05);两组治疗后第11 d各溃疡面深度例数比较,观察组均优于对照组,组间比较差异均有统计学意义(χ2=15.152、5.934、6.667,均P<0.05)。结论 应用自拟药方联合西医治疗感染性伤口患者,能够缩小溃疡面大小,降低溃疡面深度,促进伤口愈合,提高治疗有效率,建议应用。

 Abstract:Objective To analyze the effect of self-made prescription combined with Western medicine on the treatment of infected wound patients.  Methods From June 2021 to February 2022, 60 cases of infectious wound treated in our hospital were taken as the study subjects, and they were divided into control group and observation group according to the random number table method, with 30 cases in each group. The control group was treated with conventional treatment combined with antibiotics, and the observation group was treated with self-designed Jiedu Yuyang solution on the basis of the control group. The clinical efficacy, ulcer size, ulcer depth and wound condition scores of the two groups were compared before and after treatment. Results The clinical efficacy of the observation group was better than that of the control group, and the difference between the groups was statistically significant (χ2=6.667, P<0.05); the ulcer surface size and wound condition scores of the observation group were better than those of the control group at the 3rd, 7th and 11th day after treatment, and the difference between the groups were statistically significant (t=3.172, 4.256, 4.117, 2.872, 3.405, 9.133, all P<0.05); comparing the number of ulcer surface depths in the two groups at 11th days after treatment, the observation group was better than the control group, and the differences between the groups were statistically significant (t=15.152, 5.934, 6.667, all P<0.05). Conclusion The application of self-made remedies combined with Western medicine in the treatment of patients with infected wounds can reduce the area of ulcer surface and the depth of ulcer surface, promote wound recovery and improve the effective rate of treatment, so it is recommended to use. 

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 参考文献

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