湿润烧伤膏联合莫匹罗星软膏对四肢Ⅱ度烧伤创面愈合、瘢痕形态的影响
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Effect of Shirun Shaoshang Ointment Combined with Mupirocin Ointment on Wound Healing and Scar Morphology of Extremities Second-Degree Burns
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    摘要:

    目的:观察湿润烧伤膏联合莫匹罗星软膏对四肢Ⅱ度烧伤患者创面愈合、瘢痕形态的影响。方法: 选取94例四肢Ⅱ度烧伤患者,以随机数字表法分为观察组、对照组各47例。2组治疗期间均剔除1例,最终纳 入研究各46例。对照组给予莫匹罗星软膏治疗,观察组在对照组基础上给予湿润烧伤膏治疗。2组均治疗30 d。 比较2组临床疗效、疼痛程度[以视觉模拟评分法(VAS) 评估]、创面愈合时间、创面血运恢复时间及瘢痕修 复情况[以温哥华瘢痕量表(VSS) 评估]。结果:治疗30 d 后,观察组Ⅰ级愈合率95.65%,高于对照组 80.43%,差异有统计学意义(P<0.05)。治疗7 d、15 d、30 d后,2组VAS评分均逐渐降低,观察组VAS评分 均低于同期对照组,差异均有统计学意义(P<0.05)。观察组创面愈合时间、创面血运恢复时间均短于对照 组,差异均有统计学意义(P<0.05)。治疗30 d后,观察组厚度、柔软度、色泽、血管分布评分均低于对照 组,差异均有统计学意义(P<0.05)。结论:湿润烧伤膏联合莫匹罗星软膏治疗四肢Ⅱ度烧伤效果显著,可促 进疼痛缓解及创面血运恢复,提高创面Ⅰ级愈合率,改善瘢痕形态。

    Abstract:

    Abstract: Objective: To observe the effect of Shirun Shaoshang Ointment combined with Mupirocin Ointment on wound healing and scar morphology in patients with extremities second-degree burns. Methods:A total of 94 cases of patients with extremities second-degree burns were selected and divided into the observation group and the control group by random number table method,with 47 cases in each group. One case was respectively excluded in both groups during treatment,and 46 cases were included in the study eventually. The control group was treated with Mupirocin Ointment, and the observation group was additionally treated with Mupirocin Ointment based on the treatment of the control group. Both groups were treated for 30 days. The clinical effects, pain degree assessed by Visual Analogue Scale (VAS), wound healing time, wound blood circulation recovery time and scar repair assessed by Vancouver Scar Scale (VSS) were compared between the two groups. Results: After 30 days of treatment, the Grade I healing rate in the observation group was 95.65%, higher than that of 80.43% in the control group, the difference being significant (P<0.05). After 7,15 and 30 days of treatment,the VAS scores in both groups were decreased gradually, and the VAS scores in the observation group were lower than those in the control group at the same period, differences being significant (P<0.05). The wound healing time and wound blood circulation recovery time in the observation group were shorter than those in the control group, differences being significant (P<0.05). After 30 days of treatment, the scores of thickness, softness, color and vascular distribution in the observation group were lower than those in the control group, differences being significant (P<0.05). Conclusion:Shirun Shaoshang Ointment combined with Mupirocin Ointment has a significant therapeutic effect on the treatment of extremities second-degree burns,which can promote pain relief and wound blood flow recovery, enhance the healing rate of Grade I wound and improve scar morphology.

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赵敏娟.湿润烧伤膏联合莫匹罗星软膏对四肢Ⅱ度烧伤创面愈合、瘢痕形态的影响[J].新中医,2024,56(12):62-65

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  • 在线发布日期: 2024-06-28
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