烫伤I号方内服联合长春烫伤膏外用治疗45例Ⅱ°烧烫伤的临床观察

目的:观察烫伤I号方内服联合长春烫伤膏外用治疗Ⅱ°烧烫伤的临床疗效。方法:将90例患者随机按数字表法分为对照组和观察组各45例。对照组采用长春烫伤膏外涂;观察组在对照组治疗的基础上加用烫伤I号方内服。两组疗程:浅Ⅱ°为10 d,深Ⅱ°为28 d。记录疼痛缓解时间、创面无渗出时间、创面愈合时间及热毒证疗效评分。结果:治疗后浅Ⅱ°和深Ⅱ°观察组疼痛缓解时间、创面无渗出时间、创面愈合时间均短于对照组(P0.01);经Ridit分析,观察组烧烫伤综合疗效优于对照组(P0.05);观察组热毒证疗效优于对照组(P0.05);两组抗炎疗效比较,差异无统计学意义。结论:烫伤I号方内服联合长春烫伤膏外用能促进浅Ⅱ°和深Ⅱ°烧烫伤创面愈合,缩短愈合时间,减轻疼痛,综合疗效和热毒症疗效均显著。

Clinical Observation of Tangshang I Decoction Combined Changchun Tangshang Cream in Treating 45 Patients with Second-degree Burns

Objective: To observe the clinical efficacy of Tangshang I decoction for oral administration combined Changchun Tangshang cream using externally in treating patients with second-degree burns. Method: Ninety patients were randomly divided into the control group (45 cases) and the observation group (45 cases) by a random number table. Patients in the control group received Changchun Tangshang cream externally. Patients in the observation group added Tangshang I decoction orally. Patients with superficial second-degree burns received 10 days of treatment, and patients with deep second degree burns received 28 days of treatment. Pain relief time, wound non-leakage time, wound healing time and heat toxin syndrome scores were recorded. Result: After therapy, pain relief time, wound non-leakage time, wound healing time of patients with superficial and deep second-degree burns in the observation group were shorter than those in the control group (P <0.01). The comprehensive curative effect in the observation group was superior to that in the control group (P <0.05). The heat toxin syndrome effect in the observation group was better than that in the control group (P <0.05). There was no statistically significant difference for anti-inflammatory effect between two groups. Conclusion: Tangshang I decoction combined Changchun Tangshang cream could promote burn wound healing, shorten the healing time, relieve the pain in patients with superficial and deep second-degree burns. It has definite comprehensive curative effect on burns and curative effect on heat toxin syndrome.