银黄洗剂浸渍法治疗湿热毒盛型糖尿病足病湿性坏疽的临床观察

发布时间：2018-05-23 08:47

本文选题：银黄洗剂 + 糖尿病足病　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:通过中医外治法对疮疡的理论为指导,依据创面的破溃程度,观察银黄洗剂浸渍疗法对湿热毒盛型糖尿病足病湿性坏疽的治疗作用,有效的掌握治疗糖尿病足病湿性坏疽的安全性及可靠性,为中医外治法治疗糖尿病足病提供有价值的参考。方法:采用随机对照的方法,将42例湿热毒盛型糖尿病足湿性坏疽的患者分为治疗组21例,对照组21例。治疗组以银黄洗剂浸渍方法治疗,对照组采用康复新液常规治疗,每日一次,28天为一个疗程。观察两组治疗前后创面面积、创面深度、肉芽生长、创周渗出、疼痛情况及全血WBC、NE%、CRP含量的变化。用数码照相机拍照记录治疗前后溃疡面的变化,并用Image J图像分析软件计算创面面积、坏死组织面积、肉芽组织面积等。所得数据采用SPSS18.0软件进行结果分析。结果:治疗组总有效率90%,对照组总有效率80%。治疗组在改善脓液渗出情况、创面面积、创面深度、肉芽生长及疼痛方面明显优于对照组,差异有统计学意义。治疗组对WBC、NE%及CRP的降低作用贯穿整个疗程.结论:银黄洗剂对创面的恢复有较好的促进作用,主要表现在对脓液渗出情况、创周红肿、创周温度及疼痛均有明显改善作用。
[Abstract]:Objective: to observe the therapeutic effect of Yinhuang lotion on wet gangrene of diabetic foot disease with damp-heat toxin based on the theory of external treatment of traditional Chinese medicine and according to the degree of wound breaking. To effectively grasp the safety and reliability of treating diabetic foot disease with wet gangrene, and to provide valuable reference for the treatment of diabetic foot disease by external treatment of traditional Chinese medicine. Methods: 42 cases of diabetic foot gangrene were randomly divided into treatment group (n = 21) and control group (n = 21). The treatment group was treated with silver yellow lotion and the control group was treated with the routine treatment of rehabilitation new solution, once a day for 28 days as a course of treatment. The changes of wound area, wound depth, granulation growth, peri-traumatic exudation, pain and CRP content in whole blood were observed before and after treatment. The changes of ulcer surface were recorded by digital camera before and after treatment. The wound area, necrotic tissue area and granulation tissue area were calculated by Image J image analysis software. The data were analyzed by SPSS18.0 software. Results: the total effective rate was 90 in the treatment group and 80 in the control group. The treatment group was superior to the control group in improving pus exudation, wound area, wound depth, granulation growth and pain, the difference was statistically significant. The decrease of WBC net% and CRP in the treatment group lasted the whole course of treatment. Conclusion: Yinhuang lotion has a good effect on the recovery of the wound, which mainly shows that it can improve the exudation of the pus, the redness of the wound, the temperature of the wound and the pain.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R259

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