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湿润烧伤膏治疗慢性难愈合创面患者的1
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R644

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Clinical study of Moisture exposed burn ointment in the treatment of chronic refractory wounds
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    摘要:

    目的 探讨湿润烧伤膏对慢性难愈合创面患者血清学指标、心理状态、生活质量的影响。方法 按照随机数字表法将 2019 年 12 月至 2020 年 12 月西安惠安医院收治的 80 例慢性难愈合创面患者分为对照组(40 例)和试验组(40 例)。两组患者均行碘伏稀释液 创面浸浴治疗,对照组患者在此基础上采用凡士林治疗,试验组患者则在此基础上采用湿润烧伤膏治疗,两组患者均持续治疗 6 个月。 对比两组患者治疗效果,创面恢复情况,治疗前后血清学指标,心理状态及生活质量评分。结果 治疗后试验组患者临床总有效率高于 对照组;试验组患者创面愈合时间与对照组比缩短,换药次数与对照组比减少,创面视觉模拟疼痛量表(VAS)评分与对照组比降低, 治疗后两组患者血清肿瘤坏死因子 -α(TNF-α)、白细胞介素 -6(IL-6)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评分与治疗前 比均下降,且试验组低于对照组,两组患者血清血管内皮生长因子(VEGF)水平、生理功能、躯体疼痛、社会功能、生理职能、情感职能、 精神健康、活力、总体健康评分与对照组比均升高,且试验组高于对照组(均P < 0.05)。结论 采用湿润烧伤膏治疗慢性难愈合创面患 者,可有效减轻患者疼痛,缩短创口恢复时间,减少炎性因子的释放,促进细胞转化生长因子的表达,更有利于促进患者创面愈合,且 可缓解患者焦虑、抑郁状态,提高生活质量。

    Abstract:

    Objective To investigate the effect of Moisture exposed burn ointment on serological indexes, psychological state and quality of life of patients with chronic refractory wounds. Methods A total of 80 cases patients with chronic refractory wounds admitted to Xi'an Hui'an Hospital from December 2019 to December 2020 were divided into the control group (40 cases) and the experimental group (40 cases), according to the random number table method. Patients in the both groups received iodophor diluent wound immersion bath, and patients in the control group were treated with Vaseline on this basis, and the patients in the experimental group were treated with Moisture exposed burn ointment on this basis, patients in the both groups continued to receive treatment for 6 months. The treatment effect, wound recovery, serological indexes, psychological state and quality of life scores before and after treatment of patients were compared between the two groups. Results After treatment, compared with the control group, the clinical total effective rate of patients in the experimental group increased, thewound healing time of patients in the experimental group shortened, the number of dressing changes and the wound visual analogue scale (VAS) score reduced, after treatment, the levels of serum tumor necrosis factor-α (TNF-α), interleukin-6 (IL-6), the scores of self-rating anxiety scale (SAS), self-rating depression scale (SDS) of patients in the two groups decreased compared with before treatment, and the experimental group was lower than the control group, the levels of serum vascular endothelial growth factor (VEGF) and the scores of physiological function, somatic pain, social function, physiological function, emotional function, mental health, vitality, and overall health score increased compared with before treatment, and the experimental group was higher than the control group (all P <0.05). Conclusion Moisture exposed burn ointment in the treatment of chronic difficulty healing wound patients, which can effectively relieve pain, shorten wound recovery time, reduce the release of inflammatory factors, and promote the expression of cell transforming growth factors, which is more conducive to promoting patient wound healing, it can relieve the anxiety and depression of patients, and improve the quality of life

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  • 在线发布日期: 2022-08-17
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