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用于感染伤口的酥油和蜂蜜敷料。

Ghee and honey dressing for infected wounds.

作者信息

Udwadia Tehemton E

出版信息

Indian J Surg. 2011 Aug;73(4):278-83. doi: 10.1007/s12262-011-0240-7. Epub 2011 Apr 6.

Abstract

Ghee and honey has been advocated and used as dressing for infected wounds by Sushruta (600BC) and since 1991 in four Mumbai Hospitals. The gratifying results observed with the dressing have prompted this study which aims to establish its efficacy in five recalcitrant subset of chronic infected wounds over a three year period 2006-2009. A standardized ghee and honey dressing was used to treat: a) Eight cases of fungating malignant lesions. b) Thirteen chronic venous ulcers. c) Twenty nine diabetic foot ulcers. d) Eleven of infected ventral hernia mesh hernioplasty. e) Eleven patient with post-cesarean wound dehiscence. The dressing markedly reduced the foul odour and discharge, significantly improving the quality of life in malignant lesions. The results were equivocal in cases of venous ulcers. The results were uniformly good in the last three groups. In view of our results, as also result of innumerable Randomized Control Trials (RCTs) reported on honey dressing for infected wounds, there is substantial evidence that ghee and honey dressing has at least comparable results to other modes of treatment. The easy availability and low cost of this treatment makes it significant in developing countries. Further trials seem warranted.

摘要

酥油和蜂蜜在公元前600年就被苏什鲁塔提倡并用作感染伤口的敷料,自1991年起在孟买的四家医院使用。使用这种敷料观察到的令人满意的结果促使了这项研究,该研究旨在在2006年至2009年的三年时间里确定其对五类难治性慢性感染伤口的疗效。使用标准化的酥油和蜂蜜敷料治疗:a)8例恶性溃疡病变。b)13例慢性静脉溃疡。c)29例糖尿病足溃疡。d)11例感染的腹疝补片修补术。e)11例剖宫产术后伤口裂开患者。该敷料显著减少了恶臭和分泌物,显著改善了恶性病变患者的生活质量。静脉溃疡病例的结果不明确。后三组的结果一致良好。鉴于我们的结果,以及无数关于蜂蜜敷料治疗感染伤口的随机对照试验(RCT)的结果,有充分证据表明酥油和蜂蜜敷料的效果至少与其他治疗方式相当。这种治疗方法容易获得且成本低廉,在发展中国家具有重要意义。似乎有必要进行进一步的试验。

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本文引用的文献

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Don't waste money when dressing leg ulcers.
Br J Surg. 2009 Oct;96(10):1099-100. doi: 10.1002/bjs.6801.
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Evidence is a challenge in wound management.在伤口处理中,证据是一项挑战。
Int J Low Extrem Wounds. 2006 Jun;5(2):74-5. doi: 10.1177/1534734606288412.

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