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中药介质治疗小腿非缺血性溃疡:一项随机对照多中心临床研究。

The Treatment of Low Leg Nonischemic Ulcers With a Traditional Chinese-Pharmaceutical Medium: A Randomized Controlled Multicenter Clinical Study.

作者信息

Zhang Jun, Chen Xu, Yu Linxiang, Xue Jingxian, Zhu Zhiyuan, Wang Cong, Tang Tian, Feng Zeyu, Yao Chang

机构信息

1 Nanjing University of Chinese Medicine, Nanjing, China.

2 Wuxi Hospital Affiliated to Nanjing University of Chinese Medicine, Wuxi, China.

出版信息

Int J Low Extrem Wounds. 2019 Jun;18(2):186-191. doi: 10.1177/1534734619845953. Epub 2019 May 21.

Abstract

The aim of this study was to observe the curative effect and mechanism of Shengji Yuhong ointment in the healing of chronic ulcer of lower limbs. 400 patients were equally divided into treatment group and control group. The treatment group was covered with a piece of Shengji Yuhong ointment gauze, while the control group was covered with a piece of Vaseline gauze. Both groups changed dressings every other day for 4 weeks. On the 3rd, 7th, 14th, 21st, and 28th days of treatment, the reduction rate of wound area and the growth of wound granulation were observed and the levels of hydroxyproline and hemoglobin in wound granulation tissue were measured. The total effective rate was 99.00% in the treatment group and 71.00% in the control group. The treatment group was significantly better than the control group ( < .01). The ulcer area reduction rate of the treatment group was significantly higher than that of the control group ( < .01). The scores of ulcer depth, granulation color, and coverage area on the 7th, 14th, 21st, and 28th days after treatment in the treatment group were significantly lower than those before treatment ( < .05). After treatment, the levels of hydroxyproline and hemoglobin in granulation tissue of wounds in both groups were significantly higher than those before treatment ( < .01), and the levels in the treatment group were significantly higher than those in the control group ( < .01). Shengji Yuhong ointment can improve the healing rate of chronic ulcer of lower limbs.

摘要

本研究旨在观察生肌玉红膏对下肢慢性溃疡愈合的疗效及机制。400例患者平均分为治疗组和对照组。治疗组用一块生肌玉红膏纱布覆盖,对照组用一块凡士林纱布覆盖。两组均隔日换药,共4周。在治疗的第3、7、14、21和28天,观察伤口面积缩小率和伤口肉芽生长情况,并测量伤口肉芽组织中羟脯氨酸和血红蛋白水平。治疗组总有效率为99.00%,对照组为71.00%。治疗组明显优于对照组(P<0.01)。治疗组溃疡面积缩小率明显高于对照组(P<0.01)。治疗组治疗后第7、14、21和28天的溃疡深度、肉芽颜色和覆盖面积评分明显低于治疗前(P<0.05)。治疗后,两组伤口肉芽组织中羟脯氨酸和血红蛋白水平均明显高于治疗前(P<0.01),且治疗组明显高于对照组(P<0.01)。生肌玉红膏可提高下肢慢性溃疡的愈合率。

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