CAJ | 학술논문

目的：探讨分析复方四黄液湿敷联合早期辨证饮食调护治疗手部绞榨伤的临床效果。方法：选取2012年7月-2013年6月期间在我科接受诊治的197例手部绞榨伤患者为实验组，同时选取2011年7月-2012年6月期间在我科接受诊治的158例手部绞榨伤患者为对照组，两组患者入科后全部急诊手术彻底清创，术后均使用抗菌药物预防感染。实验组术后每天常规换药加复方四黄液湿敷，配合早期辨证饮食调护，对照组术后每天常规换药加呋喃西林湿敷，比较两组的临床疗效。结果：实验组197例患者通过复方四黄液湿敷联合早期辨证饮食治疗，感染率为7.11%，痊愈率为79.19%；对照组158例患者感染率为12.03%，痊愈率为49.37%；实验组明显优于对照组，差异具有统计学意义（P<0.05）。结论：复方四黄液湿敷联合早期辨证饮食调护治疗手部绞榨伤具有良好的治疗效果，不仅可以降低感染率，减少用药天数，更能提高痊愈率，值得应用推广。
목적：탐토분석복방사황액습부연합조기변증음식조호치료수부교자상적림상효과。방법：선취2012년7월-2013년6월기간재아과접수진치적197례수부교자상환자위실험조，동시선취2011년7월-2012년6월기간재아과접수진치적158례수부교자상환자위대조조，량조환자입과후전부급진수술철저청창，술후균사용항균약물예방감염。실험조술후매천상규환약가복방사황액습부，배합조기변증음식조호，대조조술후매천상규환약가부남서림습부，비교량조적림상료효。결과：실험조197례환자통과복방사황액습부연합조기변증음식치료，감염솔위7.11%，전유솔위79.19%；대조조158례환자감염솔위12.03%，전유솔위49.37%；실험조명현우우대조조，차이구유통계학의의（P<0.05）。결론：복방사황액습부연합조기변증음식조호치료수부교자상구유량호적치료효과，불부가이강저감염솔，감소용약천수，경능제고전유솔，치득응용추엄。
Objective:To analyze clinical efficacy of Fufang Sihuang liquid external application plus early stage diet nursing on hand injuries. Methods:197 patients were selected as the experiment group from July 2012 to June 2013. 158 patients were selected as the control group from July 2011 to June 2012. All patients were completely debrided in emergency operation, and antibiotics were applied to prevent infection. The experiment group was treated with routine treatment plus Fufang Sihuang liquid external application and early stage diet nursing. The control group was treated with routine treatment plus furacilin external application. Results: The infecting rate in the experiment group is 7.11%, the recovery rate is 79.19%;the two rates in the control group were 12.03%and 49.37%. The experiment group is obviously better than the control group. The difference was statistically significant (P<0.05). Conclusion:Fufang Sihuang liquid external application plus early stage diet nursing in treating hand injuries were confirmed with good effects, which could decrease infection and medication time, and was worthy of recommending.