CAJ | 학술논문

目的：观察云南白药气雾剂治疗经皮冠状动脉介入术后皮下血肿的效果。方法选择经皮冠状动脉介入术后出现皮下血肿的患者70例，根据入院顺序随机分为观察组和对照组各35例，观察组用云南白药气雾剂配合保险液进行治疗，对照组湿敷50％硫酸镁，比较两组治疗效果、治愈时间及疼痛缓解程度。结果观察组治疗总有效率为97．1％，对照组为85．7％，两组比较差异有统计学意义（χ2＝11．893，P＜0．05）；观察组治愈时间（3．6±0．8）d，对照组（5．3±1．1）d，两组比较差异有统计学意义（t＝7．382，P＜0．05）；观察组用药3 d后中重度疼痛患者4例，对照组13例，差异有统计学意义（Z＝-7．432，P＜0．05）。结论云南白药气雾剂治疗经皮冠状动脉介入术后皮下血肿具有快速镇痛、消肿、化瘀、安全的优点，操作简便，患者易于接受，值得临床推广应用。
목적：관찰운남백약기무제치료경피관상동맥개입술후피하혈종적효과。방법선택경피관상동맥개입술후출현피하혈종적환자70례，근거입원순서수궤분위관찰조화대조조각35례，관찰조용운남백약기무제배합보험액진행치료，대조조습부50％류산미，비교량조치료효과、치유시간급동통완해정도。결과관찰조치료총유효솔위97．1％，대조조위85．7％，량조비교차이유통계학의의（χ2＝11．893，P＜0．05）；관찰조치유시간（3．6±0．8）d，대조조（5．3±1．1）d，량조비교차이유통계학의의（t＝7．382，P＜0．05）；관찰조용약3 d후중중도동통환자4례，대조조13례，차이유통계학의의（Z＝-7．432，P＜0．05）。결론운남백약기무제치료경피관상동맥개입술후피하혈종구유쾌속진통、소종、화어、안전적우점，조작간편，환자역우접수，치득림상추엄응용。
Objective To study the efficacy of Yunnan baiyao aerosol treatment for patients undergone percutaneous coronary intervention ( PCI) with subcutaneous hematoma .Methods Seventy patients undergone PCI with subcutaneous hematoma were chosen as the research objects and divided into the observation group (35 cases) and the control group (35 cases) according to the order of odd or even number of patients enrolled . The patients in the observation group were treated with Yunnan baiyao aerosol plus Yunnan baiyao aerosol insurance solution, and those in the control group were treated with wet dressing of magnesium sulfate (50%). The treatment effects , healing time and degree of pain relief of the two groups were compared .Results The total efficiency of the observation group was 97.1%, which was significantly better than 85.7 of the control group (χ2 =11.893, P<0.05).The healing time of the observation group was (3.6 ±0.8) days, which was significantly shorter than (5.3 ±1.1) days in the control group (t=7.382, P<0.05).After 3 days of the treatment, 4 patients in the observation group and 13 patients in the control group had the severe pain .The difference of the degree of pain relief between the observation group and the control group was statistically significant ( Z =-7.432, P <0.05 ).Conclusions Yunnan baiyao aerosol treatment to subcutaneous hematoma after PCI can rapidly and safely relieve pain , swelling and stasis .It can be operated and accepted by patients easily .And it is worthy of clinical application .