世界中医药
世界中醫藥
세계중의약
WORLD CHINESE MEDICINE
2015年
2期
202-205
,共4页
廖明娟%王永灵%李琰%蒉纲
廖明娟%王永靈%李琰%蕢綱
료명연%왕영령%리염%궤강
乳腺癌%术后%创面不愈%紫归长皮膏%银离子藻酸盐
乳腺癌%術後%創麵不愈%紫歸長皮膏%銀離子藻痠鹽
유선암%술후%창면불유%자귀장피고%은리자조산염
Breast cancer%Unhealed wound%Ziguizhangpi Ointment%Silver alginate
目的:观察紫归长皮膏联合银离子藻酸盐敷料治疗乳腺癌术后伤口不愈的临床疗效,初步探讨作用机制。方法:将80例乳腺癌术后伤口不愈患者随机分为2组,对照组40例采用银离子藻酸盐外敷,治疗组40例用紫归长皮膏联合银离子藻酸盐外敷;2组疗程均为6周,治疗6周后评价疗效;6周未愈者重新评估伤口,更改方案治疗直至创面愈合;比较2组临床疗效、创面愈合率、创面肉芽组织中血管内皮生长因子表达。结果:对照组痊愈率为68.42%,总有效率为81.58%;治疗组分别为86.49%、94.59%;组间比较,P<0.05;治疗组VEGF面积(1447.64±240.18)μm2,对照组为(1117.95±373.54)μm2,治疗组明显优于对照组(P<0.01)。结论:紫归长皮膏联合银离子藻酸盐敷料治疗乳腺癌术后伤口不愈,能提高创面愈合率、临床疗效;促进创面血管内皮生长因子表达,从而促进创面愈合;治疗期间未出现不良反应,值得临床推广。
目的:觀察紫歸長皮膏聯閤銀離子藻痠鹽敷料治療乳腺癌術後傷口不愈的臨床療效,初步探討作用機製。方法:將80例乳腺癌術後傷口不愈患者隨機分為2組,對照組40例採用銀離子藻痠鹽外敷,治療組40例用紫歸長皮膏聯閤銀離子藻痠鹽外敷;2組療程均為6週,治療6週後評價療效;6週未愈者重新評估傷口,更改方案治療直至創麵愈閤;比較2組臨床療效、創麵愈閤率、創麵肉芽組織中血管內皮生長因子錶達。結果:對照組痊愈率為68.42%,總有效率為81.58%;治療組分彆為86.49%、94.59%;組間比較,P<0.05;治療組VEGF麵積(1447.64±240.18)μm2,對照組為(1117.95±373.54)μm2,治療組明顯優于對照組(P<0.01)。結論:紫歸長皮膏聯閤銀離子藻痠鹽敷料治療乳腺癌術後傷口不愈,能提高創麵愈閤率、臨床療效;促進創麵血管內皮生長因子錶達,從而促進創麵愈閤;治療期間未齣現不良反應,值得臨床推廣。
목적:관찰자귀장피고연합은리자조산염부료치료유선암술후상구불유적림상료효,초보탐토작용궤제。방법:장80례유선암술후상구불유환자수궤분위2조,대조조40례채용은리자조산염외부,치료조40례용자귀장피고연합은리자조산염외부;2조료정균위6주,치료6주후평개료효;6주미유자중신평고상구,경개방안치료직지창면유합;비교2조림상료효、창면유합솔、창면육아조직중혈관내피생장인자표체。결과:대조조전유솔위68.42%,총유효솔위81.58%;치료조분별위86.49%、94.59%;조간비교,P<0.05;치료조VEGF면적(1447.64±240.18)μm2,대조조위(1117.95±373.54)μm2,치료조명현우우대조조(P<0.01)。결론:자귀장피고연합은리자조산염부료치료유선암술후상구불유,능제고창면유합솔、림상료효;촉진창면혈관내피생장인자표체,종이촉진창면유합;치료기간미출현불량반응,치득림상추엄。
Objective:To observe the curative effects of Ziguizhangpi Ointment(ZG)combined with silver alginate in the treatment of unhealed wounds after breast cancer operation and explore the mechanism.Methods:Eighty patients were randomly divided into control group and treatment group (n=40).Patients in control group were treated by silver alginate,while patients in treatment group were treated by ZG combined with silver alginate.After 6 weeks of treatment,the clinical effects,on wound healing,and expression of vascular endothelial growth factor (VEGF)were evaluated.Results:In the control group,the curative rate and total effective rate were 68.42% and 81 .58%,and they were 86.49%and 94.59%respectively in treatment group (P<0.05);Im-munohistochemistry showed that VEGF expression in control group was(1117.95 ±373.54)μm2,and it was(1447.64 ±240.18)μm2 in treatment group(P<0.01 ).Conclusion:Combined application of ZG and silver alginate can improve wound healing rate and upregulate the expression of VEGF.It shows no noticeable adverse effect,therefore it is worth of clinical application.