CAJ | 학술논문

目的：观察四黄水蜜冷敷辅助治疗丹毒的疗效观察与护理。方法63例下肝丹毒患者随机数字表法分为观察者32例，对照组31例。在常规抗炎治疗和中医护理的基础上，对照组采用3%硼酸溶液湿敷患处，每日2次，每次20 min，观察组采用四黄水蜜冷敷患处，每日1次，每次4 h，两组均以7 d为1疗程。结果治疗后第3日、第7日两组疼痛数字评分量表（NRS）得分均较治疗前改善，且观察组NRS得分低于对照组（均P<0.05）。观察组总有效率96.88%明显优于对照组的77.42%（P<0.05）；观察组平均治愈时间短于对照组（P<0.05）。两组治疗期间均未出现不良反应。结论在抗炎药物静滴治疗和中医护理基础上，采用四黄水蜜冷敷丹毒急性期皮损，能够显著提高疗效、缩短治愈时间，具有较高的临床价值。
목적：관찰사황수밀랭부보조치료단독적료효관찰여호리。방법63례하간단독환자수궤수자표법분위관찰자32례，대조조31례。재상규항염치료화중의호리적기출상，대조조채용3%붕산용액습부환처，매일2차，매차20 min，관찰조채용사황수밀랭부환처，매일1차，매차4 h，량조균이7 d위1료정。결과치료후제3일、제7일량조동통수자평분량표（NRS）득분균교치료전개선，차관찰조NRS득분저우대조조（균P<0.05）。관찰조총유효솔96.88%명현우우대조조적77.42%（P<0.05）；관찰조평균치유시간단우대조조（P<0.05）。량조치료기간균미출현불량반응。결론재항염약물정적치료화중의호리기출상，채용사황수밀랭부단독급성기피손，능구현저제고료효、축단치유시간，구유교고적림상개치。
Objective:To observe the curative observation and nursing care of Si-huang honeyed powder in the treatment of erysipelas. Methods:63 cases were divided into the observation group with 32 cases and con?trol group with 31 cases. On the basis of conventional anti-inflammatory treatment and nursing of TCM,the con?trol group were applied 3% boric acid solution over the infected part 20 minutes a time and twice a day. The ob?servation group were applied Si-huang honeyed powder over the affected part 4 hours a time and once a day. The two groups all were set seven days as a course of the treatment. Results:Three and seven days after the treatment,the NRS scores of the two groups made marked progress,however,the observation group′s NRS score lower than the control group′s(P<0.05). The total effective rate of the control group was significantly higher than that of the observation group by 96.9% to 77.42%(P<0.05). The average healing time of the observation group was shorter than that of the control group(P<0.05). No adverse reactions occurred during the treatment of the two groups. Conclusion:On the basis of intravenous drip therapy with intravenous drip and nursing care with traditional Chinese medicine,applying Si-huang honeyed powder over the acute skin lesions that suffered from erysipelas will improve curative effect and shorten the healing time significantly and it has a high clinical value. In truth,it is worth being popularized.