中国医学创新
中國醫學創新
중국의학창신
Medical Innovation of China
2015年
29期
114-116,117
,共4页
富硒温泉水%浸浴%足部%慢性难愈性溃疡
富硒溫泉水%浸浴%足部%慢性難愈性潰瘍
부서온천수%침욕%족부%만성난유성궤양
Selenium-rich hot spring water%Bath%Foot%Chronic painless ulcer
目的：探讨富硒温泉水浸浴治疗足部慢性难愈性溃疡的效果。方法：按照是否接受富硒温泉水浸浴治疗将40例足部慢性难愈性溃疡患者分为试验组20例和对照组20例，对照组患者给予磺胺嘧啶银乳膏局部换药治疗，试验组患者在此基础上给予富硒温泉水治疗，比较两组患者治疗效果。结果：试验组患者溃疡痊愈率和总有效率均明显高于对照组，差异均有统计学意义（P<0.05）。两组患者治疗后1、2、4周溃疡面积均明显减小，与同组治疗前比较，差异均有统计学意义（P<0.05）；试验组患者治疗后1、2、4周溃疡面积均明显小于对照组，差异均有统计学意义（P<0.05）；两组患者治疗后1、2、4周VEGF含量均明显升高，与同组治疗前比较，差异均有统计学意义（P<0.05）；试验组患者治疗后1、2、4周VEGF含量均明显高于对照组，差异均有统计学意义（P<0.05）。结论：富硒温泉水浸浴能够有效促进足部慢性难愈性溃疡愈合，短时间内缩小溃疡面积，提高溃疡面VEGF含量，临床效果显著。
目的：探討富硒溫泉水浸浴治療足部慢性難愈性潰瘍的效果。方法：按照是否接受富硒溫泉水浸浴治療將40例足部慢性難愈性潰瘍患者分為試驗組20例和對照組20例，對照組患者給予磺胺嘧啶銀乳膏跼部換藥治療，試驗組患者在此基礎上給予富硒溫泉水治療，比較兩組患者治療效果。結果：試驗組患者潰瘍痊愈率和總有效率均明顯高于對照組，差異均有統計學意義（P<0.05）。兩組患者治療後1、2、4週潰瘍麵積均明顯減小，與同組治療前比較，差異均有統計學意義（P<0.05）；試驗組患者治療後1、2、4週潰瘍麵積均明顯小于對照組，差異均有統計學意義（P<0.05）；兩組患者治療後1、2、4週VEGF含量均明顯升高，與同組治療前比較，差異均有統計學意義（P<0.05）；試驗組患者治療後1、2、4週VEGF含量均明顯高于對照組，差異均有統計學意義（P<0.05）。結論：富硒溫泉水浸浴能夠有效促進足部慢性難愈性潰瘍愈閤，短時間內縮小潰瘍麵積，提高潰瘍麵VEGF含量，臨床效果顯著。
목적：탐토부서온천수침욕치료족부만성난유성궤양적효과。방법：안조시부접수부서온천수침욕치료장40례족부만성난유성궤양환자분위시험조20례화대조조20례，대조조환자급여광알밀정은유고국부환약치료，시험조환자재차기출상급여부서온천수치료，비교량조환자치료효과。결과：시험조환자궤양전유솔화총유효솔균명현고우대조조，차이균유통계학의의（P<0.05）。량조환자치료후1、2、4주궤양면적균명현감소，여동조치료전비교，차이균유통계학의의（P<0.05）；시험조환자치료후1、2、4주궤양면적균명현소우대조조，차이균유통계학의의（P<0.05）；량조환자치료후1、2、4주VEGF함량균명현승고，여동조치료전비교，차이균유통계학의의（P<0.05）；시험조환자치료후1、2、4주VEGF함량균명현고우대조조，차이균유통계학의의（P<0.05）。결론：부서온천수침욕능구유효촉진족부만성난유성궤양유합，단시간내축소궤양면적，제고궤양면VEGF함량，림상효과현저。
Objective:To investigate the clinical effects of selenium-rich hot spring water bath for the treatment of patients with foot chronic painless ulcer.Method:40 patients with foot chronic painless ulcer were divided into the experimental group(20 cases) and the control group(20 cases) according to whether or not to accept the selenium-rich hot spring water bath treatment.The control group was treated by Sulfadiazine Silver Cream,on the basis of the control group,the experimental group was treated by selenium-rich hot spring water bath.The clinical effects of the two groups were compared.Result:The ulcer healing rate and total effective rate of the experimental group were significantly higher than the control group,the differences were statistically significant(P<0.05).The ulcer area after treatment for 1 week,2 and 4 weeks of the two groups were significantly less than before treatment,and the ulcer area after treatment for 1 week,2 and 4 weeks of the experimental group were significantly less than the control group,the differences were statistically significant(P<0.05).The content of VEGF after treatment for 1 week,2 and 4 weeks of the two groups were significantly higher than before treatment,and the content of VEGF after treatment for 1 week,2 and 4 weeks of the experimental group were significantly higher than the control group,the differences were statistically significant (P<0.05).Conclusion:Selenium-rich hot spring water bath can improve the patients with foot chronic painless ulcer, reduce the ulcer area,increase the content of VEGF,it has significant clinical effect.
