中西联合疗法治疗慢性皮肤溃疡的临床效果

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1、中西联合疗法治疗慢性皮肤溃疡的临床效果［摘要］目的观察中西医联合疗法治疗慢性皮肤溃疡的临床效果。方法选取2014年8月〜2016年8月在我科门诊就诊的160例慢性皮肤溃疡患者，将其分随机为对照组与治疗组，各80例。两组患者均使用常规西药治疗，在此基础上，治疗组加服中药汤剂治疗。观察比较治疗后皮肤创面的愈合率及中医证候积分，评价疗效。结果治疗后，治疗组患者的治愈率为38.75%,总有效率为95.00%,显著高于对照组患者的治愈率和总有效率；患者的平均创面愈合率为％，显著高于对照组的％;痊愈患者的平均创面愈合时间为d，明显短于对照组的d;患者

2、的平均中医证候积分为分，明显低于对照组的分；随访半年内治愈患者，治疗组的复发率为6.75%,显著低于对照组，以上所有差异均有统令学意义。结论中西医联合疗法治疗慢性皮肤溃疡可有效提高治愈率，缓解患者的临床症状，是一种有效的临床治疗方法。［关键词］中西医联合疗法；慢性皮肤溃疡；临床效果［中图分类号］R758.19［文献标识码］A［文章编号］1674-472106-0106-03[Abstract]ObjectiveToobservetheclinicalcurativeeffectofcombinationtherapyoftradition

3、alChineseandwesternmedicinetreatmentofchronicskinulcer.Methods160caseswithchronicskinulcertreatedinouroutpatientofourdepartmentfromAugust2014toAugust2016wereselectedandtheywererandomlydividedintothecontrolgroupandtreatmentgroupandeachgrouphad80cases.Allpatientsweregivenco

4、nventionalwesternmedicinetreatment.Onthisbasis，thetreatmentgroupwasgiventraditionalChinesemedicinedecoctionadditionally.Theskinwoundhealingrateandsymptomintegralwouldbeobservedaftertreatment.Thenthecurativeeffectwouldbeevaluated.ResultsAftertreatment，thecurerateoftreatmen

5、tgroupwas38.75%，andtotaleffectiveratewas95.00%,whichwassignificantlyhigherthanthecontrolgroup.Theaveragewoundhealingratesignificantlyhigherthanthetreatmentgroupwaso/o,whichwassignificantlyhigherthanthecontrolgroup[%].Theaveragewoundhealingtimeofhealedpatientswasdaysinthet

6、reatmentgroup,whichwassignificantlyshorterthanthatofthecontrolgroup[d].Comparedwiththecontrolgroup[points]，thepatients'averageofTCMsymptomscoreoftreatmentgroup[points]wasdecreasedobviously.Therecurrencerateoftreatmentgroupfromcurepatientsinhalfayearwas6.75%，whichwassignif

7、icantlylowerthanthecontrolgroup.Allthedifferenceswerestatisticallysignificant.ConclusionThecombinationtherapyofChineseandwesternmedicineisappliedtotreatchronicskinulcer，whichcaneffectivelyimprovethecurerateandrelievethepatients’clinicalsymptoms.ltisaneffectivemethodforcli

8、nicaltreatment.[Keywords]CombinationtraditionalChineseandwesternmedicinetherapy；Chronicskinulcer