[1]孙之中,易 倩.透脓饮联合象皮生肌膏治疗慢性皮肤溃疡疗效研究[J].陕西中医,2021,(3):341-343.[doi:DOI:10.3969/j.issn.1000-7369.2020.03.018]
 SUN Zhizhong,YI Qian.Efficacy of Tounongyin decoction combined with Xiangpi Shengji ointment in chronic skin ulcer[J].,2021,(3):341-343.[doi:DOI:10.3969/j.issn.1000-7369.2020.03.018]
点击复制

透脓饮联合象皮生肌膏治疗慢性皮肤溃疡疗效研究
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2021年3期
页码:
341-343
栏目:
临床研究
出版日期:
2021-03-09

文章信息/Info

Title:
Efficacy of Tounongyin decoction combined with Xiangpi Shengji ointment in chronic skin ulcer
作者:
孙之中易 倩
(湖南中医药大学第一附属医院,湖南 长沙 410007)
Author(s):
SUN ZhizhongYI Qian
(The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine,Changsha 410007,China)
关键词:
透脓饮 象皮生肌膏 慢性皮肤溃疡 血管内皮生长因子 肿瘤坏死因子-α 白介素-6
Keywords:
Tounongyin decoction Xiangpi Shengji ointment Chronic skin ulcers Vascular endothelial growth factor Tumor necrosis factor-α Interleukin-6
分类号:
R 573.1
DOI:
DOI:10.3969/j.issn.1000-7369.2020.03.018
文献标志码:
A
摘要:
目的:探讨透脓饮联合象皮生肌膏外涂治疗慢性皮肤溃疡的临床疗效。方法:选取75例慢性皮肤溃疡患者为研究对象,采用随机数字表法分为研究组(38例)与对照组(37例),对照组采取象皮生肌膏治疗,观察组采取透脓饮联合象皮生肌膏治疗。观察比较两组患者临床疗效、愈合指标、细胞因子及不良反应。结果:研究组总有效率94.74%高于对照组70.27%(P<0.05)。研究组创面愈合时间、肉芽组织生长时间及腐肉去除时间低于对照组(均P<0.05)。治疗后,两组患者VEGF、TNF-α及IL-6优于治疗前,且研究组优于对照组(均P<0.05)。研究组不良反应与对照组比较,差异无统计学意义(P>0.05)。结论:透脓饮联合象皮生肌膏外涂治疗慢性皮肤溃疡能减少创面愈合时间,改善细胞因子水平,促进创面愈合,安全性较好,临床疗效较佳。
Abstract:
Objective:To explore the clinical efficacy of Tounongyin decoction combined with Xiangpi Shengji ointment in the treatment of chronic skin ulcers.Methods:75 patients with chronic skin ulcer were selected and randomly divide into study group(38 cases)and control group(37 cases).The control group was treated with Xiangpi Shengji ointment,and the observation group was treated with Tounongyin decoction combined with Xiangpi Shengji ointment.Clinical efficacy,healing indicators,cytokines and adverse reactions of the two groups were observed.Results:The total effective rate of the study group 94.74% was higher than that of the control group 70.27%(P<0.05).The wound healing time,the granulation tissue growth time and the carrion removal time in the study group were lower than those in the control group(all P<0.05).After treatment,VEGF,TNF-α and IL-6 in the two groups were better than before treatment,and the study group was better than the control group(all P<0.05).There was no significant difference in adverse reactions between the study group and the control group(P>0.05).Conclusion:Tounongyin decoction combined with Xiangpi Shengji ointment for chronic skin ulcers can reduce wound healing time,improve cytokine levels,and promote wound healing with better safety and clinical efficacy.

参考文献/References:

[1] 王瑞淑,左庆选,李新丽,等.托毒生肌凝胶对大鼠溃疡创面治疗的机制研究[J].陕西中医,2018,39(9):1159-1162,1318.
[2] 朱 颉,曹 亿,于萌蕾,等.祛腐生肌方促进慢性皮肤溃疡大鼠创面愈合机制研究[J].陕西中医,2016,37(6):745-746.
[3] 蒙玉娇,陈朝霞,王 燕,等.慢性皮肤溃疡间充质干细胞治疗及中医药调节作用的研究进展[J].世界中医药,2019,14(11):3097-3100.
[4] 石志强,班秀芬,李元奎,等.透脓散对浅部化脓性炎症趋化因子补体5a、白三烯4的影响[J].长春中医药大学学报,2017,33(5):703-705.
[5] 尤焱南,周 涛,赵 霞.《中医病证诊断疗效标准》修订中文献研究法探析[J].中医药导报,2019,25(21):22-25.
[6] 周 贝,刘亚琳,唐健元.我国中药新药临床研究技术指导原则体系发布概况[J].中国临床药理学杂志,2017,33(18):1850-1852.
[7] 黎英豪,杨现松,杨萍萍.珠香散对慢性皮肤溃疡患者疼痛程度及转化生长因子影响研究[J].陕西中医,2017,38(1):88-89.
[8] 蒯 仂,许逊哲,王一花,等.李斌辨治慢性皮肤溃疡经验[J].上海中医药杂志,2018,52(1):21-23.
[9] 姜 帅,李 娜,杨丽丽,等.透脓托毒饮配合西医手术疗法对肛周坏死性筋膜炎患者预后的影响[J].现代生物医学进展,2019,19(23):4520-4523.
[10] 孟建霞,徐旭英,王广宇,等.回阳生肌膏对慢性皮肤溃疡脾肾阳虚证患者创面巨噬细胞的影响[J].中医杂志,2019,60(5):36-40.
[11] 王桂英,石志强,班秀芬,等.透脓散对浅部化脓性炎症中性粒细胞FC受体、C3b受体影响的实验研究[J].辽宁中医杂志,2017,44(12):2643-2646,2704.
[12] 高 翔,史晓光,周柯鑫,等.托里透脓外治法联合封闭负压引流治疗脓肿期肉芽肿性小叶性乳腺炎的临床研究[J].中国中西医结合外科杂志,2020,26(3):84-88.
[13] 羊 羡,陈其华.托里消毒饮联合象皮生肌膏治疗慢性皮肤溃疡的疗效及对创面组织TNF-α、IL-6、VEGF表达的影响[J].湖南中医药大学学报,2019,39(4):115-118.
[14] Serra R,Grande R,Buffone G,et al.Extracellular matrix assessment of infected chronic venous leg ulcers:Role of metalloproteinases and inflammatory cytokines[J].Int Wound,2016,13(1):53-58.
[15] Zubair M,Ahmad J.Role of growth factors and cytokines in diabetic foot ulcer healing:A detailed review[J].Rev Endocr Metab Disord,2019,20(2):207-217.

相似文献/References:

[1]孙之中,刘朝红,陈其华,等.象皮生肌膏对糖尿病足溃疡大鼠创面组织内上皮-间质转化过程的影响[J].陕西中医,2022,(12):1664.[doi:DOI:10.3969/j.issn.1000-7369.2022.12.002]
 SUN Zhizhong,LIU Zhaohong,CHEN Qihua,et al.Effects of Xiangpi Shengji ointment on EMT in wound tissues of diabetic ulcer rats[J].,2022,(3):1664.[doi:DOI:10.3969/j.issn.1000-7369.2022.12.002]

备注/Memo

备注/Memo:
基金项目:湖南省临床医疗技术创新引导项目(2020SK51407)
更新日期/Last Update: 2021-03-08