摘要
目的观察自制中药油膏“立奇膏”联合新型敷料治疗乳腺癌术后中重度皮瓣坏死的临床疗效。方法选择2015年1月至2020年6月乳腺癌术后皮瓣坏死且未触及骨骼患者122例,其中2015年1月至2017年10月乳腺癌术后皮瓣坏死患者62例为对照组,选用凡士林纱布进行常规创面治疗;2017年11月至2020年6月乳腺癌术后皮瓣坏死患者60例为实验组,选用中药油膏“立奇膏”联合新型敷料进行创面治疗;治疗12周后比较两组患者创面面积、疼痛及疗效、坏死皮瓣脱尽时间与创面愈合时间。结果治疗12周后,实验组患者创面面积的缩小、疼痛的缓解及治疗的效果都明显优于对照组(P<0.05)。实验组60例治愈54例,好转4例,无效2例,总有效率为96.67%;对照组62例治愈24例,好转13例,无效25例,总有效率为59.68%。结论中药油膏“立奇膏”联合新型敷料治疗乳腺癌术后中重度皮瓣坏死可以达到清创损伤小、坏死组织脱落快、疼痛明显缓解、愈合时间明显缩短的疗效,值得临床推广。
Objective To explore the clinical effect of self-made Traditional Chinese Medicine ointment"Liqi ointment"combined with the neotype dressing to treat moderate-severe flap necrosis after breast cancer operation.Methods To select a total of 122 postoperative patients with breast cancer who suffered from skin flap necrosis but no bone contact from January 2015 to October 2017.Among these cases,62 patients made up the control group who used vaseline gauze for routine wound treatment,and 60 patients who received the Traditional Chinese Medicine ointment"Liqi ointment"combined with new dressing for wound treatment.After 12 weeks,the wound area,pain severity,treatment efficacy,the time for necrotic flap removal and wound healing time were compared between two groups.Results After 12 weeks of intervention,the wound area reduction,pain relief and treatment efficacy of observation group were better than those of the control group(P<0.05).The total effective rate was 96.67%in observation group(60 cases),among which 54 cases were cured,4 cases improved and 2 case was invalid.However,the total effective rate was 59.68%in control group,among which 24 cases were cured,13 cases improved and 25 cases were invalid.Conclusion The Traditional Chinese Medicine"Liqi ointment"combined with the neotype dressing can achieve the curative effect of less debridement damage,rapid shedding of necrotic tissue,relief of pain and shortened healing time in the treatment of moderate and severe skin flap necrosis after breast cancer surgery,which is worth promoting in clinic.
作者
赵志芳
闻珏
陆颖琳
周丽青
朱兰芳
张敏
ZHAO Zhifang;WEN Jue;LU Yinglin;ZHOU Liqing;ZHU Lanfang;ZHANG Min(Li Qi Dressing Room,Huangpu Branch of Shanghai Ninth People's Hospital,Shanghai Jiaotong University School of Medicine,Shanghai 200011,China)
出处
《护理管理杂志》
2021年第5期370-374,共5页
Journal of Nursing Administration
基金
上海市黄浦区医疗卫生重点研究发展专科项目(HWZFK201805)
上海市黄浦区科研项目(HKM201716)。
关键词
皮瓣坏死
湿性愈合
中西医结合
伤口护理
flap necrosis
moist healing
combination of Chinese and Western
wound care
