解毒祛瘀片联合伤科黄水外敷治疗下肢蜂窝织炎的临床观察OA
Clinical Study of Jiedu Quyu Tablets Combined with External Application of Shangke Huangshui in the Treatment of Lower Extremity Cellulitis
目的 观察解毒祛瘀片联合伤科黄水外敷治疗下肢蜂窝织炎(cellulitis)的临床疗效.方法 采用随机数字表法将患者46例随机分为观察组与对照组各23例.两组患者均给予口服抗感染药物治疗,观察组在此基础上加用解毒祛瘀片及外敷伤科黄水治疗,对照组外敷0.9%氯化钠注射液,两组患者的治疗周期均为8 d.观察两组患者治疗前后的肢体肿胀消退情况、疼痛视觉模拟量表(VAS)评分、炎症指标变化情况,并评价临床疗效.结果 观察组的总有效率为95.65%,高于对照组的73.91%(P<0.05).治疗后观察组疼痛缓解及肿胀减轻情况均明显优于对照组(P<0.05).治疗后两组患者的白细胞计数及C反应蛋白水平均较治疗前明显降低(P<0.05);且观察组的白细胞计数及C反应蛋白水平降低幅度明显优于对照组(P<0.05).结论 解毒祛瘀片联合伤科黄水外敷治疗下肢蜂窝织炎疗效显著,可有效改善患者临床症状,显著降低炎症反应水平,缓解局部疼痛及肿胀情况,提升患者生活质量.
Objective:To observe the clinical efficacy of Jiedu Quyu Tablets combined with external application of Shangke Huangshui in the treatment of lower extremity cellulitis.Methods:A total of 46 patients with lower ex-tremity cellulitis were selected and randomly divided into an observation group and a control group by random number table method,with 23 cases in each group.Both groups were given oral anti-infective drugs.On this basis,the observation group was additionally treated with Jiedu Quyu Tablets and external application of Shangke Huangshui,while the control group was treated with external application of 0.9%sodium chloride injection.The treatment course for both groups was 8 days.The limb swelling subsidence,visual analogue scale(VAS)score,changes of inflammatory indicators before and after treatment were observed,and the clinical efficacy was evaluat-ed.Results:The total effective rate of the observation group was 95.65%,which was higher than 73.91%of the control group(P<0.05).After treatment,the pain relief and swelling reduction in the observation group were signif-icantly better than those in the control group(P<0.05).After treatment,white blood cell count and C-reactive pro-tein count in both groups were significantly lower than those before treatment(P<0.05),and the decrease in the observation group was significantly more obvious than that in the control group(P<0.05).Conclusion:Jiedu Quyu Tablets combined with external application of Shangke Huangshui has significant efficacy in the treatment of lower extremity cellulitis,which can effectively improve clinical symptoms,significantly reduce inflammatory re-sponse,relieve local pain and swelling,and improve the quality of life of patients.
卢伟;詹晓欢;黄昭华;惠杰;张顺;王朝辉
广州中医药大学第八临床医学院(佛山市中医院),广东佛山 528000广州中医药大学第八临床医学院(佛山市中医院),广东佛山 528000广州中医药大学第八临床医学院(佛山市中医院),广东佛山 528000广州中医药大学第八临床医学院(佛山市中医院),广东佛山 528000广州中医药大学第八临床医学院(佛山市中医院),广东佛山 528000广州中医药大学第八临床医学院(佛山市中医院),广东佛山 528000
医药卫生
蜂窝织炎解毒祛瘀片伤科黄水中药
CellulitisJiedu Quyu TabletsShangke HuangshuiTraditional Chinese medicine
《中国中医急症》 2026 (6)
710-712,3
广东省基础与应用基础研究基金委员会,省企联合基金-面上项目(2022A1515220061)
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