| 曹细英,陈小花,胡振明,曾海文.肤平散外敷治疗下肢丹毒的临床观察[J].实用中西医结合临床,2022,22(21): |
| 肤平散外敷治疗下肢丹毒的临床观察 |
| Clinical Observation of External Application of Fuping Powder in the Treatment of Erysipelas of Lower Limbs |
| 投稿时间：2022-11-07 修订日期：2022-11-25 |
| DOI： |
| 中文关键词: 关键词：肤平散 下肢丹毒 临床观察 中西医结合 |
| 英文关键词: Keyword：Fuping powder Erysipelas of lower limbs Clinical observation Integrated traditional Chinese and western medicine |
| 基金项目:江西省中医药管理局科技计划（编号：2022B625） |
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| 中文摘要: |
| 摘要：目的 探讨使用肤平散外敷治疗下肢丹毒的临床疗效。方法 选取2017年8月～2022年8月于我院住院下肢丹毒患者病例共60例，按随机数字法分为治疗组30例和对照组30例，两组均予抗生素常规治疗，同时治疗组予肤平散外敷，对照组予硫酸镁溶液湿敷，连续治疗7天。通过观察两组患者治疗前后的症状体征积分、炎症指标（WBC、NEUT%、CRP）变化，以及治疗后总有效率和治愈率来评估其临床疗效，同时记录治疗期间不良反应及并发症情况来评估其安全性。结果 治疗后，治疗组总有效率为100%（30/30）大于对照组总有效率93.3%（28/30）（P＜0.05）；治疗组治愈率43.3%（13/30）高于对照组16.7%（5/30）（P＜0.05）；治疗后两组症状体征积分包括肤色、肿胀程度、肤温、疼痛积分均有所下降，且治疗组改善情况明显优于对照组（P＜0.05）；治疗后炎症指标包括WBC、NEUT%、CRP值均下降，治疗组下降幅度大于对照组（P＜0.05）；两组均未见有不良反应事件发生。结论 肤平散外敷治疗下肢丹毒有良好的抗炎镇痛、抑菌消肿的作用，能很好的改善患者临床症状、促进炎症消退，缩短病程，且安全性高，值得我们在临床上进一步推广使用。 |
| 英文摘要: |
| Abstract：Objective To investigate the clinical effect of external application of Fuping powder on erysipelas of lower limbs.Methods A total of 60 cases of lower limb erysipelas hospitalized in our hospital from August 2017 to August 2022 were selected and divided into treatment group (30 cases) and control group (30 cases) according to the random number method,both groups were treated with antibiotics for routine treatment, while the treatment group was treated with external application of Fuping powder, and the control group was treated with wet compress of magnesium sulfate solution,the treatment lasted for 7 days.The clinical efficacy of the two groups was evaluated by observing the changes of symptom and sign scores, inflammation indicators (WBC, NEUT%, CRP) before and after treatment, and the total effective rate and cure rate after treatment.At the same time, the adverse reactions and complications during treatment were recorded to evaluate its safety.Results After treatment, the total effective rate of the treatment group was 100% (30/30), which was higher than 93.3% (28/30) of the control group (P < 0.05);The cure rate of the treatment group was 43.3% (13/30) higher than that of the control group 16.7% (5/30)(P < 0.05).After treatment, the scores of symptoms and signs including skin color, swelling degree, skin temperature and pain in the two groups all decreased, and the improvement in the treatment group was significantly better than that in the control group (P < 0.05);After treatment, inflammatory indicators including WBC, NEUT% and CRP decreased, and the decrease in the treatment group was greater than that in the control group (P < 0.05);There were no adverse events in the two groups.Conclusion External application of Fuping powder in the treatment of erysipelas of lower limbs has good anti-inflammatory, analgesic, bacteriostatic and swelling effects, which can improve the clinical symptoms of patients and promote the resolution of inflammation, Shorten the duration of symptoms,with high safety, and is worthy of further promotion and use in clinical practice. |
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