创伤膏外用促进创面愈合的临床观察

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1、山东中医药大学硕士学位论文创伤膏外用促进创面愈合的临床观察姓名：阎伟申请学位级别：硕士专业：中医骨伤科学指导教师：毕荣修2003.4.20提要y-801152目的：观察创伤膏在创面愈合中的作用。方法：将63例患者随机分为两组：治疗组常规换药，创面用涂抹创伤膏的无菌纱布覆盖；对照组常规换药，创面用无菌纱布覆盖。细菌培养阳性者根据药敏试验选择恰当的抗生素静滴。比较两组的治愈率、总有效率、创面愈合时间、创面缩小率、症状体征、创面分泌物细菌培养以及组织学观察的差异。f结果；用药四周后，从总体疗效上，治疗组治愈率72．73％、总有效率达10096，与对照

2、组治愈率43．3396、总有效率86．67％相比有差异，治疗组优于对照组(P

3、～f；ClinicalStudiesofExternalApplicationofChuangshangGaoinAccelerationofWoundHealingSpeciality：OrthopedicsofTCMAuthor：强nweiTutor：ProfessorBiRonlgxiuAbstractoHective：ToobservetheeffectofChuangshangOaoonwoundhealing．Methods：Thetreatedgroupwastreatedwithroutinetreatmentandthewou

4、ndsurfacewascoveredwithasepsisgauzewhichwasdaubedwithChuangshangOao．Thecontrolgroupwastreatedw'ithroutinetreatmentandthewoundsurfaceonlywascoveredwithasepsis营auzeThepatientselectropositivegcrmiculturereceivedappropriateantibioticstomainline,accordingtopharmicsusceptiveexperi

5、mentation．ThedifferencesOilcurerate，effectiverate，woundhealingtime，woundareareducedrate，clinicalsymptoms,germicultureandhistologicalchangesbetweenthetwogroupswereobserved．Result：After4weeks，thetreatedgroup'scureratewas72。73魄effectiveratewas100％；andthatforthecontrolgroupwere4

6、3．33％and86．67％，theyhadnotabledifference(P

7、dermicroscope，inthetreatedgroup，fibroblastgrowedearlier，thecountofthecapillaryandmes搴llch3，malfibroblastWereixlore，andthecollagenfibrilswerearrayedmoreorderly；Underelectronmicroscope，inthetreatedgroup，fibroblast’Svolumewaslarger,thenucleus{sshapewasmoreregular,COarSeendoplas

8、micretieulumwasmoreabundant，cytochondrion，scountwasmore，andtheridgewasmorei