得宝松局封疗法在烫伤后多发性化脓性肉芽肿患者治疗中的效果
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沈钶清(1995.1-),女,浙江嵊州人,本科,护师,主要从事临床护理工作

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R737.3

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Effect of Diprospan Local Blockage in the Treatment of Patients with Multiple Suppurative Granuloma After Scald
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    摘要:

    目的 探讨复方倍他米松注射液局封疗法在烫伤后多发性化脓性肉芽肿患者治疗中的效果。方法 选取2022年1月-12月我院收治的80例烫伤后多发性化脓性肉芽肿患者作为研究对象,按照随机数字表法 分为观察组和对照组,各40例。对照组采用二氧化碳点阵激光治疗,观察组在对照组基础上采用复方倍 他米松注射液局部封闭疗法,比较两组一次治愈率、并发症发生率、伤口愈合时间、生活质量以及炎性因子 水平。结果 观察组一次治愈率高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率低于对照 组,差异有统计学意义(P<0.05);观察组伤口愈合时间短于对照组,差异有统计学意义(P<0.05);两组 治疗后生活质量各项评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P <0.05);两组治疗后 TNF-α、IL-4、IL-10水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论 复 方倍他米松注射液局部封闭疗法辅助治疗烫伤后多发性化脓性肉芽肿效果确切,可提高治疗效果,降低瘢 痕、感染和色素沉着发生率,改善患者生活质量,降低患者炎性因子水平,值得临床应用。

    Abstract:

    Objective To investigate the effect of diprospan local blockage in the treatment of patients with multiple suppurative granuloma after scald. Methods A total of 80 patients with multiple suppurative granuloma after scald admitted to our hospital from January to December 2022 were selected as the research objects. According to the random number table method, they were divided into observation group and control group, with 40 patients in each group. The control group was treated with carbon dioxide fractional laser, and the observation group was treated with compound betamethasone injection local closure therapy on the basis of the control group. The one-time cure rate, complication rate, the wound healing, quality of life and inflammatory factor levels were compared between the two groups. Results The one-time cure rate of the observation group was higher than that of the control group, and the difference was statistically significant (P <0.05). The incidence of complications in the observation group was lower than that in the control group, the difference was statistically significant (P <0.05). The wound healing time of the observation group was shorter than that of the control group, and the difference was statistically significant (P <0.05). The scores of quality of life in the two groups after treatment were higher than those before treatment, and those in the observation group were higher than those in the control group, the differences were statistically significant (P <0.05). After treatment, the levels of TNF-α, IL-4 and IL-10 in the two groups were lower than those before treatment, and those in the observation group were lower than those in the control group, the differences were statistically significant (P <0.05). Conclusion Compound betamethasone injection local closure therapy is effective in the adjuvant treatment of multiple suppurative granuloma after scald, which can improve the therapeutic effect, reducethe incidence of scar, infection and pigmentation, improve the quality of life of patients, reduce the level of inflammatory factors in patients, and is worthy of clinical application.

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沈钶清,黄慧敏.得宝松局封疗法在烫伤后多发性化脓性肉芽肿患者治疗中的效果[J].医学美学美容,2023,32(15):73-76.

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  • 在线发布日期: 2023-09-16
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