中医、中西医结合治疗2,000例手指开放性损伤的疗效和体会

报告从1968～1985年间用中药长皮油膏及中西医药同时并用的方法,治疗2,000例手指开放性损伤的疗效,优良率达88.35%。并总结了用中医药治疗的一些优点:如在伤口畅开的情况下,不怕创面有分泌物,而且还看到"煨脓长肉"的实际情况;指端组织有缺损,经敷药治疗可以获得再生;肌腱部分暴露,经敷药治疗后手指活动仍可不受限制;伤口肉芽增生,可以用"压垫疗法"加以压平;疤痕形成可以预防等等。进一步用中西两药同时并用的换药方法来治疗伤口,既可达到"无痛换药包扎"要求,又能提高疗效。

英文摘要:

This is a report of the treatment on open wounds of the fingers with TCM-WM therapy.There are two types of ointment,i.e.ointment 1 and ointment 2,which are composed of different components for different purposes.In the improvement of epithelialization of fresh wounds,the use of ointment 1 is indicated.It can be placed on a piece of gauze on top of thin dressing with 0.25% chloromycetin,which covered the wound in advance.While in the acceleration of granulation of the infected wound surface,even with necrotic tissue, ointment 2 is useful.The method of application is the same as described above,only the thin dressing in close contact with the wound contained 1:1,000 gentamycin.The author emphasized four points for the practical application:(1)irrigate thoroughly;(2)remove all foreign bodies;(3)check bleeding;(4)avoid debridement and suture.Since 1968,2,000 cases were so treated in a special OPD clinic,excellent result was obtained that was much better than with the conventional method.The cured fingers appeared nearly normal,brought about no scar formation,contraction, or nmitated motility.

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