世界中医药

目的：探究中西医结合治疗烧伤后瘢痕增生的临床疗效。方法：选择2014年9月至2016年9月我院收治的110例烧伤后瘢痕增生患者，随机分为2组，对照组外涂复春散II号治疗，观察组在对照组基础上给予压力疗法、激光照射治疗，对比2组预后效果。结果：治疗前2组VSS评分无统计学意义（P>0.05）；治疗后观察组VSS评分为（2.2±0.7）分显著低于对照组（P<0.05）；观察组轻度色素沉着比例为70.9%显著高于对照组，重度色素沉着比例为3.6%显著低于对照组（P>0.05）；治疗后观察组总有效率为83.6%显著高于对照组（P<.0.05）。结论：烧伤后瘢痕增生患者采用外涂丹芎瘢痕涂膜联合压力疗法、激光照射治疗，可有效控制瘢痕组织的生成，降低色素沉着程度，预后效果良好，值得推广采用。

English Summary:

To observe the clinical effect of integrative Chinese and western medicine in the treatment of burn scar hyperplasia. Methods:A total of 110 cases of burn scar hyperplasia patients admitted in our hospital from September 2014 to September 2016 year were randomly divided into two groups. The control group received Fuchunsan II treatment， and the observation group were given pressure therapy and laser irradiation therapy based on the medication of the control group. Compare curative effect between the two groups after treatment. Results:The two groups’ VSS score had no statistical difference before treatment(P>0.05). After treatment， the observation group’s VSS score was (2.2± 0.7)， significantly lower than that of the control group (P<0.05). The observation group’s mild pigmentation ratio was 70.9%， significantly higher than that of the control group (3.6%) and lower than the control group (P>0.05). The efficiency rate of the observation group was 83.6%， significantly higher than that of the control group (P<0.05). Conclusion:Using coated Danxiong Scar Coating combined with scar pressure therapy in burn patients after laser irradiation treatment can effectively control the formation of scar tissue and reduce the degree of pigmentation. Its prognosis is good， and it is worthy of clinical promotion.

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