冰石愈伤软膏治疗胫骨骨折钢板内固定术后切口不愈合的临床疗效

Clinical Effect of Bingshi Healing Ointment in Treating Nonunion Incision after Plate Internal Fixation of Tibial Fracture

摘要: 目的：观察冰石愈伤软膏在治疗胫骨骨折钢板内固定术后治疗中所遇到的切口不愈合或延迟愈合的临床疗效。方法：将40例胫骨骨折钢板内固定术后切口不愈合的患者随机分为两组：对照组给予常规换药；观察组在对照组基础上，每次换药应用冰石愈伤软膏充分填充至切口或腔道。两组均根据切口的大小，从每日换药逐渐至隔日换药，直到切口完全愈合。两组术后均给予常规治疗，疗程均为5周。记录两组皮肤切口愈合时间及治疗后7 d、14 d和21 d的愈合率，结果：冰石愈伤软膏组愈合率明显优于常规换药组。结论：冰石愈伤软膏可有效促进胫骨骨折钢板内固定术后切口愈合，促进肉芽组织加速生长，大大缩短术后切口愈合时间。

Abstract: Objective: To observe the clinical efficacy of Bingshi healing ointment in the treatment of nonunion of tibial fracture incision or delayed union after plate internal fixation. Methods: 40 patients with nonunion of tibial fracture incision were randomly divided into two groups: control group was given routine dressing change; observation group on the basis of control group, the incision or cavity was fully filled with Bingshi healing ointment for each dressing change. Both groups were given conventional treatment after surgery from daily dressing change to every other day according to the size of the incision, until the incision was completely healed. The healing time of skin incision and the healing rate of 7 d, 14 d and 21 d after treatment were recorded in the two groups. Results: The healing rate of the Bingshi healing ointment group was significantly better than that of the conventional dressing change group. Conclusion: Bingshi healing ointment can effectively promote the healing of the incision after the internal fixation of tibial fracture with steel plate, accelerate the growth of granulation tissue, and greatly shorten the healing time of the postoperative incision.