目的:比较中药浸浴与常规应用磺胺嘧啶银治疗对烧伤后残余创面细菌清除的影响。方法:80例烧伤残余创面随机分成浸浴组与对照组两组,每组各40例,浸浴组应用本院自制的中药配方进行浸浴,然后以柏竭珍珠膏纱布覆盖,无菌纱布包扎,隔日浸浴、换药;对照组以洗必泰外洗创面,常规1%磺胺嘧啶银纱布包扎,隔日换药;浸浴组浸浴前及浸浴后第7天分别作创面细菌培养,对照组和浸浴组同一时间点分别作创面细菌培养。观察两组的细菌清除率及疗效判定。结果:浸浴组创面细菌清除率82.5%,对照组创面细菌清除率40.0%,两组统计学比较有显著性差别(P<0.05);疗效比较:浸浴组有效率85.0%;对照组有效率52.5%,两组统计学比较有显著性差别(P<0.05);结论:残余创面细菌量直接影响创面愈合,中药配方浸浴能有效清除细菌,控制感染,促进创面愈合。 OBJECTIVE: To compare the effects of bath immersion with conventional silver sulfadiazine on the bacterial clearance of residual burn wounds. Methods: Eighty burn residual wounds were randomly divided into two groups (immersion group and control group), 40 in each group. The immersion group was immersed in the Chinese herbal formula prepared by our hospital and then covered with pearl plaster gauze. The sterile gauze The control group was treated with chlorhexidine external wash wounds, conventional 1% sulfadiazine silver gauze bandaging, dressing every other day; before immersion bath group and 7 days after bathing, bacterial culture of the wounds The control group and the immersion group were cultured at the same time as the wound bacterial culture. Bacterial clearance rate and curative effect were observed in both groups. Results: Bacterial bacterial removal rate was 82.5% in the immersion group and 40.0% in the control group. There was a significant difference between the two groups (P <0.05) (P <0.05). Conclusion: Bacterial quantity of residual wound directly affects wound healing. Bathing with traditional Chinese medicine can effectively remove bacteria, control infection and promote wound healing.