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发表于 2010-1-10 00:22:34
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引用第2868楼dandan777于2010-01-09 00:45发表的 :
说两个例子，亲眼见的，我母亲糖尿病，有一阵右腿肌肉萎缩，很明显，看医生后只是叫控制血糖，其实控制的还不错。后来吃了两个月活血化瘀的中药，好了。还有一个是骨科的病人，外伤，我们给他做了多次清创后出现足背大块皮肤缺损，肌腱外露，只有做皮瓣。但他没有钱，就出院了，回家不知在哪糊了些中药粉（甚至没有消毒），一个月以后再来，肉芽长得比皮肤还高，我从来没见过。所以，简单了，做个植皮手术就成了。但我到现在也不知道人家糊的是什么，不外传。临床上很多肌腱和骨质外露的，解决起来很困难，不知那些药粉是偶然起效还是有必然性，如果真有疗效，那就是革命性的成就，这些不值得研究吗？应该被废弃吗？只不过没人去做而已。或者有人去做，但被淹没在大量的学术造假中。
顺便提一句，湿润烧伤膏治疗浅烧伤，擦伤很好，一般不留疤。
徐荣祥的美宝湿润烧伤膏(MEBO)的临床试验结果
新加坡：MEBO与常规疗法具有类似效果，个别方面稍好，不是美宝所声称的治疗
所有烧伤的万能药。
香港：与另两种湿性疗法相比，未显示出美宝所声称的统计意义上的医学优势，
不适合深度烧伤治疗。
黎巴嫩：效果好。
美国：未能在http://clinicaltrials.gov查到美宝所声称的临床试验。
http://www.ncbi.nlm.nih.gov/site ... bMed&list_u
ids=10748957&dopt=AbstractPlus
Ann Acad Med Singapore. 2000 Jan;29(1):7-10.
The role of alternative therapy in the management of partial thickness
burns of the face--experience with the use of moist exposed burn
ointment (MEBO) compared with silver sulphadiazine.
Ang ES, Lee ST, Gan CS, See P, Chan YH, Ng LH, Machin D.
Department of Plastic Surgery, Singapore General Hospital, Singapore.
RESULTS: In patients with facial burns, MEBO was similar to silver
sulphadiazine therapy with respect to rate of wound healing. Minimal
slough was present over the wounds in MEBO-treated wounds resulting in
clearer assessment of healing progression. CONCLUSIONS: Advantages of
MEBO as compared to silver sulphadiazine in the management of partial
thickness burns of the face include convenient change of dressing and
easier assessment of healing progression. This suggests that MEBO is a
useful alternative therapy for partial thickness burns of the face.
----------------
http://www.chinaburn.org/rac/pdf/08.pdf
http://www.ncbi.nlm.nih.gov/site ... bMed&list_u
ids=11549952&dopt=AbstractPlus
MedGenMed. 2001 Mar 6;3(2):3.
Evaluating the role of alternative therapy in burn wound management:
randomized trial comparing moist exposed burn ointment with
conventional methods in the management of patients with second-degree
burns.
Ang ES, Lee ST, Gan CS, See PG, Chan YH, Ng LH, Machin D.
Singapore General Hospital, Department of Plastic Surger, Singapore
General Hospital, Singapore. [email protected]
OBJECTIVE: Our study was conducted to compare MEBO with conventional
management (C) with respect to the rate of wound healing,
antibacterial and analgesic effect, and hospital costs. ...CONCLUSIONS:
MEBO is as effective as conventional management but is not the panacea
for all burn wounds. The use of MEBO eases the management of face and
neck burns and facilitates early institution of occupational therapy
in hand burns. It confers better pain relief such that fewer opiates
are used during the first 5 days after burn injury.
DISCUSSION
...From the results of this prospective RCT, we concludethat MEBO is
as effective as the conventional approach in the management of
second-degree burns, though it is not the panacea for all burn wounds
as claimed....
----------------
http://www.ncbi.nlm.nih.gov/site ... bMed&list_u
ids=14501397&dopt=AbstractPlus
J Burn Care Rehabil. 2003 Sep-Oct;24(5):289-96.
Pain control in a randomized, controlled, clinical trial comparing
moist exposed burn ointment and conventional methods in patients with
partial-thickness burns.
Ang E, Lee ST, Gan CS, Chan YH, Cheung YB, Machin D.
Singapore National Burn Center, Department of Plastic Surgery,
Singapore.
...There was little evidence to suggest a difference in pain levels by
treatment group with the exception of the postdressing pain levels in
the first week when those receiving MEBO had a mean level of 0.7 cm
(95% confidence interval, 0.2 to 1.1) lower than those on conventional
therapy. MEBO appeared to bring greater pain relief for the
postdressing assessment during the first week after burns. This
initial relief, together with comparable pain levels experienced on
other occasions, indicates that MEBO could be an alternative to
conventional burns management.
----------------
http://www.ncbi.nlm.nih.gov/site ... bMed&list_u
ids=15879746&dopt=AbstractPlus
J Burn Care Rehabil. 2005 May-Jun;26(3):247-51.
Efficacy of moist exposed burn ointment on burns.
Zhang HQ, Yip TP, Hui I, Lai V, Wong A.
School of Chinese Medicine, Hong Kong Baptist University, Hong Kong.
...although MEBO had a better wound healing rate than the dry exposure
treatment, it did not show the medical advantage statistically, as has
been claimed, over the other two treatments (P > .05), either in terms
of wound healing rate or bacterial control. We conclude that the MEBO
is not suitable for deep burn wound treatment, particularly when
infection is a concern. |
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楼主: zfj1028
发表于 2010-1-9 00:20:24
