负压拔罐对慢性创面治疗效果的观察与分析  

The observation and analysis of cupping therapy for chronic wound healing

作　　者：郑文立[1] 王立民[2] 赵连魁[1] 张向涛[1] 李明[1] 

机构地区：[1]石家庄市第一医院烧伤整形科,河北省石家庄050011 [2]石家庄市第三医院骨科,河北省石家庄050011

出　　处：《中国基层医药》2016年第4期500-503,I0001,共5页Chinese Journal of Primary Medicine and Pharmacy

基　　金：河北省石家庄市科学技术研究与发展计划课题（131460623）

摘　　要：目的：探讨负压拔罐对慢性创面的治疗效果和机制。方法收集慢性创面患者39例，随机分为拔罐组和对照组。其中拔罐组20例，对照组19例。对照组给予慢性创面常规换药，隔日1次；拔罐组除常规换药外还采用拔罐负压治疗，隔日1次。对比观察两组治疗大体观、慢性创面细菌培养阳性率、疼痛评分（VAS 评分）及慢性创面愈合面积比例等。结果拔罐组治疗慢性创面时脓液被引流较充分，并出现新鲜组织液渗出。治疗3 d 后，拔罐组的创面细菌培养阳性率（65％）与对照组（79％）相比差异无统计学意义；治疗1周后拔罐组的创面细菌培养阳性率（40％）明显低于对照组（73％）（χ^2＝4．496，P ＝0．034）。治疗1周后拔罐组 VAS 评分（2．20±1．00）明显低于对照组（4．16±0．96）（t ＝－12．929，P ＝0．001）。治疗2周后，拔罐组的创面面积比例（80．68％）明显小于对照组（92．28％）（χ^2＝－13．675，P ＝0．000），且拔罐组出现4例痊愈患者，对照组无痊愈患者。结论在常规换药基础上的负压拔罐处理对慢性创面有积极的治疗作用，且拔罐治疗价格低廉、操作简单，适合中低收入患者及一些基层医院的推广。Objective To observe and analyze cupping therapy for chronic wound healing.Methods Thirty-nine patients with chronic wounds were collected and randomly divided into cupping therapy group （n =20） and control group （n =19）.The control group was treated with route dressing change once every other day,while the cupping therapy group was added cupping therapy.Compared the two groups of patients in general view,positive ratio of wound germiculture,area percentage of wound healing and pain score （VAS score）.Results The pus of wounds was mostly drained out and the fresh tissue fluid leakage when patients were treated with cupping therapy.After three days of treatment ,the positive ratio of wound germiculture of the cupping group （6 5 % ）was lower than that of the＆amp;nbsp;control group（79%）,but the difference was not significant.After one-week treatment,the positive ratio of wound germiculture of the cupping group（40%）was significantly lower than that of the control group（73%）（χ^2 =4.496, P =0.034）.And the VAS score of the cupping group （2.20 ±1.00）was significantly lower than that of the control group （4.16 ±0.96）（t =-12.929,P =0.001）.After two-week treatment,the area percentage of wound of the cup-ping group （80.68%）was significantly lower than that of the control group （92.28%）（t =-13.675,P =0.000）. And 4 cases of the cupping group cured,while no patient was cured in the control group.Conclusion Cupping thera-py based on route dressing change has positive therapeutic effect on chronic wounds.And the advantages of lower cost and easier operations would make it suitable for middle-and low-income individuals and primary hospitals.

关 键 词：慢性创面 负压 拔罐 创面愈合 

分 类 号：R641[医药卫生—外科学]