蓬子菜水溶液联合针灸疗法治疗下肢慢性皮肤溃疡的效果  

Effect of Galium verum L. Solution combined with acupuncture and moxibustion therapy on chronic skin ulcer of lower limbs

作　　者：苑海刚 赵钢[2] 贾振[2] 吕勃川[2] 黄艳红[2] 张百亮[2] 姜德友[2] 王学军[1] YUAN Haigang;ZHAO Gang;JIA Zhen;LYU Bochuan;HUANG Yanhong;ZHANG Bailiang;JIANG Deyou;WANG Xuejun(Heilongjiang Academy of Chinese Medicine,Heilongjiang Province,Harbin150036,China;Department of Peripheral Vascular Disease,the First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Heilongjiang Province,Harbin150040,China)

机构地区：[1]黑龙江省中医药科学院,黑龙江哈尔滨150036 [2]黑龙江中医药大学附属第一医院周围血管病科,黑龙江哈尔滨150040

出　　处：《中国医药导报》2019年第30期26-29,共4页China Medical Herald

基　　金：黑龙江省中医药科研项目（ZHY18-002）

摘　　要：目的观察蓬子菜水溶液联合针灸疗法治疗下肢慢性皮肤溃疡的临床效果。方法选取2019年1~5月黑龙江中医药大学附属第一医院周围血管病科住院治疗符合实验纳入标准的下肢慢性皮肤溃疡患者86例,采用随机数字表法将其分为实验组和对照组,每组各43例。两组患者针对病因积极治疗原发病症,创面每日局部清创换药。实验组溃疡面喷洒蓬子菜水溶液,同时选择患肢多个穴位针灸与艾灸,每日1次;对照组患者溃疡面喷洒贝复济溶液。两组患者连续性治疗4周。实验开始及结束时,通过无菌透明生物膜描膜法计算溃疡面积,对两组患者溃疡愈合情况进行比较。记录并比较两组治疗后溃疡病灶痊愈时间。按照创面肉芽组织变化评价标准记录两组治疗后各级患者数量,对创面肉芽组织变化进行比较。结果实验组治疗总有效率高于对照组,治疗后创面新生肉芽组织变化优于对照组,溃疡病灶愈合时间明显短于对照组,差异有统计学意义(P<0.05)。结论蓬子菜水溶液联合针灸疗法治疗下肢慢性皮肤溃疡的临床效果显著,且明显优于贝复济,值得临床推广应用。Objective To research the effect of Galium verum L.Solution combined with acupuncture and moxibustion therapy on chronic skin ulcer of lower limbs.Methods From January to May 2019,eighty-six patients with chronic skin ulcer of lower limbs who met the experimental criteria were selected from the Department of Peripheral Vascular Diseases,the First Affiliated Hospital of Heilongjiang University of Chinese Medicine,they were divided into experimental group and control group by using random number table method,with 43 cases in both group.Two groups were active in the treatment of primary diseases,while the debridement and dressing change were needed daily.Galium verum L.Solution was sprayed on the ulcer surface in the experimental group.At the same time,multiple acupuncture points of affected limbs were selected and moxibustion was carried out once a day.The patients in the control group were sprayed with Benazine solution on the ulcer surface.Two groups were treated continuously for four weeks.At the beginning and end of the experiment,the ulcer area was calculated by a sterile transparent biofilm method,and the ulcer healing of the two groups was compared.The healing time of ulcer after treatment was recorded and compared between the two groups.The numbers of patients at all levels after treatment in the two groups were recorded according to the evaluation criteria of wound granulation tissue changes.The changes of wound granulation tissue were compared.Results In the experimental group,the total effective rate was higher than that in control group,and the changes of new granulation tissue after treatment were significantly higher than those in the control group,while the healing time of the experimental group was significantly shorter than that in the control group,and the differences were statistically significant(P<0.05).Conclusion The clinical effect of Galium verum L.Solution combined with acupuncture and moxibustion therapy on chronic skin ulcer of lower limbs is significant and better than that of Benazine s

关 键 词：蓬子菜水溶液 针灸疗法 慢性皮肤溃疡 贝复济溶液 

分 类 号：R244.9[医药卫生—针灸推拿学]