刺血拔罐联合新型敷料预防皮肤软组织挫擦伤溃疡的效果  

Effect of meridian-pricking and cupping combined with new dressing in the prevention of skin and soft tissue contusion ulcer

作　　者：罗静娣[1] 林东[1] 赵明华[1] 范玉梅[1] 周岁锋[1] LUO Jing-di;LIN Dong;ZHAO Ming-hua;FAN Yu-mei;ZHOU Sui-feng(Department of Emergency,Zhongshan Hospital of Traditional Chinese Medicine,Guangdong Province,Zhongshan 528400,China)

机构地区：[1]广东省中山市中医院急诊科

出　　处：《中国当代医药》2019年第34期199-203,共5页China Modern Medicine

基　　金：广东省中山市社会公益科技基金资助项目（2016B1042）

摘　　要：目的探讨刺血拔罐联合新型敷料预防皮肤软组织挫擦伤溃疡的效果。方法选取2016年4月~2017年10月我院急诊科收治的120例皮肤软组织挫擦伤患者作为研究对象,按照随机数字表法将其分为观察组(60例)与对照组(60例)。观察组患者采用刺血拔罐联合新型敷料进行干预,对照组患者采用外科换药联合外敷活血止痛药膏常规方法。比较两组患者干预前后的疼痛数字量表(NRS)评分、肿胀周径,并比较两组患者的伤口肿痛消退时间、伤口愈合时间、换药次数、换药费用、活动功能情况、发生伤口感染和溃疡情况。结果观察组患者的伤口肿痛消退时间、伤口愈合时间均短于对照组,换药次数和换药费用均少于对照组,差异有统计学意义(P<0.05)。干预前两组患者的NRS评分、肿胀周径比较,差异无统计学意义(P>0.05);干预后两组患者的NRS评分、肿胀周径均低于干预前,差异有统计学意义(P<0.05);观察组患者干预后的NRS评分、肿胀周径均低于对照组,差异有统计学意义(P<0.05)。受伤干预21 d后,观察组全部患者伤口肿痛消失,活动功能恢复正常,对照组有15例(25.00%)患者伤口肿痛,活动功能受限,其余恢复正常;观察组患者无伤口感染和溃疡发生,对照组伤口感染发生15例(25.00%),溃疡发生13例(21.67%)。两组比较,差异有统计学意义(P<0.05)。结论早期应用刺血拔罐清除血肿,能够促进伤口消肿止痛、祛瘀生新;联合应用新型敷料能够促进伤口湿性愈合。刺血拔罐联合新型敷料能够促进皮肤软组织挫擦伤早期愈合,预防伤口感染和溃疡发生。Objective To explore the effect of meridian-pricking and cupping combined with new dressing in the prevention of skin and soft tissue contusion ulcer.Methods A total of 120 cases of patients with skin and soft tissue contusion who were admitted to the emergency department of our hospital from April 2016 to October 2017 were selected as the study subjects.They were divided into observation group(60 cases)and control group(60 cases)according to the random number table method.The patients in the observation group were intervened with meridian-pricking and cupping combined with new dressing,and the patients in the control group were given normal method like surgical dressing combined with external application of blood and pain relief ointment.The numerical rating scale(NRS)score and swelling circumference before and after intervention in the two groups of patients were compared.The wound swelling and pain relief time,wound healing time,dressing frequency,dressing cost,activity function,wound infection and ulcer in the two groups of patients were compared.Results The wound swelling and pain relief time and wound healing time in the observation group were shorter than those in the control group,the dressing frequency and dressing cost were lower than those in the control group,and the differences were statistically significant(P<0.05).There were no significant differences in NRS score and swelling circumference between the two groups before intervention(P>0.05).The NRS score and swelling circumference of the two groups after intervention were lower than those before intervention,and the differences were statistically significant(P<0.05).The NRS score and swelling circumference in the observation group after intervention were lower than those in the control group,and the differences were statistically significant(P<0.05).After 21 days of injury intervention,all the wounds in the observation group disappeared and the activity function returned to normal,while in the control group,15 patients(25.00%)had swollen and painfu

关 键 词：皮肤软组织挫擦伤 刺血拔罐 新型敷料 外伤性溃疡 感染 

分 类 号：R472.2[医药卫生—急诊医学]