火针联合湿型敷料治疗慢性难愈性伤口疗效观察  

Observations on the Efficacy of Fire Needling Plus Wet Dressing for Chronic Refractory Wounds

作　　者：王海焦[1] 胡光云 王小俊[1] WANGHai-jiao;HU Guang-yun;WANG Xiao-jun(Guangzhou University of Traditional Chinese Medicine First Hospital,Guangzhou 510405,China;Army Medical University,Chongqing 400038,China)

机构地区：[1]广州中医药大学第一附属医院,广州510405 [2]陆军军医大学,重庆400038

出　　处：《上海针灸杂志》2020年第11期1434-1438,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：广州中医药第一附属医院“创新强院工程”课题(2017HL01)。

摘　　要：目的观察火针联合湿性愈合敷料在慢性难愈性伤口治疗后创面愈合的临床疗效。方法将86例慢性难愈性伤口患者按随机数字表法随机分为对照组和实验组,每组43例。对照组采用湿性愈合治疗方法,实验组在湿性愈合治疗基础上联合火针治疗。治疗7 d、14 d、21 d后比较两组的创面愈合率、创面肉芽生长评分、视觉模拟量表(VAS)评分以及不良反应发生率,并比较两组临床疗效。结果实验组在治疗7 d、14 d、21 d后创面愈合率优于对照组(P<0.05),实验组在治疗14 d、21 d的肉芽生长评分优于对照组(P<0.05),治疗7 d、21 d后实验组VAS评分明显低于对照组(P<0.05)。两组临床疗效比较,差异有统计学意义(P<0.05)。结论火针联合湿型敷料能有效促进肉芽生长,促进创面愈合,减轻患者疼痛,无不良反应发生,提高临床疗效。Objective To investigate the clinical efficacy of fire needling plus wet wound-healing dressing for wound healing after treating chronic refractory wounds.Method Eighty-six patients with chronic refractory wounds were allocated,using a random number table,to control and experimental groups,with 43 cases in each group.The control group received wet healing therapy and the experimental group,fire needling in addition.Wound healing rates,wound granulation growth scores,the Visual Analogue Scale(VAS)scores and adverse reaction incidences were compared between the two groups after treatment of 7,14 and 21 days.The clinical therapeutic effects were also compared between the two groups.Result The wound healing rate was higher in the experimental group than in the control group after treatment of 7,14 and 21 days(P<0.05).The wound granulation growth score was lower in the experimental group than in the control group after treatment of 14 and 21 days(P<0.05).The VAS score was significantly lower in the experimental group than in the control group after treatment of 7 and 21 days(P<0.05).Conclusion Fire needling plus wet dressing can effectively promote granulation growth and wound healing and relieve the patient’pain without adverse reactions,which improve the clinical therapeutic effect.

关 键 词：针刺疗法 火针疗法 伤口愈合 视觉模拟量表 

分 类 号：R246.2[医药卫生—针灸推拿学]