中药四黄粉治疗心脏介入术后上肢瘀肿疼痛的应用研究  

Research on the application of Chinese materia medica Sihuang Powder in the treatment of upper limb swelling and pain after cardiac intervention

作　　者：梁兜选 杜秀眉 叶芃 邹培源 陈广进 李爱民 冯小燕 LIANG Douxuan;DU Xiumei;YE Peng;ZOU Peiyuan;CHEN Guangjin;LI Aimin;FENG Xiaoyan(Area I,Department of Cardiovascular Medicine,Yangjiang Hospital of Traditional Chinese Medicine,Guangdong,Yangjiang 529500,China)

机构地区：[1]广东省阳江市中医医院心血管内科一区,广东阳江529500

出　　处：《中国医药科学》2022年第17期96-98,130,共4页China Medicine And Pharmacy

基　　金：广东省阳江市医疗卫生类科技计划项目(阳科通[2019]50号65)。

摘　　要：目的探究中药四黄粉治疗心脏介入术后上肢瘀肿疼痛的应用效果。方法选取阳江市中医医院心血管内科一区、心血管内科二区的冠心病行介入治疗患者70例,按照随机数表法分为对照组(n=35)和观察组(n=35),对照组常规使用TR-Band止血阀并配合弹力绷带包扎术肢,抬高患肢并制动及心理护理;观察组在对照组常规治疗基础上,实施中药四黄粉调配成膏湿敷术肢,48 h后再配合红外线每天照射30 min,评估两组治疗前后瘀斑、血肿消退时间,术肢疼痛评分及临床疗效等指标。结果治疗后,观察组瘀斑、血肿消退时间短于对照组,差异有统计学意义(P<0.05);观察组治疗后术肢疼痛评分低于治疗前,差异有统计学意义(P<0.05);且观察组治疗后评分优于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率为97.14%,高于对照组的82.85%,差异有统计学意义(P<0.05)。结论中药四黄粉治疗心脏介入术后上肢瘀肿疼痛,可以明显改善疗效及相关症状,值得借鉴。Objective To investigate the application efficacy of Chinese materia medica Sihuang Powder in the treatment of upper limb swelling and pain after cardiac intervention.Methods A total of 70 patients with coronary heart disease in AreaⅠand AreaⅡof the Department of Cardiovascular Medicine in Yangjiang Hospital of Traditional Chinese Medicine were selected and treated with concurrent interventional therapy.They were divided into the control group(n=35)and the observation group(n=35)by the random number table method.Patients in the control group were conventionally treated with TR-Band hemostatic valve and elastic bandage to wrap the operative limb.Their affected limbs were raised,the movement was stopped,and the psychological nursing was implemented.Patients in the observation group were conventionally treated on the basis of the control group.They were treated with hydropathic compress plaster mixed with Chinese materia medica Sihuang Powder,and then irradiated with infrared rays for 30 minutes every day after 48 hours.Before and after treatment,the indices of regression time of ecchymosis and hematoma,postoperative limb pain score and clinical effect in both groups were evaluated.Results In the observation group,the regression time of ecchymosis and hematoma was significantly shorter than that in the control group,the difference was statistically significant(P<0.05).The limb pain score were improved in the observation groups after treatment,with statistically significant differences(P<0.05).Meanwhile,the score of the control group was lower,the difference was statistically significant(P<0.05).The overall response rate of the observation group(97.14%)was higher than the control group(82.85%),the difference was statistically significant(P<0.05).Conclusion Chinese materia medica Sihuang Powder can obviously improve the therapeutic efficacy and relieve the related symptoms in the treatment of upper limb swelling and pain after cardiac intervention,which is worthy of reference.

关 键 词：心脏介入术后 上肢瘀肿疼痛 中药四黄粉 湿敷 

分 类 号：R259[医药卫生—中西医结合]