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作 者:张晓霞[1] 吴艳红[1] 冯金星[1] 谢瑞怡 陈晨[2] Zhang Xiaoxia;Wu Yanhong;Feng Jingxing;Xie Ruiyi;Chen Chen(Hanzhong Branch,Jiangsu Province Hospital cf Chinese Medicine,Jiangsu,Nanjing 210029,China)
机构地区:[1]江苏省中医院紫东院区,江苏南京210046 [2]江苏省中医院汉中院区,江苏南京210029
出 处:《中国中医急症》2023年第1期96-99,共4页Journal of Emergency in Traditional Chinese Medicine
基 金:江苏省第三批名老中医药专家传承工作室建设项目(苏中医科教﹝2019﹞10号);江苏省中医药管理局“十二五”重点专科建设项目(苏中医政发[2013]30号)。
摘 要:目的观察刺络拔罐联合解毒搽剂外涂治疗蜂蜇伤伤口肿痛的临床应用效果。方法将144例符合纳入标准的蜂蜇伤患者随机分为两组,所有患者在合并用药和伤口的预处理方面一致,试验组加用刺络放血拔罐联合解毒搽剂外涂。比较两组干预前、干预第1天、第2天的伤口肿胀值和NRS疼痛评分,比较治疗前和治疗第2天的综合临床疗效。结果最终试验组完成70例,对照组完成64例,治疗后两组病例的肿胀程度人数分布差异有统计学意义(P<0.05),试验组和对照组干预第1天、第2天的肿胀评分均比干预前下降明显(P<0.05),试验组比对照组更低(P<0.05);治疗后两组病例的疼痛程度人数分布差异无统计学意义(P>0.05),试验组和对照组干预第1天、第2天的NRS评分均比干预前下降明显(P<0.05),干预第2天试验组较对照组更低(P<0.05);试验组总有效率明显高于对照组(P<0.05)。结论刺络拔罐联合解毒搽剂外涂能缓解患者局部肿胀疼痛的症状,提高了患者的舒适度,改善负面情绪,提升了医疗满意度。Objective:To observe the clinical efficacy of acupuncture and cupping combined with detoxification liniment for the treatment of swelling and pain of wasp stings wounds.Methods:A total of 144 patients with wasp stings who met the inclusion criteria were randomly divided into the experimental combination control group.The two groups were consistent in the combination of medication and wound pretreatment,and the experimental group underwent the basic treatment of acupuncture and bloodlet cupping combined with external application of detoxification liniment.The wound swelling value and NRS pain score were compared between the two groups before treatment,on the first and second day of intervention,and the comprehensive clinical efficacy was compared between the two groups before and the second day of treatment.Results:70 cases in the experimental group and 64 cases in the control group completed this study.After treatment,the distribution of swelling severity of cases in the two groups was statistically significant(P<0.05),and the swelling values on the first and second days of intervention in the experimental group and the control group decreased significantly compared with the before intervention(P<0.05),and the experimental group decreased more significantly compared with the control group(P<0.05).There was no significant difference in the distribution of pain severity between the two groups after treatment(P>0.05),and the NRS scores on the first and second days of intervention in the experimental group and the control group decreased significantly compared with those before the intervention(P<0.05),and the experimental group decreased more than the control group on the second day of intervention(P<0.05).The total effective rate of the experimental group was significantly higher than that of the control group(P<0.05).Conclusion:External application of acupuncture and cupping combined with detoxification liniment can relieve the symptoms of local swelling and pain in patients,improve the comfort level of patients,i
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