静脉腔内射频消融术联合生肌散湿敷治疗静脉性溃疡的临床研究  

Clinical Study on Intravenous Radiofrequency Ablation Combined with Shengji Powder Wet Compression in the Treatment of Venous Ulcer

作　　者：姚奏英[1] 陈青微 张胜娟[1] 陈玉叶[2] YAO Zouying;CHEN Qingwei;ZHANG Shengjuan(Lishui Municipal Central Hospital of Traditional Chinese Medicine,Zhejiang 323020,China)

机构地区：[1]丽水市中心医院中医科,323020 [2]丽水市中心医院血管外科,323020

出　　处：《医学研究杂志》2023年第5期139-143,共5页Journal of Medical Research

基　　金：浙江省中医药科技计划项目(2020ZB303)。

摘　　要：目的探究对下肢静脉性溃疡患者使用中药生肌散湿敷与腔内射频联合治疗对其溃疡面积、炎性指标的影响。方法采用前瞻性研究方式,选2019年10月~2021年10月于笔者医院行下肢静脉性溃疡治疗患者110例,按照随机数字表法将其分为对照和观察组,每组55例,对照组行常规腔内射频治疗,观察组在此基础添加中药生肌散治疗。比较两组患者治疗效果、溃疡面积、炎性指标水平、中医症状积分、口诉言词评分法(verbal rating scales,VRS)评分差异。结果观察组总有效率(94.55%)明显高于对照组(80.00%),差异有统计学意义(P<0.05)。治疗后观察组溃疡面积、VRS评分、中医症状积分小于对照组,差异有统计学意义(P<0.05)。治疗后两组炎性指标均有改善,且观察组改善更明显,差异有统计学意(P<0.05)。结论中药生肌散湿敷联合腔内射频治疗可加快患者溃疡面积恢复,改善炎性反应及机体症状,提高治疗效果,降低疼痛程度。Objective To explore the effect of combined therapy of Chinese herbal medicine Shengji powder and intracavitary radiofrequency on the ulcer area and inflammatory index of patients with venous ulcer of lower limbs.Methods In this prospective study,110 patients with venous ulcer of lower extremities who were treated in our hospital from October 2019 to October 2021 were randomly divided into control group and observation group,with 55 cases in each group.The control group was treated with conventional intracavitary radiofrequency therapy,and the observation group was treated with Shengji powder.The treatment effect,ulcer area,inflammation index level,traditional Chinese medicine(TCM)symptom scores and verbal rating scales(VRS)scores of the two groups were compared.Results The total effective rate of the observation group(94.55%)was significantly higher than that of the control group(80.00%)(P<0.05).After treatment,the ulcer area,VRS score and TCM symptom score in the observation group were lower than those in the control group,and the difference was statistically significant(P<0.05).After treatment,the inflammatory indexes of the two groups were improved,and the improvement was more substantial in the observation group(P<0.05).Conclusion Chinese medicine Shengji powder wet compress in combination with intracavitary radiofrequency therapy can accelerate the recovery of ulcer area,improve inflammatory reaction and body symptoms,improve the treatment effect and reduce pain.

关 键 词：中药生肌散 腔内射频 下肢静脉性溃疡 溃疡面积 炎性指标 

分 类 号：R242[医药卫生—中医临床基础]