刺血疗法结合三黄散治疗犬咬伤暴露后感染伤口132例  

Blood Pricking Therapy Combined with Sanhuang Powder in Treating 132 Cases of Infected Wounds after Exposure to Dog Bites

作　　者：林煜芬 郑凤娥 刘有限 卢健敏 LIN Yufen;ZHENG Feng’e;LIU Youxian;LU Jianmin(Quanzhou Medical College,Fujian Quanzhou 362010,China;Quanzhou Bone Setting Hospital Affiliated of Fujian University of Traditional Chinese Medicine,Fujian Quanzhou 362010,China)

机构地区：[1]泉州医学高等专科学校,福建泉州362010 [2]福建中医药大学附属泉州市正骨医院,福建泉州362010

出　　处：《中医药临床杂志》2023年第6期1193-1197,共5页Clinical Journal of Traditional Chinese Medicine

基　　金：泉州市科技计划项目(2018N123S)。

摘　　要：目的:观察刺血疗法结合三黄散对犬伤暴露后感染伤口的临床疗效,为中医药适宜技术的进一步推广提供科学依据。方法:纳入符合标准的132例犬咬伤暴露后。伤口感染肿痛的患者随机分为治疗1组,即仅进行基础治疗、治疗2组(基础治疗+刺血疗法组)、治疗3组(基础治疗+三黄散组)、治疗4组(基础治疗+刺血疗法+三黄散组),疗程结束后进行疗效评价。结果:治疗1组总有效率72.7%,治疗2组总有效率84.8%,治疗3组总有效率90.1%,治疗4组总有效率97.0%,治疗4组总有效率优于其他三组,具有明显差异(P<0.05);疗程结束后,治疗2组的疼痛评分、肿胀程度及伤口愈合时间均低于与治疗1组,具有显著差异(P<0.01);而伤口面积较治疗1组无明显差异(P>0.05);治疗2组的肿胀程度<治疗3组,有明显差异(P<0.05),然而疼痛评分、伤口面积、伤口愈合时间却>治疗3组,具有明显差异(P<0.05);治疗2组的疼痛评分、伤口肿胀程度、伤口面积及伤口愈合时间均>治疗4组,有显著差异(P<0.01)。治疗后,治疗3组和治疗4组的疼痛评分、伤口肿胀程度、伤口面积及伤口愈合时间均<治疗1组,具有显著差异(P<0.01)。治疗后治疗4组疼痛评分、伤口肿胀程度、伤口面积及伤口愈合时间均<治疗3组,具有明显的差异(P<0.05)。结论:四组治疗方法对犬咬伤伤口感染均有一定的效果,其中刺血疗法虽然对于伤口愈合无明显差异,但是对伤口的消肿效果比三黄散更佳,而三黄散在止痛方面优于刺血疗法,且能明显改善伤口面积,促进伤口愈合,因此刺血疗法和三黄散二者配合能更好的止痛消肿,促进伤口愈合,缩短患者的治疗时间。Objective:To observe the clinical efficacy of pricking blood therapy combined with Sanhuang powder on infected wounds after exposure to dog wounds,so as to provide a scientific basis for the further promotion of appropriate techniques of traditional Chinese medicine.Methods:132 post-exposure cases of dog bites meeting the criteria were included.Patients with wound infection and swelling were randomly divided into treatment group 1,that is,only basic treatment,treatment 2 group(basic treatment+blood pricking therapy group),treatment 3 group(basic treatment+Sanhuang powder group),treatment 4 group(basic treatment treatment+pricking blood therapy+Sanhuang powder group),and the curative effect was evaluated after the course of treatment.Results:The total effective rate of treatment group 1 was 72.7%,the total effective rate of treatment group 2 was 84.8%,the total effective rate of treatment group 3 was 90.1%,the total effective rate of treatment group 4 was 97.0%,and the total effective rate of treatment group 4 was better than the other three groups.There was a significant difference(P<0.05);after the course of treatment,the pain score,swelling degree and wound healing time of the treatment group 2 were significantly lower than those of the treatment group 1(P<0.01);while the wound area was significantly lower than that of the treatment group 1 There was no significant difference(P>0.05);the degree of swelling in the treatment group 2 was less than that in the treatment group 3,with a significant difference(P<0.05),but the pain score,wound area,and wound healing time were greater than those in the treatment group 3,with significant differences(P<0.05);the pain score,wound swelling degree,wound area and wound healing time of the treatment group 2 were greater than those of the treatment group 4,with significant differences(P<0.01).After treatment,the pain score,wound swelling degree,wound area,and wound healing time of treatment group 3 and treatment group 4 were less than those of treatment group 1,with significant

关 键 词：刺血疗法 三黄散 犬咬伤暴露 伤口感染肿痛 

分 类 号：R26[医药卫生—中医外科学]