刮痧疗法对痛风石破溃患者伤口护理的效果评价  

Effect evaluation of scraping therapy on wound care of patients with gout stone ulceration

作　　者：齐瑞霞 蒋争艳 梁娟 何英连 QI Ruixia;JIANG Zhengyan;LIANG Juan;HE Yinglian(Guangxi University of Chinese Medicine,Nanning,530001,China)

机构地区：[1]广西中医药大学护理学院,广西壮族自治区南宁市530001 [2]广西卫生职业技术学院 [3]柳州市中医医院

出　　处：《护理实践与研究》2023年第14期2173-2177,共5页Nursing Practice and Research

基　　金：广西壮族自治区卫生和计划生育委员会科研课题(编号:Z20180386);广西壮族自治区中医药管理局科研课题(编号:GZZC2019233)。

摘　　要：目的探讨刮痧中医护理技术治疗痛风性关节炎患者痛风石破溃的疗效。方法选取2018年3月—2020年8月柳州市某三级甲等医院风湿科住院的痛风性关节炎合并痛风石破溃患者60例为研究对象,按照组间基本资料匹配的原则分为对照组和观察组,各30例。两组均常规口服降尿酸药物,对照组在此基础上给予换药护理,观察组给予刮痧护理,7 d为1个疗程。记录治疗前、治疗后破溃伤口面积、疼痛评分、血尿酸水平;对刮痧疗法护理结束时的中医证候疗效、随访伤口愈合情况进行评价。结果观察组总有效率为83.33%,对照组为50%,差异具有统计学的意义(P<0.05)。护理后,观察组伤口面积小于对照组,疼痛评分及血尿酸值低于对照组,组间比较差异均有统计学意义(P<0.05)。随访结果显示,观察组患者伤口愈合时间(20.97±3.846 d)短于对照组(48.60±9.554 d),组间比较差异有统计学意义(P<0.05)。结论刮痧治疗痛风性关节炎痛风石破溃患者改善了患者的伤口情况,缩短了伤口愈合时间,提高了患者的疗效。Objective To explore the therapeutic effect of scraping traditional Chinese medicine nursing techniques on gouty arthritis patients with gouty stone ulceration.Methods A total of 60 patients with gouty arthritis and gouty stone ulceration hospitalized in the rheumatology department of a Grade III Class A hospital in Liuzhou from March 2018 to August 2020 were selected as the research objects.According to the principle of matching basic data between groups,they were divided into the control group and the observation group,with 30 cases in each group.Both groups received routine oral uric acid lowering medication,while the control group received dressing change care.The observation group received scraping care,with a 7-day course of treatment.Record the area of ruptured wounds,pain scores,and blood uric acid levels before and after treatment;evaluate the efficacy of traditional Chinese medicine syndromes and follow up on wound healing at the end of scraping therapy care.Results The total effective rate of the observation group was 83.33%,while the control group was 50%,the difference was statistically significant(P<0.05).After nursing,the wound area in the observation group was smaller than that in the control group,and the pain score and blood uric acid value were lower than those in the control group,the differences between the groups were statistically significant(P<0.05).The follow-up results showed that the wound healing time of the observation group(20.97±3.846 days)patients was shorter than that of the control group(48.60±9.554 days),the difference between the groups was statistically significant(P<0.05).Conclusion Scraping therapy improved the wound condition,shortened the wound healing time,and improved the efficacy of gouty arthritis patients with gouty stone ulceration.

关 键 词：痛风石破溃 刮痧 伤口愈合 疼痛评分 血尿酸 

分 类 号：R248[医药卫生—中医临床基础]