四联疗法治疗湿热毒蕴型下肢丹毒疗效分析  

Clinical Efficacy of Quadruple Therapy in the Treatment of Lower Limb Erysipelas of Damp⁃heat Toxin Accumulation Syndrome

作　　者：乔宏 刘灵 QIAO Hong;LIU Ling(Department of Dermatology and Burns,Security Department Hospital of People’s Liberation Army 95861,Jiuquan,Gansu 735018,China;Gynecology and Obstetrics Department,Security Department Hospital of People’s Liberation Army 95861,Jiuquan,Gansu 735018,China)

机构地区：[1]中国人民解放军95861部队保障部医院皮肤烧伤科,甘肃酒泉735018 [2]中国人民解放军95861部队保障部医院妇产科,甘肃酒泉735018

出　　处：《中国烧伤创疡杂志》2024年第6期434-437,共4页The Chinese Journal of Burns Wounds & Surface Ulcers

摘　　要：目的探讨火针点刺放血结合拔火罐、毫针泻法针刺筑宾穴及湿润烧伤膏换药四联疗法治疗湿热毒蕴型下肢丹毒的临床疗效。方法给予2017年12月至2020年12月中国人民解放军95861部队保障部医院收治的30例湿热毒蕴型下肢丹毒患者行火针点刺放血结合拔火罐、毫针泻法针刺筑宾穴及湿润烧伤膏换药治疗,观察治疗效果。结果治疗过程中,除2例患者于首次火针点刺时晕针外,其余患者均无明显不良反应发生;治疗1周后,30例患者中痊愈22例、好转8例,痊愈率为73.33%;最终所有患者均痊愈,痊愈时间为6~11 d,平均8.20 d,且治疗结束后随访6个月,所有患者均未复发。结论火针点刺放血结合拔火罐、毫针泻法针刺筑宾穴及湿润烧伤膏换药四联疗法治疗湿热毒蕴型下肢丹毒,能够有效提高其治愈率,加快皮损等症状消退,且无明显不良反应,安全性较高。Objective To analyze the clinical efficacy of the quadruple therapy of fire needle puncture bloodlet⁃ting,cupping,acupuncture at Zhubin acupoint with filiform needle and MEBO dressing change in the treatment of lower limb erysipelas of damp⁃heat toxin accumulation syndrome.Methods 30 patients with lower limb erysipelas of damp⁃heat toxin accumulation syndrome admitted to Security Department Hospital of People’s Liberation Army 95861 from December 2017 to December 2020 were treated with the quadruple therapy,and the treatment effect was observed.Results During the course of treatment,there were no obvious adverse reactions occurred in all patients,except that 2 patients fainted during the first⁃time fire needle puncture.After 1 week of treatment,of the 30 patients,22 cases were cured and 8 cases turned better,with a cure rate of 73.33%;At the end of the treatment,the skin lesions of all patients were cured,and the healing time was 6-11 days,with an average of 8.20 days.No recurrences were observed in all patients during the 6⁃month follow⁃up after treatment.Conclusion The quadruple therapy of fire needle puncture bloodletting,cupping,acupuncture at Zhubin acupoint with filiform needle and MEBO dressing change in the treatment of lower limb erysipelas of damp⁃heat toxin accumulation syndrome can effectively improve the cure rate,accelerate the regression of skin lesions,without resulting in significant adverse reactions,and thus is safe to be applied in clinical practice.

关 键 词：湿热毒蕴 下肢丹毒 火针点刺放血 毫针泻法 筑宾穴 湿润烧伤膏 

分 类 号：R246.7[医药卫生—针灸推拿学]