温和灸联合负压创面治疗技术治疗慢性难愈性创面临床研究
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R641

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嘉兴市科技计划项目(2023AD31094)


Clinical Study on Combination Use of Mild Moxibustion and Negative Pressure Wound Therapy for Chronic Refractory Wound
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    摘要:

    目的:观察温和灸联合负压创面治疗技术治疗慢性难愈性创面的临床疗效。方法:选取2023年 1月—2024年6月中国人民武装警察部队海警总队医院烧伤外科收治的100例慢性难愈性创面患者作为研究对 象,按随机数字表法分为对照组和观察组各50例。对照组采用负压创面治疗技术治疗,观察组在对照组基础 上使用温和灸治疗,均治疗1个月。治疗结束后,比较2组临床疗效、创面愈合时间、疼痛情况、血清炎症因 子水平及不良反应发生率。结果:观察组总有效率为94.00% (47/50),高于对照组72.00% (36/50)(P< 0.05)。治疗后,观察组创面直径缩小时间及创面愈合时间均短于对照组,差异有统计学意义(P<0.05)。治 疗后,2 组血清白细胞介素-1β (IL-1β)、白细胞介素-6 (IL-6)、C-反应蛋白(CRP) 水平较治疗前降 低(P<0.05),且观察组血清IL-1β、IL-6、CRP水平低于对照组(P<0.05)。治疗1周、2周、4周,2组视觉 模拟评分法(VAS) 评分逐渐降低(P<0.05);治疗2周、4周,观察组VAS评分均低于同时间点对照组(P< 0.05)。观察组不良反应发生率为8.00%(4/50),低于对照组18.00%(9/50)(P<0.05)。结论:温和灸联合负 压创面治疗技术能有效促进患者创面愈合,改善患者炎症水平,降低患者疼痛,增强慢性难愈性创面的临床 疗效。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the combination use of mild moxibustion and negative pressure wound therapy on chronic refractory wound. Methods:A total of 100 patients with chronic refractory wound admitted to the Department of Burn Surgery,China Coast Guard Hospital of the Chinese People's Armed Police Force from January 2023 to June 2024 were selected as the study subjects and they were divided into the control group and the observation group according to the random number table method,with 50 cases in each group. The control group was treated with negative pressure wound therapy,and the observation group was additionally treated with mild moxibustion based on the treatment in the control group. Both groups were treated for one month. After treatment,the clinical effects, wound healing time, pain, levels of serum inflammatory factors and incidence of adverse reactions were compared between the two groups. Results:The total effective rate was 94.00% (47/50) in the observation group,higher than that of 72.00%( 36/50) in the control group( P<0.05). After treatment,the wound diameter reduction time and wound healing time in the observation group were shorter than those in the control group,the differences being significant( P< 0.05). After treatment, the levels of serum interleukin-1β (IL-1β), interleukin-6 (IL-6) and C-reactive protein( CRP) in the two groups were reduced when compared with those before treatment( P<0.05),and the levels of serum IL-1β,IL-6 and CRP in the observation group were lower than those in the control group (P<0.05). After one week, two weeks and four weeks of treatment, the scores of Visual Analogue Scale (VAS) in the two groups were gradually down-regulated (P<0.05);after two and four weeks of treatment,the VAS score in the observation group was lower than that in the control group at the same time point (P<0.05). The incidence of adverse reactions was 8.00%(4/50) in the observation group,lower than that of 18.00%(9/50) in the control group (P<0.05). Conclusion: The combination use of mild moxibustion and negative pressure wound therapy can effectively promote the wound healing, improve the inflammation factor levels, reduce pain and enhance the clinical effect on chronic refractory wound.

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童海东,戴如冰,浦春宁,赵轶军.温和灸联合负压创面治疗技术治疗慢性难愈性创面临床研究[J].新中医,2025,57(11):133-137

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  • 在线发布日期: 2025-06-13
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