盒灸促进气虚血瘀型臁疮愈合的疗效观察

Curative Observation of Using Box Moxibustion in Promoting Healing of Qi-deficiency and Blood-stasis Type Ecthyma

目的：观察盒灸用于气虚血瘀型臁疮,促进疮面愈合的效果。方法：将辨证为气虚血瘀型并符合纳入标准的臁疮门诊患者72例,按照随机数字表分为试验组36例,对照组36例。对照组每1~2天进行常规换药和健康教育,试验组在每次换药后给予创面盒灸为15~20分钟,并实施健康教育。分别于入院后7天,第14天,第21天观察疮面的颜色、分泌物、面积变化,比较两组患者疮面愈合情况。结果：试验组和对照组入院后7天,第14天、第21天疮面愈合总有效率分别为（58.3%,25.0%）、（80.6%、36.1%）、（83.3%、61.1%）（P〈0.05）,入院后7天,第14天、第21天疮面面积评分（P〈0.05）。结论：盒灸用于气虚血瘀型臁疮,能改善创面及周围组织血液循环,促进创面上皮生长,缩短疮面愈合时间,促进臁疮愈合。

Objective： To investigate the effect of box moxibustion promoting wound healing for Qi-deficiency and blood-stasis type ecthyma. Methods： Putting in 72 patients which were syndrome of ecthyma for Qi-deficiency and blood-stasis typeand met the inclusion criteria into two groups,according to the random number table,72 cases were divided into experimental group and controlled group,each group has 36 cases,the controlled group was given routine dressing change and health education for every 1 ~ 2days,the experimental group was given the wound box moxibustion for 15 ~ 20 minutes after each dressing change,and health education was implemented. In 7days after admission,14 th days,21 st days to observe the ulcer surface color,secretion,area change,comparing two groups of patients with wound healing. Results： The total effectiveness of the two groups respectively were（ 58. 3%,25. 0%）,（ 80. 6%,36. 1%）,（ 83. 3%,61. 1%）（ P〈0. 05） in the 7th day,14 th day,21 st day of wound healing after admission,the 7th day,14 th day,21 day of wound area score after admission were（ P〈0. 05）. Conclusion： Using Moxibustion box to cure Qi-deficiency and blood-stasis type ecthyma,can improve the wound and surrounding tissue blood circulation,promote the growth of epithelial wound,shorten the time of wound surface healing and promote ecthyma＇s healing.