通督健脾针灸法治疗脊髓损伤所致压疮的疗效观察

Efficacy Observation of Tong Du Jian Pi Acupuncture-moxibustion Method for Pressure Sores Due to Spinal Cord Injury

目的观察通督健脾针灸法治疗脊髓损伤所致的Ⅱ和Ⅲ期压疮的临床疗效。方法纳入脊髓损伤所致的Ⅱ和Ⅲ期压疮患者70例,并随机分为两组(治疗组和对照组),每组35例。对照组予常规治疗,治疗组在常规治疗基础上予通督健脾针灸法治疗。采用压疮愈合量表(PUSH)对两组治疗前后伤口面积、伤口组织类型评分、渗出液量进行组内及组间比较,比较两组临床疗效。结果治疗后,两组伤口面积、伤口组织类型计分、渗出量均低于同组治疗前(P<0.05),且治疗组均优于对照组(P<0.05)。治疗组总有效率高于对照组(P<0.05)。结论在常规治疗基础上,通督健脾针灸法治疗脊髓损伤所致Ⅱ和Ⅲ期压疮,可有效缩小压疮伤口面积,减少渗出液量,疗效优于单纯常规治疗。

Objective To observe the clinical efficacy of Tong Du Jian Pi(unblocking the Governor Vessel and tonifying the spleen)acupuncture-moxibustion method in treating stagesⅡandⅢpressure sores due to spinal cord injury(SCI).Method Seventy patients with pressure sores stagedⅡorⅢdue to SCI were recruited and randomly allocated to two groups(treatment group and control group),with 35 cases in each group.The control group was offered conventional treatment,and the treatment group received additional Tong Du Jian Pi acupuncture-moxibustion treatment.The pressure ulcer scale for healing was adopted to evaluate and compare the size and tissue type of the sores and exudate.The clinical efficacy was also compared between the two groups.Result After the treatment,the scores of the size and tissue type of the sores and exudate declined in both groups(P<0.05),and the treatment group won over the control group(P<0.05).The total effective rate was higher in the treatment group than in the control group(P<0.05).Conclusion Based on the conventional intervention in treating patients with stagesⅡ-Ⅲpressure scores due to SCI,Tong Du Jian Pi acupuncture-moxibustion method can effectively reduce the size and exudate of the sores,producing more significant efficacy than using the conventional intervention alone.