刺血拔罐技术在临床压疮患者中的应用研究

Application of pricking blood cupping technique in patients with clinical pressure ulcers

目的观察刺血拔罐技术治疗2~3期压疮患者的临床疗效及安全性。方法选取2019年5月至2021年3月该院收治的2~3期压疮患者48例,按患者入组顺序分为常规护理组和刺血拔罐组,每组24例。常规护理组采用常规外科无菌换药,刺血拔罐组在常规外科无菌换药基础上采用刺血拔罐技术,根据创面情况,1~3 d治疗1次,共治疗3周。观察2组患者局部视觉模拟疼痛量表评分、创面愈合情况(压疮愈合量表评分),以及血清肿瘤坏死因子-α、白细胞介素-1β表达情况等。结果2组患者治疗1、2、3周视觉模拟疼痛量表、压疮愈合量表评分,以及血清肿瘤坏死因子-α、白细胞介素-1β水平均较治疗前逐渐降低,且刺血拔罐组患者治疗2、3周各指标均明显低于常规护理组,差异均有统计学意义(P<0.05)。结论刺血拔罐技术用于治疗2~3期压疮患者能有效缓解疼痛,促进创面愈合,抑制创面炎性反应,提高治愈率。

Objective To observe the clinical effect and safety of pricking blood cupping technique on patients with stage 2-3 pressure ulcers.Methods A total of 48 patients with stage 2-3 pressure ulcers from this hospital from May 2019 to March 2021 were selected and divided into the routine care group and the cupping group according to the order of enrollment,with 24 cases in each group.The routine care group received conventional surgical aseptic dressing change,while the cupping group patients received pricking blood cupping based on the conventional surgical aseptic dressing change.Treatment was performed once every 1-3 days for a total of three weeks according to the wound condition.The local visual analogue scale(VAS)scores,the condition of wound healing[the scores of Pressure Ulcer Scale for Healing(PUSH)],the expression level of tumor necrosis factor-αand interleukin-1βin serum were observed in the two groups.Results After one,two and three weeks of treatment in two groups patients,the scores of VAS,PUSH and the expression level of tumor necrosis factor-αand interleukin-1βdecreased gradually and were much lower compared with pre-treatment,and the indexes in the cupping group were significantly lower than those in the routine care group after two and three weeks of treatment,with statistical significance(P<0.05).Conclusion For patients with stage 2-3 pressure ulcers,pricking blood cupping technique can effectively relieve wound pain,promote wound healing,inhibit inflammation reaction,and improve the cure rate.