刺血疗法结合三黄散治疗犬咬伤暴露后感染伤口132例

Blood Pricking Therapy Combined with Sanhuang Powder in Treating 132 Cases of Infected Wounds after Exposure to Dog Bites

目的:观察刺血疗法结合三黄散对犬伤暴露后感染伤口的临床疗效,为中医药适宜技术的进一步推广提供科学依据。方法:纳入符合标准的132例犬咬伤暴露后。伤口感染肿痛的患者随机分为治疗1组,即仅进行基础治疗、治疗2组(基础治疗+刺血疗法组)、治疗3组(基础治疗+三黄散组)、治疗4组(基础治疗+刺血疗法+三黄散组),疗程结束后进行疗效评价。结果:治疗1组总有效率72.7%,治疗2组总有效率84.8%,治疗3组总有效率90.1%,治疗4组总有效率97.0%,治疗4组总有效率优于其他三组,具有明显差异(P<0.05);疗程结束后,治疗2组的疼痛评分、肿胀程度及伤口愈合时间均低于与治疗1组,具有显著差异(P<0.01);而伤口面积较治疗1组无明显差异(P>0.05);治疗2组的肿胀程度<治疗3组,有明显差异(P<0.05),然而疼痛评分、伤口面积、伤口愈合时间却>治疗3组,具有明显差异(P<0.05);治疗2组的疼痛评分、伤口肿胀程度、伤口面积及伤口愈合时间均>治疗4组,有显著差异(P<0.01)。治疗后,治疗3组和治疗4组的疼痛评分、伤口肿胀程度、伤口面积及伤口愈合时间均<治疗1组,具有显著差异(P<0.01)。治疗后治疗4组疼痛评分、伤口肿胀程度、伤口面积及伤口愈合时间均<治疗3组,具有明显的差异(P<0.05)。结论:四组治疗方法对犬咬伤伤口感染均有一定的效果,其中刺血疗法虽然对于伤口愈合无明显差异,但是对伤口的消肿效果比三黄散更佳,而三黄散在止痛方面优于刺血疗法,且能明显改善伤口面积,促进伤口愈合,因此刺血疗法和三黄散二者配合能更好的止痛消肿,促进伤口愈合,缩短患者的治疗时间。

Objective:To observe the clinical efficacy of pricking blood therapy combined with Sanhuang powder on infected wounds after exposure to dog wounds,so as to provide a scientific basis for the further promotion of appropriate techniques of traditional Chinese medicine.Methods:132 post-exposure cases of dog bites meeting the criteria were included.Patients with wound infection and swelling were randomly divided into treatment group 1,that is,only basic treatment,treatment 2 group(basic treatment+blood pricking therapy group),treatment 3 group(basic treatment+Sanhuang powder group),treatment 4 group(basic treatment treatment+pricking blood therapy+Sanhuang powder group),and the curative effect was evaluated after the course of treatment.Results:The total effective rate of treatment group 1 was 72.7%,the total effective rate of treatment group 2 was 84.8%,the total effective rate of treatment group 3 was 90.1%,the total effective rate of treatment group 4 was 97.0%,and the total effective rate of treatment group 4 was better than the other three groups.There was a significant difference(P<0.05);after the course of treatment,the pain score,swelling degree and wound healing time of the treatment group 2 were significantly lower than those of the treatment group 1(P<0.01);while the wound area was significantly lower than that of the treatment group 1 There was no significant difference(P>0.05);the degree of swelling in the treatment group 2 was less than that in the treatment group 3,with a significant difference(P<0.05),but the pain score,wound area,and wound healing time were greater than those in the treatment group 3,with significant differences(P<0.05);the pain score,wound swelling degree,wound area and wound healing time of the treatment group 2 were greater than those of the treatment group 4,with significant differences(P<0.01).After treatment,the pain score,wound swelling degree,wound area,and wound healing time of treatment group 3 and treatment group 4 were less than those of treatment group 1,with significant differences(P<0.01).After treatment,the pain score,wound swelling degree,wound area,and wound healing time of the treatment group 4 were less than those of the treatment group 3,with significant differences(P<0.05).Conclusion:The treatment methods of the four groups all have certain effects on dog bite wound infection.Although blood pricking therapy has no significant difference in wound healing,it has a better detumescence effect on wounds than Sanhuang Powder,while Sanhuang powder is more effective in relieving pain.It is superior to bloodletting therapy,and can significantly improve the wound area and promote wound healing.Therefore,the combination of bloodletting therapy and Sanhuang powder can better relieve pain and swelling,promote wound healing,and shorten the treatment time of patients.