艾灸治疗压疮临床研究概况

Clinical Survey of Moxibustion Therapy on Pressure Sore

目的:综述艾灸治疗压疮的研究概况。方法:通过中国生物医学服务系统检索“压疮”、“压力性损伤”“艾灸”等关键词,筛选出艾灸治疗压疮的文献,对压疮的病因病机、辩证分型、艾灸治疗压疮的方法等进行总结。结果:提出压疮的病因病机为久卧伤气,气虚则致血瘀,新血不生,最终气血两亏,在此基础上,局部受压而出现气滞血瘀、经脉闭阻,肌肉筋骨失于濡养而酝酿成疮,或复感外邪而致局部溃烂溃脓形成压疮。治疗上,以艾灸为主,配合中药、针刺、膏剂、湿敷液、敷料等。结论:艾灸参与治疗压疮具有缩短愈合时间,改善愈合程度的作用。

Objective: To review the research situation of moxibustion treatment of pressure sore. Methods: Keywords such as “pressure sores”, “pressure injury” and “moxibustion” were searched through the Chinese Biomedical Service system to screen out the literature on the treatment of pressure sores by moxibustion. The etiology and pathogenesis of pressure sores, dialectical classification and methods of moxibustion in the treatment of pressure sores were summarized. Results: The cause and pathogenesis of pressure ulcers were put forward as long lying injury of Qi, Qi deficiency caused blood stasis, no new blood production, and finally deficiency of Qi and blood. On this basis, local pressure resulted in Qi stagnation and blood stasis, meridians closure, muscle and bone loss in mutual cultivation and brewing into ulcers, or local ulceration and abscess formed by multiple feeling of external evil. Treatment is mainly moxibustion, with traditional Chinese medicine, acupuncture, plaster, wet compress liquid, dressing, etc. Conclusion: Moxibustion in the treatment of pressure sore can shorten the healing time and improve the healing degree.