负压拔罐治疗简单窦道的疗效观察

Clinical observation of cupping therapy for simple sinus tract

  • 摘要: 目的 评估负压拔罐对简单窦道的治疗效果。 方法 采用随机对照非盲的实验设计,选取2015年1月- 2018年1月石家庄市第一医院收治的简单窦道患者50例,随机分为拔罐组(25例)和对照组(25例)。拔罐组患者每日在简单清创、换药的基础上给予局部拔罐治疗(每次持续10 min,间隔15 min后再重复1次);对照组患者每日给予简单清创、换药。比较两组愈合时间、窦道创面细菌检测结果及疼痛评分(VAS评分)等。 结果 拔罐组窦道愈合率(88%)高于对照组(48%)(P=0.002)。拔罐组窦道平均愈合时间(17.08±4.24) d短于对照组(28.20±8.74) d(P=0.000)。两组治疗1周后窦道创面的细菌培养阳性率均有所下降,但拔罐组(40%)较对照组(68%)下降更为明显(P=0.047)。拔罐组和对照组在治疗1周后疼痛评分均有所下降,但拔罐组(2.28±0.88分)较对照组(4.20±1.04分)下降更为明显(P=0.000)。 结论 负压拔罐治疗简单窦道可以缩短愈合时间,减少窦道细菌负荷,减轻局部疼痛,且操作简单,值得推广。

     

    Abstract: Objective To evaluate the effectiveness of cupping therapy for simple sinus tract. Methods A total of 50 patients from January 2015 to January 2018 with simple sinus tract were recruited. Patients were randomly assigned to cupping therapy group(n=25) and control group (n=25). Patients in cupping therapy group received cupping therapy for 10 min per treatment after routine dressing change, twice daily, and the time interval was 10-15 min. The control group was treated with routine dressing change once every day. The follow-up lasted for 40 days. The healing time, positive rate of sinus bacteria culture and pain score (VAS score) were compared between the two groups. Results The healing rate of cupping therapy patients (88%) was significantly higher than that of control group (48%)(P=0.002), and the healing time of cupping therapy patients (17.08±4.24 days) was significantly lower than that of control group (28.20±8.74 days)(P=0.000). After one-week treatment, the infection and VAS scores of both groups were declined. The wound germiculture of cupping group (40%) was significantly lower than that of control group (68%)(P=0.047), while the VAS scores of cupping group patients (2.28±0.88) were significantly lower than those of control group (4.20±1.04) (P=0.000). Conclusion Cupping therapy can shorten the healing time of sinus, reduce bacterial load and local pain, which is simple and worthy of promotion.

     

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