拨筋技术与中药透皮给药联合应用对挛缩性瘢痕患者瘢痕改善的作用
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1.河北省人民医院;2.河北省宁晋县中西医结合医院;3.合肥市长丰北城广安中医院

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Study on the Therapeutic Effects of Combining Massage Technique and Transdermal Administration of Traditional Chinese Medicine on Contracture Scars
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    摘要:

    目的 探讨中药透皮给药联合拨筋技术在挛缩性瘢痕患者中的临床效果。方法 纳入合肥市长丰北城广安中医院2021年12月-2022年12月收治的烧伤后挛缩性瘢痕患者104例,采用随机数字表法将患者分为对照组和试验组,每组52例。对照组给予拨筋技术松解瘢痕,试验组给予中药透皮给药联合拨筋技术治疗。比较两组临床效果、瘢痕恢复情况[观察者瘢痕评价量表(OSAS)和患者瘢痕评价量表(PSAS)]、瘢痕整体情况[温哥华瘢痕量表(VSS)]及满意度评分。结果 试验组总有效率为高于对照组(P<0.05);试验组OSAS各维度评分、总分及PSAS各维度评分、总分优于对照组(P<0.05);试验组治疗后VSS各维度评分低于对照组(P<0.05);试验组满意度评分为(7.46±1.13)分,高于对照组的(2.69±1.42)分(P<0.05)。结论 中药透皮给药联合拨筋技术可以有效软化瘢痕,改善瘢痕严重程度,缓解患者皮损处不适,且患者对治疗满意度较高。

    Abstract:

    Objective To explore the clinical effect of transdermal administration of traditional Chinese medicine combined with massage technique in patients with contracture scar. Methods A total of 104 patients with post-burn contracture scar admitted to Hefei Changfeng Beicheng Guang’an Traditional Chinese Medicine Hospital from December 2021 to December 2022 were included. The patients were divided into control group and experimental group by random number table method, with 52 patients in each group. The control group was given the massage technique to release the scar, and the experimental group was given transdermal administration of traditional Chinese medicine combined with massage technique. The clinical effect, scar recovery [Observer Scar Assessment Scale (OSAS) and Patient Scar Assessment Scale (PSAS)], overall scar situation [Vancouver Scar Scale (VSS)] and satisfaction score were compared between the two groups. Results The total effective rate of the experimental group was higher than that of the control group (P<0.05). The scores and total scores of OSAS and PSAS in the experimental group were better than those in the control group (P<0.05). After treatment, the scores of each dimension of VSS in the experimental group were lower than those in the control group (P<0.05). The satisfaction score of the experimental group was (7.46±1.13)scores, which was higher than (2.69±1.42)scores of the control group (P<0.05). Conclusion Transdermal administration of traditional Chinese medicine combined with massage technique can effectively soften the scar, improve the severity of the scar, relieve the discomfort of the patient's skin lesions, and the patient's satisfaction with the treatment is high.

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  • 收稿日期:2024-12-25
  • 最后修改日期:2024-12-25
  • 录用日期:2024-12-26
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