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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于岩(1985.4-),男,河北石家庄人,硕士,主治医师,主要从事医疗美容整形专业研究

通讯作者:

李彦荣(1965.5-),女,河北宁晋县人,本科,主任医师,主要从事医疗美容整形专业研究

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R619+.6

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Effect of the Combined Application of Bojin Massage Technique and Transdermal Administration of Traditional Chinese Medicine on Scar Improvement in Patients with Contracted Scar
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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、瘢痕严重程度[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 试验组总有效率高于对照 组(P <0.05);试验组OSAS中色泽、厚度、粗糙度、表面积评分、总分及PSAS中瘙痒、瘢痕厚度、硬 度、颜色评分优于对照组(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 the combination of transdermal administration of traditional Chinese medicine and Bojin massage technique in patients with contracted scar. Methods A total of 104 patients with post-burn contracted scar admitted to Hefei Changfeng Beicheng Guang'an Traditional Chinese Medicine Hospital from December 2021 to December 2022 were selected. According to the random number table method, they were divided into the control group and the experimental group, with 52 patients in each group. The control group was treated with Bojin massage technique to release the scar, and the experimental group was treated with transdermal administration of traditional Chinese medicine combined with Bojin massage technique. The clinical effect, scar severity [Observer Scar Assessment Scale (OSAS) and Patient Scar Assessment Scale (PSAS)], overall scar condition [Vancouver Scar Scale (VSS)] and satisfaction score were compared between the two groups. Results The total effective rate in the experimental group was higher than that in the control group (P<0.05). The color, thickness, roughness, surface area scores and total score of OSAS and pruritus, scar thickness, hardness and color scores of 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 in the experimental group was (7.46 ±1.13) scores, which was higher than (2.69±1.42) scores in the control group (P <0.05). Conclusion The combination of transdermal administration of traditional Chinese medicine and Bojin massage technique can effectively soften the scar, reduce the scar severity, relieve patients' discomfort of the skin lesion, and patients' satisfaction with the treatment is high.

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于 岩,赵洁莹,李 霞,等.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[J].医学美学美容,2025,34(6):41-45.

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  • 在线发布日期: 2025-04-27
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