经皮穴位电刺激联合祛腐生肌散加减在肛周脓肿术后患者中的应用效果
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河北省中医药管理局科研计划项目(2023307);


Application effect of percutaneous electrical acupoint stimulation com-bined with modified Qusuoshengji Powder in patients after perianal ab-scess surgery
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    摘要:

    目的:探讨经皮穴位电刺激联合祛腐生肌散加减在肛周脓肿术后患者中的应用效果。方法:选取120例肛周脓肿患者为研究对象,根据治疗方案不同分为对照组和研究组,每组各60例。对照组患者予以经皮穴位电刺激治疗;研究组患者基于经皮穴位电刺激+祛腐生肌散加减治疗,疗程均为14 d。比较两组患者临床疗效、创面愈合情况、中医症候评分、炎性因子、细胞免疫平衡及安全性。结果:研究组患者总有效率高于对照组(P<0.05)。治疗后,研究组患者肉芽组织评分低于对照组(P<0.05);创面上皮出现、腐肉脱落时间短于对照组(P<0.05);创面愈合率高于对照组(P<0.05)。治疗后,两组患者中医症候指标评分、干扰素γ(IFN-γ)均降低(P<0.05),且研究组低于对照组(P<0.05);白细胞介素4(IL-4)、IL-4/IFN-γ比值均升高(P<0.05),且研究组高于对照组(P<0.05)。两组患者安全性比较,差异无统计学意义(P>0.05)。结论:经皮穴位电刺激联合祛腐生肌散加减治疗肛周脓肿术后患者可促进创面愈合,抑制炎症反应并调节免疫平衡,疗效高且安全性好。

    Abstract:

    Objective:To analyze the application effect of percutaneous electrical acupoint stimulation combined with modified Qusuoshengji Powder in patients after perianal abscess surgery.Methods:A total of 120 patients with perianal abscess were selected and divided into two groups according to the treatment plan:the control group(percutaneous electrical acupoint stimulation)and the study group(percutaneous electrical acupoint stimulation+modified Qusu Shengji Powder),with 60 cases in each group and the treatment course was 14 days.The therapeutic effects,wound healing conditions,TCM syndrome scores,inflammatory factors,cellular immune balance and safety of the two groups were compared.Results:The total effective rate of the study group was higher than that of the con-trol group(P<0.05).The granulation tissue score of the study group was lower than that of the control group(P<0.05),the ap-pearance time of wound epithelium and the shedding time of necrotic flesh were both shorter than those of the control group(P<0.05),and the wound healing rate was higher than that of the control group(P<0.05).After treatment,the scores of TCM syndrome indicators and interferon-γ(IFN-γ)in both groups decreased(P<0.05),and the study group was lower than the control group(P<0.05).After treatment,interleukin 4(IL-4)and the ratio of IL-4/IFN-γ increased in both groups(P<0.05),and the study group was higher than the control group(P<0.05).There was no statistically significant difference in safety between the two groups(P>0.05).Conclusion:Percutaneous electrical acupoint stimulation combined with modified Qusuoshengji Powder for the treatment of pa-tients after perianal abscess surgery can promote wound healing,inhibit inflammatory responses and regulate immune balance.The ther-apeutic effect is remarkable and the safety is good.

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王帅;郭金玲;赵雪芳;冯江敏;尤明辉;王立波;王光娜;张坤;.经皮穴位电刺激联合祛腐生肌散加减在肛周脓肿术后患者中的应用效果[J].川北医学院学报,2025,40(10):1267-1270.

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  • 在线发布日期: 2025-11-03
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