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|本期目录/Table of Contents|

煨脓长肉中医外治法促进伤口愈合随机对照试验的系统评价*(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2019年06期
页码:
26-32
栏目:
临床研究
出版日期:
2020-06-15

文章信息/Info

Title:
A Randomized Controlled Trial of External Treatment of Traditional Chinese Medicine to Promote Wound Healing under the Theory of Simmering Pus and Growing Meat: A Systematic Evaluation
文章编号:
1000-2723(2019)06-0026-07
作者:
程嘉骏1弓艳妮1唐丽利1冯文哲2△
(1. 陕西中医药大学,陕西 咸阳 712000;2. 陕西中医药大学附属医院,陕西 咸阳 712000)
Author(s):
CHENG Jiajun1 GONG Yanni1 TANG Lili1 FENG Wenzhe2
(1. Shaanxi University of Traditional Chinese Medicine, Xianyang 712000, China 2. Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine, Xianyang 712000, China)
关键词:
煨脓长肉中医外治法伤口愈合Meta分析
Keywords:
simmered pus and long meat external treatment of traditional Chinese medicine wound healing Meta-analysis
分类号:
R269
DOI:
10.19288/j.cnki.issn.1000-2723.2019.06.005
文献标识码:
A
摘要:
目的系统评价国内煨脓长肉理论下中医外治法促进伤口愈合的临床疗效。方法 通过计算机检索中国知网(CNKI)、维普(VIP)及万方数据库(WANFANG DATA),收集煨脓长肉外治法促进伤口愈合的随机对照试验(RCT),按照纳入标准和排除标准对文献进行筛选和数据提取。运用RevMan 5.3软件对提取数据进行Meta分析,比较中医与西医常规促进伤口愈合外治法的临床有效率,以及有关生化指标的变化。结果 Meta分析结果显示,煨脓长肉理论下中医外治法促进伤口愈合的效果优于常规西医外治法,如凡士林油纱条、康复新液、0.1%利凡诺纱条等;但本文遗憾点在于纳入的研究大部分并未报道复发率、生活质量及不良反应,无法对这些指标进一步分析。结论 本研究显示,与常规促进伤口愈合的西医外治法相比,煨脓长肉中医外治法在促进伤口愈合方面有更好的疗效;但由于纳入文献数量较少,质量较低,所以日后需要设计严谨、合理的大样本随机对照试验进行进一步的研究。
Abstract:
Objective To evaluate systematically the clinical efficacy of Chinese external treatment in promoting wound healing under the theory of simmer pus and long meat in China. Methods Through the computer retrieval of CNKI, VIP and Wanfang database, the RCT of promoting wound healing by external treatment of traditional Chinese medicine under the theory of simmer pus and long meat was collected, and the literature was screened and data extracted according to the inclusion criteria and exclusion criteria. Using Rev man 5.3 software to Meta analyze the extracted data, and compare the clinical efficiency of external treatment of traditional Chinese medicine and Western medicine, which generally promotes wound healing, as well as the changes of various biochemical indicators. Results The results of Meta-analysis showed that under the theory of simmer pus and long meat, the effect of external treatment of traditional Chinese medicine on promoting wound healing was better than that of general western medicine, such as Vaseline oil yarn, Kangfuxin Liquid, 0.1% rivanol yarn, etc.; however, the regret of this paper is that most of the studies included did not report the recurrence rate, quality of life and adverse reactions, so it is impossible to further analyze these indicators. Conclusion This study shows that, compared with the western medicine external treatment which generally promotes wound healing, the traditional Chinese medicine external treatment under the theory of simmer pus and long meat has better curative effect in promoting wound healing; however, due to the small number and low quality of the included literature, it is necessary to design a rigorous and reasonable large sample randomized controlled trial for further study in the future.

参考文献/References

[1] 徐杰男,阙华发,唐汉钧. “祛瘀补虚煨脓长肉”外治疗法治疗下肢慢性溃疡临床研究[J]. 辽宁中医杂志,2018,45(9):1882-1887.
[2] 阮晓枫,刘敏. 论煨脓长肉与慢性难愈性创面的治疗[J]. 湖南中医杂志,2016,32(5):164-165.
[3] 郭冬婕,陈瑜,李斌,等. “煨脓长肉”理论的临床运用与理性思考[J]. 中华中医药杂志,2017,32(11):4812-4814.
[4] 王晓媛,李佩琴,张雅兰. 中药外敷治疗疮疡中的“煨脓长肉”[C]//中国中西医结合学会疡科分会第十一次全国学术交流会论文汇编. 邵武:中国中西医结合学会疡科分会、中国中西医结合学会,2003:1.
[5] 刘胜,唐汉钧,陆德铭. “煨脓长肉”法在中医外科中的应用[J]. 中医杂志,2000,41(7):443.
[6] 卢旭亚,张朝晖. 煨脓长肉在中医外科领域的研究进展[J]. 中医外治杂志,2015,24(4):51-52.
[7] 李静,张鸣明. Cochrane 干预措施系统评价手册(中文翻译版)[DB/OL]. https://training. cochrane. org/zh-hans/cochrane-干预措施系统评价手册-中文翻译版.
[8] 郭亚苹,马茜,黄晓明,等. “煨脓长肉”法对肛裂术后创面恢复的临床研究[J]. 河北中医药学报,2019,34(2):20-22.
[9] 吴允波,胡铁山,程仕萍,等. 解毒祛腐煨脓生肌法治疗蛇伤后溃疡的临床研究[J]. 时珍国医国药,2018,29(6):1382-1384.
[10] 何春红,叶林,黎文艳. 湿润疗法中药硬膏贴敷治疗糖尿病足溃疡的临床观察[J]. 北京中医药,2016,35(10):919-921.
[11] 李燕,李京向. 生肌象皮膏对肛裂术后创面愈合的临床研究[J]. 山东中医杂志,2016,35(8):719-722.
[12] 万冬玲. 生肌促愈膏治疗低位单纯性肛瘘术后创面愈合的临床疗效观察[D]. 济南:山东中医药大学,2016.
[13] 费冀. 中药石香膏促进慢性难愈合创面修复临床观察[D]. 贵阳:贵阳中医学院,2015.
[14] 孔祥运,郭海燕,王朝阳,等. “煨脓长肉”中药换药法治疗肛瘘术后伤口临床疗效观察[J]. 光明中医,2014,29(6):1233-1234.
[15] 金蕾. 红炉生肌散在肛瘘术后创面换药的临床疗效探讨[J]. 中外医疗,2013,32(30):43-44.
[16] 李晨,姚昶,张晶,等. 生肌玉红膏促进下肢慢性溃疡愈合257例临床多中心研究[J]. 北京中医药,2012,31(11):803-807.
[17] 田英. 生肌玉红膏对肛瘘术后愈合影响的临床研究[D]. 济南:山东中医药大学,2010.
[18] 王晓媛,张雅兰,王自辉,等. 中西医治疗对糖尿病足局部组织中细胞因子表达的影响[J]. 四川中医,2010,28(12):93-95
[19] 贾召锋. 三种中药对NIH-3T3细胞增殖及胶原合成影响[D]. 哈尔滨:东北农业大学,2011.
[20] 周鹏飞,刘佃温,刘世举,等. “提脓去腐、煨脓长肉”理论在肛周慢性创面中的应用[J]. 辽宁中医药大学学报,2019,21(8):104-107.

备注/Memo

备注/Memo:
收稿日期: 2019 - 12- 10
* 基金项目: 中国民族医药学会科研项目(2019KYXM-Z1119-80);咸阳市科学技术研究计划项目(2018k02-97)
第一作者简介: 程嘉骏(1995-),男, 在读硕士研究生,研究方向:中医肛肠疾病的临床及实验。
△通信作者: 冯文哲,E-mail: szfygck@163.com
更新日期/Last Update: 2020-06-30