火针刺络放血治疗下肢复发性丹毒临床疗效

火针刺络放血治疗下肢复发性丹毒临床疗效

张盼1,王遵来2*,黄朋涛1,葛超1,左海峰1,苑婷1

(1.天津中医药大学，天津 300193；2.天津北辰北门医院，天津 300400)

摘要：目的观察火针刺络放血治疗下肢复发性丹毒的临床疗效。方法选择下肢丹毒患者60例，随机分为治疗组(30例)和对照组(30例)。治疗组采用三棱针刺络放血及粗火针密刺放血治疗，对照组用普通三棱针在阳性血络放血，病变部位点刺放血。比较2组患者的临床疗效并记录疗后1年随访情况。结果治疗组总有效率(96.7%)高于对照组(82.8%)，差异有统计学意义(P<0.05)。治疗后1年随访，治疗组复发率为0%(0/30)；对照组复发率为6.90%(2/29)，2组比较差异有统计学意义(P<0.05)。结论火针治疗丹毒的作用机理有以下两点：1)温通经络，行气解郁。2)开门去邪，以热引热。

关键词：下肢丹毒;火针;三棱针;温通经络;行气解郁;以热引热

DOI:10.13463/j.cnki.jlzyy.2015.02.035

中图分类号：R246.7文献标志码： A

文章编号：1003-5699(2015)02-0206-02

基金项目:天津市北辰区科技发展计划项目:火针刺络放血治疗下肢复发性丹毒临床疗效评价(bcws2011-18)。

作者简介:张盼(1987-)，男，硕士研究生，主要从事中医骨伤科研究。

收稿日期:(责任编辑：赵玉芝2014-09-28)

*通信作者:王遵来，电子信箱-tinglilai@163.com。

Fire-needle bloodletting treatment for lower limb recurrent erysipelas

ZHANG Pan1,WANG Zunlai2*,HUANG Pengtao1,GE Chao1,ZUO Haifeng1,YUAN Ting1

(1.Tianjin University of Traditional Chinese Medicine,Tianjin 300193,China;

2.Tianjin North Gate Hospital Beichen,Tianjin 300400,China)

Abstract:ObjectiveTo observe effect of fire-needle bloodletting therapy for the treatment of recurrent erysipelas of lower limbs.MethodsThe 60 patients with lower limb erysipelas were randomized into treatment group (30 cases) and control group (30 cases).Patients in the treatment group were prescribed with bloodletting therapy using three-edged needle combined with rough fire-needle,while patients in the control group only using three-edged needle in positive blood channels and the lesion site.Compare the clinical efficacy of two groups of patients and record 1 year follow-up after treatment.ResultsTotal effective rate (96.7%) of the treatment group was higher than that of the control group (82.8%),the difference was statistically significant (P<0.05).One year after the treatment,recurrence rate of the treatment group was 0% (0/30) lower than that of the control group (6.90%) (2/29),the difference was statistically significant (P<0.05).ConclusionFire-needle in the treatment of erysipelas mechanism has the following two points:1)warm and dredging collaterals,moving qi and resolve depression.2)removing evil,heat induce heat.

Keywords:erysipelas of lower limb;fire-needle;three-edged needle;warm and dredging collaterals;moving qi and resolve depression;heat induce heat

前期研究表明，火针刺络放血治疗下肢复发性丹毒临床疗效显著[1-3]。本研究采用随机对照的方法评价火针刺络放血治疗下肢复发性丹毒的临床疗效，现报道如下。

1临床资料与方法

1.1一般资料入选60例患者，对照组脱落1例。2组患者的性别、年龄、病程的基线及治疗前皮损面积、疼痛评分比较，差别均无统计学意义(见表1)，具有可比性。

表1　2组一般资料比较

1.2诊断标准参照1994年国家中医药管理局发布的《中医病证诊断疗效标准》[4]拟定。

1.3治疗方法

1.3.1火针治疗组火针选用北京贺氏点刺火针(粗火针),该火针由钨锰合金冷拔而成。……