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中药牡丹皮汽雾透皮(熏蒸)疗法治疗疼痛的临床应

发表时间:2018-08-01浏览次数:

  中药牡丹皮汽雾透皮(熏蒸)疗法治疗疼痛的临床应用

  摘要目的:观察中药牡丹皮蒸汽疗法的确切疗效。

  方法:临床随机观察伤骨科疼痛并行走困难病人25例,在汽疗舱内用牡丹皮作药熏,温度设定为37℃至40℃,治疗时间20分钟/次,每隔一天治疗一次,10次为一个疗程。在治疗前后对疼痛和行走能力分值进行改善率和统计分析。结果:疼痛治疗改善总有效率为100%,行走改善总有效率为68%,患者的疼痛与行走能力在治疗后有显著差异(疼痛T值=14.14,P值<0.01;行走能力,T值=8.52,P值<0.01)。

  结论:网上扎金花平台中药牡丹皮汽雾透皮(熏蒸)疗法是行之有效治疗疼痛的方法。

  GUANJIANCI:ZHONGYAOMUDANPITENGTONGZHILIAOFANGFAZHENGQILIAOFATENGTONGSHIGUSHANGKEJIBINGZHONGZUICHANGJIANDEZHENGZHUANG,YANZHONGYINGXIANGRENMENDERICHANGSHENGHUOHEGONGZUO。YISHENGCHANGCAIYONGKOUFUYAOWUDEFANGFAZHILIAOTENGTONGZHENGZHUANG,DANSHIYOUYUFEIZAITIKANGYANYAOWUDUIWEICHANGDAODEDUFUZUOYONG,ZAOCHENGHUANZHEXIAOHUADAOKUIYANGDENGZHENGZHUANGFEICHANGPUBIAN,WEIHESHIERZHICHANGKUIYANGFASHENGLVSHI10~20%,SHIWEISHIYONGFEIZAITIKANGYANYAODEJIANKANGRENQUNDE5~15BEI,JINZAIMEIGUOMEINIANJIUYOU107,000LIYINNSAIDDAOZHIDEWEICHANGDAOSUNHAI,MEINIANJIUYOU16,500LIHUANZHEYINCIDAOZHISIWANG。CAIYONGHAIYANGHUAMEILILUNYANZHIDEXUANZEXINGHAIYANGHUAMEI-2YIZHIJIYEWUFAWANQUANBIMIANWEICHANGDAOFUZUOYONG,BINGQIEFAXIANHAIYANGHUAMEI-2YIZHIJIYOUSHENZANG、XINXUEGUANDENGZANGQIDEYANZHONGFUZUOYONG。YINCI,CONGCHUANTONGYIYAOZHONGXUNZHAOYOUXIAODEZHILIAOTENGTONGDEYAOWUHEFANGFAXIANDEFEICHANGBIYAO。ZHONGYAOXUNXIZHIBINGFANGFASHIZHILIAOJIBINGDEYOUXIAOFANGFA,ZHEIZHONGFANGFATONGGUOJUBUHEPIFUJIYAO,SHIYAOWUZUOYONGZHIDABINGSUO,BINGTONGGUOZHENGQIDESHIREZUOYONGZHIBING,BIZHEZAILINCHUANGYINGYONGSHIJIAYIGAIJIN,XUANZEYOUHUIFACHENGFENDEZHITONGXIAOZHONGZHONGYAOMUDANPI,ZAIQILIAOCANGZHONGJIARECHANSHENGZHENGQIJINXINGYAOXUN,SHIYAOWUCHONGFENBEIPIFUXISHOU,QUDELEMANYIDEXIAOGUO,BAOGAORUXIA。

  1、临床与方法

  1.1YANJIUDUIXIANG2003NIAN1YUE~6YUESHANGHAIRUIJINYIYUANYUSHANGHAIHAIYUANYIYUANGUSHANGKEXIEZUOZHONGXINMENZHENJIZHUYUANBINGREN。

  1.1.1BINGRENNARUBIAOZHUN⑴MINGQUEZHENDUANDEYAOZHUIJIANPANTUCHUZHENG、YAOZHUIGUANXIAZHAI、XIGUANJIEGUGUANJIEBING、JINGZHUIBING、GUZHISHUSONGZHENGBINGREN,⑵YOUMINGQUEDETENGTONGZHENGZHUANGHEXINGZOUGONGNENGZHANGAI,⑶YOUWEIBINGBUNENGKOUFUZHITONGYAOWU,⑷YUANYIZUOZHONGYAOZHENGQILIAOFAZHILIAOTENGTONG。

网上扎金花平台   1.1.2BINGRENPAICHUBIAOZHUN⑴YOUYANZHONGGAOXUEYA、XINZANGBINGDENGBUNENGNAISHOUZHENGQIYUZHE,⑵BUNENGDANCHUNSHIYONGZHENGQIYULAIZHILIAOJIBINGZHE。

  1.2RUXUANBINGRENZILIAOBENZUGONGGUANCHA25LIHUANZHE,NAN5LI,NV20LI,NIANLINGZUIXIAO22SUI,ZUIDA81SUI;BINGCHENGZUIDUANZHE1ZHOU,ZUIZHANGZHE10NIAN;QIZHONGYAOTUZHENG9LI,XIGUANJIEGUGUANJIEBING6LI,YAOZHUIGUANXIAZHAI4LI,JINGZHUIBING2LI,GUZHISHUSONGZHENG4LI。YISHANGHUANZHEJUNYOUJIAOMINGXIANDETENGTONGZHENGZHUANG,XINGZOUJIHUODONGSHITENGTONGJIAJU。

  1.3ZHILIAOFANGFACAIYONGHH-QLHUAHENGZHONGYAOQILIAOYI(WUXIHUAHENGSHIYEGONGSISHENGCHAN),JIANGMUDANPI50gJINYU2000mlSHUI,ZAIZHONGYAOQILIAOCANGZHONGJIARECHANSHENGZHENGQI,HUANZHEJINRUCANGZHONGZUOQUANSHENXUNZHENGZHILIAO,WENDUSHEDINGWEI37℃ZHI40℃,ZHILIAOSHIJIAN20FENZHONG/CI,MEIGEYITIANZHILIAOYICI,10CIWEIYIGELIAOCHENG。

  1.4GUANCHAZHIBIAOYULIAOXIAOBIAOZHUN

  1.4.1TENGTONGQIANGDUZHIBIAO。TENGTONGQIANGDU:0FEN:WUTONG;1FEN:QINGDUTENGTONG,KEYIGANSHOUDAO,DANBUYINQIBUSHI;2FEN:ZHONGDUTENGTONG,BUYONGYAOWUKEYIRENSHOU;3FEN:ZHONGDUTENGTONG,YINQIBUSHI,XUYAOYONGZHITONGYAO;4-5FEN:TENGTONGJIAOWEIYANZHONG,HUANZHEYANESHEJIAO;6FEN:YANZHONGTENGTONG;7-9FEN:JULIETENGTONG;10FEN:FEICHANGJULIEDETENGTONG。

网上扎金花平台   1.4.2XINGZOUNENGLIZHIBIAO:0FEN:ZHENGCHANGXINGZOU;1FEN:KEXINGZOU1000MIYISHANG,YOUQINGDUTENGTONG;2~3FEN:XINGZOU500~1000MI,YOUQINGHUOZHONGDUTENGTONG;4~6FEN:XINGZOU100~500MI,YOUQINGHUOZHONGDUTENGTONG;7~8FEN:XINGZOU50~100MI,YOUZHONGDUHUOJIAOYANZHONGDETENGTONG;9FEN:XINGZOU50MIYINEI,YOUMINGXIANTENGTONG;10FEN:TENGTONGJULIE,WANQUANBUNENGXINGZOU。

  1.4.3LIAOXIAOBIAOZHUNGENJUZHILIAOQIANHOUDUITENGTONG、XINGZOUNENGLIDEPINGFEN,JISUANGAISHANLV,GAISHANLV=ZHILIAOHOUDEFEN-ZHILIAOQIANDEFENCHUYIZHENGCHANGFEN-ZHILIAOQIANDEFEN,ZAICHENGYI100%。ZHIYU:ZHILIAOHOUGAISHANLV≥90%;XIANXIAO:ZHILIAOHOUGAISHANLV≥70%;YOUXIAO:ZHILIAOHOUGAISHANLV≥30%;WUXIAO:ZHILIAOHOUGAISHANLV<30%。

  2ZHILIAO:

JIEGUOBENZUBINGRENJINGGUOYIGELIAOCHENGDEZHILIAOHOU,HUANZHETENGTONGHEXINGZOUNENGLIYOUXIANZHUGAISHAN,TONGJIFENXI,ZHILIAOQIANHOUBIJIAO,TENGTONGTZHI=14.14,PZHI<0.01;XINGZOUNENGLI,TZHI=8.52,PZHI<0.01,JIANBIAO1。TENGTONGZHILIAOZONGYOUXIAOLVWEI100%,XINGZOUGAISHANZONGYOUXIAOLVWEI68%。GEGUANCHAZHIBIAOZAIZHILIAOQIANHOUGEFENSHUZHIDEFENBUYOUMINGXIANDECHAYI,JIANBIAO2。

 

网上扎金花平台   2.1DIANXINGBINGLIJIESHAO

网上扎金花平台   BINGLIYI:HUANZHETANGMOU,NVXING,55SUI,ZUOXITENGTONGERYUE,SHENZHISHOUXIAN,XINGZOUSHITENGTONGJIAJU,BOXING,BANZUOXIAZHIWULIYIDIEDAO。JIANCHA:ZUOXIBINGUSHANGXIAJIYATONG(++)NEIYUAN(+)BINMO(++),SHENZHI5DU,QUQU120DU,FUBINZHENG(+)。MRI:ZUOXIGUANJIEQIANWAICERUANZUZHIZHONGZHANG,ZUOXIGUANJIETUIBIAN,GUANJIENANGSHAOLIANGJIYE。TONGSHIHUANZHETIXINGJIAOPANG,YAOXISUANRUANWULI,SHELVEHONGTAIBAIMAIXIAN。ZHENDUANWEIZUOXIGUGUANJIEYANBANHUAMOYAN,ZHENGSHUZHONGYIBIZHENGFANCHOU(QIXUSHIZU)。HUANZHEZAIWAIYUANFUYONGZHITONGXIAOYANLEIYAOWUHUANXIMEIYOUZHIYU,FANERCHUXIANWEITONGBUSHUFUZUOYONG,CAIYONGJUBUSHIREFUCHUXIANPIZHEN。HUANZHELAIWOYUANJIESHOUMUDANPIZHENGQIZHILIAO,GERIZUOYICI,GONGZHILIAO12CIHOU,ZUOXISHENZHIBUSHOUXIAN,KECHIXUXINGZOU1000MIZUOYOU,HUANZHEDEXIGUANJIEYANBANHUAMOYANZHIYU。BINGLIER:HUANZHEYUMOU,NVXING,62SUI,YAOTONGSANNIAN,BANSHUANGXIAZHITONGBAYUEYU,XINGZOUKUNNAN,XUFUGUAIERXING,WANYAOHUODONGSHOUXIAN。CHATI:YAOBUHUODONGQIANQU30°,HOUSHEN0°,ZUOYOUCEQU10°,L5/S1JITUPANGYATONG(+),L4/5JITUPANGYATONG(+),ZHITUITAIGAOSHIYANYOU40°ZUO30°,JIAQIANG(+),SHUANGCEXIFANSHEJUNWEIYINCHU,SHUANGCEHUAIFANSHE(+),ZUOJINGQIANJIJILIWEI4JI。CT:L4/5ZHUIJIANPANTUCHU。HUANZHEBINGCHENGJIAOZHANG,SHEANTAIBOMAIXI。ZHENDUANWEIYAOZHUIJIANPANTUCHUZHENG

网上扎金花平台   (L4/5),ZHENGSHUZHONGYIYAOTUIBITONG(QIZHIXUEYUXING)。HUANZHELAIWOYUANZUOMUDANPIQILIAO,GONGZHILIAO9CI,YAOBUYOUQINGDUTENGTONG,WANYAOHUODONGZIRU,BUXUFUGUAIKEXINGZOU200MIZUOYOU。

  3、讨论

网上扎金花平台   MUDAN(Paeoniasuffruticosa)ZAIZHONGGUOBEIYUWEIHUAZHONGZHIWANG,CENGBEIDINGWEIQINGCHAODEGUOHUA,CHUJUYOUZHONGYAODEZHUANGSHIZUOYONGYIWAI,HAIYOUYIDINGDEYIYONGJIAZHI。MUDANPIWEIMAOLANGKEDUONIANSHENGLUOYEXIAOGUANMUZHIWUMUDANDEGENPI,XINGKU、XIN,WEIHAN,RUXIN、GAN、SHENJING。JUYOUQINGRELIANGXUE,HUOXUESANYUDEGONGNENG,GUANGFANYONGYUSHANGGUKELINCHUANG。《SHENNONGBENCAOJING》JIZAIMUDANPINENG“CHUZHENGJIANYUXUELIUSHECHANGWEI,ANWUZANG,LIAOYONGCHUANG”。《ZHENQUANBENCAO》JIZAIMUDANPINENG“ZHILENGQI,SANZHUTONG,”《DAMINGBENCAO》JIZAIWEI“TONGGUANCOUXUEMAI,XIAOPUSUNYUXUE,XUJINGU,CHUFENGBI”。ZAILIDAIZHONGYIYAODESHUJIZHONG,HANYOUMUDANPIDEWAIXIYAOFANGHENDUO。RUQING·WUQIANDE《YIZONGJINJIAN·ZHENGGUXINFAYAOZHI》ZHONGYOUMUDANPISAN、ZHITONGSAN、WUJIAPITANG、BAXIANXIAOYAOTANGDENGFANG。JUNCAIYONG“GONGYONGMO,ZHUANGBAIBUDAINEI,ZHAKOUJIANGUNXUNXI”HUANCHUDEFANGFAZHILIAOGUSHANGKEJIBING。MUDANPIZHONGDEDANPIFEN(paeonol)ZUOWEIZHONGYAOMUDANPIDEZHUYAOYOUXIAOCHENGFEN,SHOUZAIYU1977NIANBANZHONGHUARENMINGONGHEGUOYAODIAN,JUYOUQUFENGZHENTONGDENGZUOYONG,KEYONGYUJIROUTONG、GUANJIETONGHEFENGSHITONGDENGSHUYUZHONGYISHANGJINBIZHENGFANCHOUDEJIBING。LINCHUANGHESHIYANDEYAOLIYANJIUJINZHANBIAOMING,DANPIFENJUYOUJIAOQIANGDEZHENTONGZUOYONG,KEYONGYUZHILIAOGEZHONGTONGZHENGHESHOUSHUHOUTENGTONG;YOUYOUJIAOQIANGDEKANGYANZUOYONG,DUIDUOZHONGZHIYANJIEZHIYINQIDEZHONGZHANGJUNYOUMINGXIANDEYIZHIZUOYONG;LINGWAIHAIDUIFEITEYIXINGMIANYI、XIBAOMIANYIHETIYEMIANYIGONGNENGYOUYIDINGDEZHENGMIANYINGXIANG,ZHEIKENENGYESHITAKANGYANZHENTONGZUOYONGDEJICHU。ZHEIXIEYULIDAIBENCAOSUOJIZAIMUDANPIJUYOUDE“SANZHUTONG、XIAOYUXUE、CHUFENGBI”DENGZUOYONGXIANGWENHE,ERQIEDANPIFENDIDU,DUIPIFUBUDANMEIYOUCIJIZUOYONG,ERQIEYOUKANGGUOMINDEZUOYONG。DANPIFENFENZILIANGXIAO,RONGDIANDI,YIHUIFA,KEYITOUGUOPIFU,QIETOUGUOLIANGSUISHIJIANDEYANZHANGERZENGJIA,DANPIFENZHEIXIEYOUYIDEZUOYONGWEIJIANGMUDANPIZUOWEIQILIAOYAOWUTIGONGLEYIJU。

网上扎金花平台   ZHONGYAOQILIAOSHUYUZHONGYIWAIZHIFAFANCHOU,TANG《XIANSHOULISHANGXUDUANMIFANG》ZHONGJIUYOUJIZAI,REFUXUNXIDEFANGFAGUCHENG“LINTUO”、“LINXI”HUO“LINYU”,SHIJIANGYAOWUZHIYUGUOHUOPENZHONGJIASHUIZHUFEIHOUXUNXIHUANCHUDEYIZHONGFANGFA,TONGGUOYAOWUDEZHENGQIZUOYONG,KEYIQIDAOHUOXUESANYU,XUJINJIEGU,CHUFENGBI,SANZHUTONGZHIGONG。JIANGMUDANPIRONGYUSHUIZHONG,ZAIMIBIDEQILIAOCANGZHONGJIARECHANSHENGYAOQIBINGBAOCHIHENGWEN,DANPIFENRONGDIANDI,YIHUIFA,QILIAOCANGNEIWENREDECIJINENGSHIQUANSHENPIFUWENDUSHENGGAO,CUJINPIFUHEZHOUSHENDEXUEYEHELINBAXUNHUAN,SHIXINCHENDAIXIEWANGSHENG,CANGZHONGJIAOGAODEYAOQISHIDUNENGSHIYAOWUZUIDAXIANDUDITOUGUOPIFUERFAHUIYAOXIAO,QIDAOKANGYANZHENTONGDEZUOYONG,DADAOZHIBINGDEMUDE。XIANDAIYIXUERENWEI,PIFUSHIRENTIZUIDADEQIGUAN,YAOWUTONGGUOPIFUXISHOUYOUMIANJIDA、ZUOYONGZHIJIE、YAOWUXISHOUBUSHOUXIAOHUADAONEIPH、SHIWUHEYAOWUZAICHANGDAOYIDONGSHIJIANDENGFUZAYINSUYINGXIANG;BIMIANYAOWUZAIGANZANGDESHOUGUOXIAOYING;YOUBUTONGGUOGANZANG,JIANQINGWEICHANGDAOFUZUOYONGDEYOUDIAN;BINGKECHIXUKONGZHIJIYAOSUDU,ZHONGDUANJIYAOFANGBIAN。LINCHUANGSHANG,KEYIGENJUHUANZHEDENAISHOUCHENGDU,SHIDANGYANZHANGHUOJIANSHAOZHONGYAOQILIAODESHIJIANHECISHU。

  上海第二医科大学附属瑞金医院伤科杜宁滕蔚然

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