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顾氏外科应用砭镰法联合综合外治法治疗下肢丹毒的临床效果
沈义婷,梁越,阙华发
上海中医药大学附属龙华医院上海 200032
摘要:
目的:探讨顾氏外科应用砭镰法联合综合外治法治疗下肢丹毒患者的临床效果。方法:选取2023年8月—2024年3月上海中医药大学附属龙华医院中医外科收治的下肢湿热毒蕴证型丹毒患者60例,按照随机数字表法随机分为治疗组和对照组,每组各30例。对照组采用中医综合外治法,治疗组在对照组治疗基础上联合用砭镰法治疗。比较两组治疗的有效率、红斑面积及肿胀周径,两组治疗前、后证候积分,不良反应等临床数据。结果:治疗组的痊愈显效率高于对照组(66.7% vs 30.0%),差异具有统计学意义(P <0.05);两组均能缩小患者红斑面积,治疗14 d后治疗组缩小的红斑面积优于对照组(P <0.05),且治疗第5、7、14天,治疗组红斑面积缩小趋势快于对照组(P <0.01);两组均能减少患者踝部、踝上10 cm肿胀周径差,治疗组治疗第7天及第14天均优于对照组同期,差异有统计学意义(P <0.05),且治疗组在治疗第3天即开始显现踝上10 cm肿胀消退优势,第7、14天踝部、踝上10 cm肿胀消退优势更为显著,两组治疗14天时踝部、踝上10 cm肿胀周径差较同组治疗第1天均显著减少,差异有统计学意义(P <0.05);两组均能改善患者局部证候及全身证候,治疗组在改善证候积分总分、主要证候积分、次要证候积分方面均显著优于对照组(P <0.05)。两组均未见不良反应。结论:顾氏外科运用砭镰法联合综合外治法能更好地改善下肢湿热毒蕴证型丹毒患者的局部及全身证候,疗效更显著,安全性良好,可作为下肢丹毒的中医诊疗方案进一步研究与推广。
关键词:  下肢丹毒  顾氏外科  砭镰法  中医外治法
DOI:10.3969/j.issn.1007-6948.2026.02.011
投稿时间:2025-10-09
基金项目:上海市卫健委海派中医流派传承创新团队建设项目—创面修复(2021LPTD-001);上海市卫健委临床重点专科建设项目—中医外科(shslczdzk03801)
Clinical research on the treatment of lower limb erysipelas with Bianlian method combined with comprehensive external therapy in GU's surgery
SHEN Yi-ting,LIANG Yue,QUE Hua-fa
Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 200032, China
Abstract:
Objective To explore the efficacy of the Bianlian method combined with comprehensive external treatment in patients with lower extremity erysipelas in the GU's surgery. Methods 60 patients meeting the inclusion criteria were statistically analyzed. The control group was treated with comprehensive external therapy in traditional Chinese medicine, while the treatment group was treated with the Bianlian method in addition to the treatment of the control group. The clinical data of the two groups, including the effective rate, the area of erythema, and the circumference of swelling, were observed and analyzed. Results The recovery rate of the treatment group was higher than that of the control group (66.7% vs 30.0%), and the difference was statistically significant (P <0.05). Both groups could reduce the area of erythema in patients, and the treatment group had a better therapeutic effect than the control group (P <0.01). Both groups could improve the local and systemic symptoms of patients with lower extremity erysipelas (P <0.05), and the treatment group had a better improvement ability than the control group (P <0.01). No adverse reactions occurred in either group. Conclusion The Bianlian method combined with comprehensive external therapy in the GU's surgery can better improve the local and systemic symptoms of patients with lower extremity erysipelas, with more significant efficacy and high safety. It can be further studied and promoted as a traditional Chinese medicine treatment plan for lower extremity erysipelas.
Key words:  Erysipelas of lower limbs  GU's surgery  Bianlian method  external treatment of traditional Chinese medicine

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