山东大学耳鼻喉眼学报 ›› 2020, Vol. 34 ›› Issue (6): 21-26.doi: 10.6040/j.issn.1673-3770.0.2019.537

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中药热奄包外敷联合七叶皂苷钠静滴治疗鼻部外伤肿胀疗效观察

张静祎1,2,王文一2,荣凌燕3,张家奎2,宋西成1   

  1. 1.青岛大学附属烟台毓璜顶医院 耳鼻咽喉头颈外科, 山东 烟台 264000;
    2.山东省文登整骨医院 耳鼻咽喉科, 山东 文登 264400;
    3.山东省文登整骨医院 药学部, 山东 文登 264400
  • 发布日期:2021-01-11
  • 通讯作者: 宋西成. E-mail:songxicheng@126.com

Curative effects of external application of traditional Chinese medicine in a hot salt bag combined with an intravenous drip of sodium aescinate in the treatment of nasal injury swelling

ZHANG Jingyi1,2, WANG Wenyi2, RONG Lingyan3, ZHANG Jiakui2, SONG Xicheng1   

  1. 1.Department of Otorhinolaryngology & Head and Neck Surgery, the Affiliated Yantai Yuhuangding Hospita1 of Qingdao University, Yantai 264000, Shandong, China;
    2.Department of Otorhinolaryngology, the Wendeng Osteopath Hospital, Wendeng 264400, Shandong, China;
    3.Department of Pharmacy, the Wendeng Osteopath Hospital, Wendeng 264400, Shandong, China
  • Published:2021-01-11

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摘要： 目的 观察中药热奄包外敷联合七叶皂苷钠静滴治疗鼻部外伤肿胀的临床疗效。 方法 纳入2018年2月~2018年10月山东省文登整骨医院收治的新鲜鼻部软组织损伤患者56例,随机分为对照组与治疗组。所有患者伤后48 h内均采用伤处冷敷、七叶皂苷钠静滴治疗,48 h后对照组采用七叶皂苷钠静滴的基础上外敷空白热敷包治疗,治疗组在七叶皂苷钠静滴的基础上外敷中药热奄包治疗,疗程为6 d,观察两组肿胀消退时间和疼痛消失时间及两组肿胀消退的程度。 结果 肿胀消退时间:对照组(39.07±8.64)h、治疗组(32.79±7.89)h;疼痛消失时间:对照组(35.39±9.55)h、治疗组(28.25±7.32)h,两两相比均具有统计学意义(P<0.05)。治疗36 h后,对照组轻、中、重度肿胀分别为10、5、3例,10例肿胀完全消退;治疗组轻、中、重度肿胀分别为8、2、1例,17例肿胀完全消退,差异具有统计学意义(P<0.05)。 结论 中药热奄包外敷联合七叶皂苷钠静滴比空白热敷包外敷联合七叶皂苷钠静滴能更有效地促进鼻部肿胀的消退。

关键词: 热奄包, 鼻部外伤, 肿胀, 疼痛, 治疗结局

Abstract: Objective To study the curative effects of local external application of traditional Chinese medicine in a hot salt bag combined with a sodium aescinate intravenous drip for the treatment of nasal injury swelling. Methods Fifty-six patients with a fresh nasal soft tissue injury who were admitted to the Wendeng Osteopath Hospital between February 2018 and October 2018 were randomly divided into control and treatment groups. All patients were treated with a cold compress and a sodium aescinate intravenous drip within 48 h after the injury. Subsequently, treatment with a sodium aescinate intravenous drip combined with local external application of placebo in the control group and traditional Chinese medicine in the treatment group was performed for 6 days. The times it took for the swelling and pain to resolve were recorded. The grades and progression of swelling were also recorded. Results The time it took for the swelling to disappear was(39.07±8.64)h and(32.79±7.89)h in the control and treatment groups, respectively. The time it took for the pain to disappear was(35.39±9.55)h and(28.25±7.32)h in the control and treatment groups, respectively. The differences from pairwise comparisons were statistically significant(P<0.05). After 36 h of treatment, there were 10, 5, 3 and 10 control group cases, in contrast to 8, 2, 1, and 17 treatment group cases, of mild, moderate, severe, and resolved swelling, respectively. The differences were statistically significant(P<0.05). Conclusion The sodium aescinate intravenous drip showed better efficacy in the treatment of nasal injury swelling when combined with external application of traditional Chinese medicine, compared with placebo, in a hot salt bag.

Key words: Hot salt bag, Nasal injury, Swelling, Pain, Treatment outcome

中图分类号: 

  • R765
[1] 孙艺渊, 王珮华, 许晨婕. 鼻中隔软骨移植物在外伤后鼻背畸形修复中的应用[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 18-21. doi: 10.6040/j.issn.1673-3770.1.2017.043. SUN Yiyuan, WANG Peihua, XU Chenjie. Applications of nasal septal cartilage grafts in post-traumatic nasal deformity repair[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(1): 18-21. doi: 10.6040/j.issn.1673-3770.1.2017.043.
[2] 王士贞. 中医耳鼻咽喉科学[M]. 北京: 中国中医药出版社, 2007: 143-144.
[3] 胡怀彬, 张明明. 注射用七叶皂苷钠治疗重睑术后肿胀的临床观察[J]. 中国实用医药, 2014, 9(27): 197-198. doi:10.14163/j.cnki.11-5547/r.2014.27.382.
[4] 江英, 陈玥竹, 饶郁芳, 等. 鼻中隔-鼻整形术矫正严重外伤性鼻畸形伴鼻中隔偏曲一例[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 45-47. doi:10.6040/j.issn.1673-3770.0.2018.028. JIANG Ying, CHEN Yuezhu, RAO Yufang, et al. Nasal septum-nasal plastic surgery for correction of severe traumatic nasal deformity with nasal septum deviation: one case report[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(1): 45-47. doi:10.6040/j.issn.1673-3770.0.2018.028.
[5] 常宁. 七叶皂苷治疗骨科创伤及其术后肿胀的疗效观察[J]. 中国处方药, 2014, 12(11): 30. doi:10.3969/j.issn.1671-945X.2014.11.022.
[6] 丁明明,陈文莉,戴益辉,等. 简述中药热奄包的临床应用近况[J]. 江西中医药, 2019, 50(8): 72-74.
[7] 陈亮, 陈丽, 高大伟, 等. 伤科热奄包预防手指屈肌腱开放性损伤术后粘连的疗效观察[J]. 中国中医骨伤科杂志, 2017, 25(8): 29-31. doi: CNKI:SUN:ZGZG.0.2017-08-007. CHEN Liang, CHEN Li, GAO Dawei, et al. Department of traumatology reyanbao on preventiong of flexor tendon adhesion effect of open injury after operation[J]. Chinese Journal of Traditional Medical Traumatology & Orthopedics, 2017, 25(8): 29-31. doi: CNKI:SUN:ZGZG.0.2017-08-007.
[8] 刘合亮, 魏艳珍, 郑世雄, 等. 中药热奄包热敷联合玻璃酸钠关节腔内注射治疗膝骨关节炎[J]. 中医正骨, 2017, 29(8): 68-71. doi:10.3969/j.issn.1001-6015.2017.08.018.
[9] 晁静. 中药热奄包治疗骨折后肿胀疼痛效果观察[J]. 河南医学研究, 2017, 26(8): 1416-1417. doi:10.3969/j.issn.1004-437X.2017.08.034.
[10] 祝玲, 温贤秀, 孙晓燕, 等. 改良中药热奄包法在颈型颈椎病康复中的效果研究[J]. 实用医院临床杂志, 2017, 14(1): 74-76. doi: 10.3969/j.issn.1672-6170.2017.01.025. ZHU Ling, WEN Xianxiu, SUN Xiaoyan, et al. The rehabilitation effect of an improved traditional Chinese medicine hot I package method for neck type of cervical spondylosis[J]. Practical Journal of Clinical Medicine, 2017, 14(1): 74-76. doi: 10.3969/j.issn.1672-6170.2017.01.025.
[11] 覃爱萍. 用中药热奄包对妇产科患者进行镇痛的疗效观察[J]. 当代医药论丛, 2015, 13(10): 32-33.
[12] 徐翠平. 中药热奄包外敷缓解早孕患者下腹部疼痛的效果观察[J]. 中医临床研究, 2018, 10(14): 104-105. doi: 10.3969/j.issn.1674-7860.2018.14.049. XU Cuiping. Observation on treating hypogastrium pain in patients with early pregnancy by Reyanbao of TCM[J]. Clinical Journal of Chinese Medicine, 2018, 10(14): 104-105. doi: 10.3969/j.issn.1674-7860.2018.14.049.
[13] 王英,秦兰,詹静,等. 中药热奄包穴位熨烫治疗风寒咳嗽的临床研究[J]. 湖北中医药大学学报, 2017, 19(4): 74-76. doi: 10.3969/j.issn.1008-987x.2017.04.19. WANG Ying,QIN Lan,ZHAN Jing,et al.Clinical research on Chinese medicine reyanbao acupoint ironing in treatment of cold cough[J]. Journal of Hubei University of Chinses Medicine, 2017, 19(4): 74-76. doi: 10.3969/j.issn.1008-987x.2017.04.19.
[14] 王跃刚, 段利民, 张灵芝. 大补元煎加减热奄包外敷佐治慢性肾衰竭衰竭期临床研究[J]. 中国药业, 2015, 24(8): 51-53. doi: CNKI:SUN:YYGZ.0.2015-08-022. WANG Yuegang, DUAN Limin, ZHANG Lingzhi. Clinical efficacy of modified dabuyuan decoction hot compress package external application in adjunctive therapy of exhaustion stage of chronic renal failure[J]. China Pharmaceuticals, 2015, 24(8): 51-53. doi: CNKI:SUN:YYGZ.0.2015-08-022.
[15] 秦小润, 汤莉, 唐娟, 等. 中药热奄包治疗湿热瘀阻型盆腔炎性包块临床观察[J]. 辽宁中医杂志, 2014, 41(4): 737-738. doi:10.13192/j.issn.1000-1719.2014.04.057. QIN Xiaorun, TANG Li, TANG Juan, et al. Clinical observation on Chinese medicine heat I package in treatment of damp-heat and blood stasis type of pelvic inflammatory mass[J]. Liaoning Journal of Traditional Chinese Medicine, 2014, 41(4): 737-738. doi:10.13192/j.issn.1000-1719.2014.04.057.
[16] 吴海霞, 傅燕, 周海燕,等. 西药联合中药热奄包外敷治疗干眼症的疗效观察[J]. 中国中医急症, 2018, 27(6): 1071-1073. doi: 10.3969/j.issn.1004-745X.2018.06.039.
[17] 林小永, 陈亮. 伤科热奄包治疗胫腓骨骨折术后肿胀疗效观察[J]. 辽宁中医药大学学报, 2012, 14(8): 190-192. doi:10.13194/j.jlunivtcm.2012.08.192.linxy.064. LIN Xiaoyong, CHEN Liang. Clinical observation in the treatment for postoper-ative swelling of the Tibia and Fibula fracture with heat wrap of traumatology[J]. Journal of Liaoning University of Traditional Chinese Medicine, 2012, 14(8): 190-192. doi:10.13194/j.jlunivtcm.2012.08.192.linxy.064.
[18] 万文珠, 娄红祥. 294没药的化学成分和药理作用[J]. 国外医药(植物药分册), 2005, 20(6): 236-241. doi:10.3969/j.issn.1674-5515.2005.06.002.
[19] 王仁芳, 范令刚, 高文远, 等. 桃仁化学成分与药理活性研究进展[J]. 现代药物与临床, 2010, 25(6): 426-429. doi: 10.7501/j.issn.1674-5515(2010)06-0426-04. WANG Renfang, FAN Linggang, GAO Wenyuan, et al. Advances in research of chemical constituents and pharmacological activities of Persicae Semen[J]. Drugs & Clinic, 2010, 25(6): 426-429. doi: 10.7501/j.issn.1674-5515(2010)06-0426-04.
[20] 邢士新, 郝高庭, 任锡禄, 等. 中药封包加玻璃酸钠关节腔内注射治疗膝骨性关节炎60例疗效观察[J]. 世界中西医结合杂志, 2014, 9(9): 975-977. doi:10.13935/j.cnki.sjzx.140922. XING Shixin, HAO Gaoting, REN Xilu, et al. Efficacy observation of 60 cases of knee osteoarthritis treated with herbal medicine sealing therapy and intra-articular injection with sodium hyaluronate[J]. World Journal of Integrated Traditional and Western Medicine, 2014, 9(9): 975-977. doi:10.13935/j.cnki.sjzx.140922.
[21] 陈世寅, 薛亮, 罗勇, 等. 走罐加中药热奄包治疗腰背肌筋膜炎的疗效观察[J]. 实用医院临床杂志, 2015, 12(1): 144-146. doi:10.3969/j.issn.1672-6170.2015.01.060. CHEN Shiyin, XUE Liang, LUO Yong, et al. Cupping plus traditional Chinese medicine foment observation of curative effect in the treatment of low back muscle fasciitis of the package[J]. Practical Journal of Clinical Medicine, 2015, 12(1): 144-146. doi:10.3969/j.issn.1672-6170.2015.01.060.
[22] 周瑞华, 阮志磊, 仝彦格. 中药热奄包外敷治疗膝关节急性创伤性滑膜炎的体会[J]. 中医临床研究, 2014, 6(26): 67-69. doi: 10.3969/j.issn.1674-7860.2014.26.038. ZHOU Ruihua, RUAN Zhilei, TONG Yange. Experience for treating acute traumatic knee synovitis in TCM medicine[J]. Clinical Journal of Chinese Medicine, 2014, 6(26): 67-69. doi: 10.3969/j.issn.1674-7860.2014.26.038.
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