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针刺在烧伤急救中的应用——临床报告

The use of acupuncture in first aid of burns-Clinical report.

作者信息

Loskotova A, Loskotova J

机构信息

Medical Faculty of Masaryk University Brno, Czech Republic, Europe; 3(rd) Medical Faculty Charles University, Department of Preventive Medicine, Prague, Czech republic; SALVE Centrum-Physiotherapy Clinic, Vysoké Mýto, Czech Republic.

SALVE Centrum-Physiotherapy Clinic, Vysoké Mýto, Czech Republic; Faculty of Law-Dept. of Financial Law, Masaryk University, Brno, Czech Republic.

出版信息

Burns. 2017 Dec;43(8):1782-1791. doi: 10.1016/j.burns.2017.04.025. Epub 2017 Aug 14.

Abstract

Burns are a very painful skin injury, or injury of soft tissues. The development of post-traumatic stress disorder can develop, even in those with minor injuries (Ia-IIb degree). Development of problems is very rapid and intense since, according to developmental embryology, the skin and central nervous system (CNS) descend from the same germ layer-ectoderm. This clinical report presents the results acquired from the data of 1008 patients suffering from burns treated by the acupuncture (ACU)-from 1983-2015 in the surgery ward of the hospital in Vysoke Myto in the Czech Republic. The data of 1008 patients were processed and evaluated. 1. The report demonstrates a positive effect of ACU treatment signs on the skin were monitored, i.e. reddening, pigmentation, scars. During the treatment the elimination of many of these signs was observed. Improvement of healing process and improvement in the final wound healing were evaluated and shown by the statistical method-the χ test. For demonstrating the effect of ACU treatment of BT the Pearson's and the Cramer's contingency coefficient were examined. 2. The time of the first application of the ACU treatment after burn was followed and evaluated with a random set. The best results were achieved when the first ACU treatment was applied as soon as possible after BT injury (ideally immediately, optimally within 48h). The positive effect of ACU on burns is medical, economical and biopsychosocial.

摘要

烧伤是一种非常疼痛的皮肤损伤或软组织损伤。即使是轻伤(Ⅰa - Ⅱb度)患者也可能发生创伤后应激障碍。由于根据发育胚胎学,皮肤和中枢神经系统(CNS)均起源于同一胚层——外胚层,所以问题的发展非常迅速且强烈。本临床报告展示了1983年至2015年期间在捷克共和国维索基米托医院外科病房接受针灸治疗的1008例烧伤患者的数据所获得的结果。对这1008例患者的数据进行了处理和评估。1. 报告显示针灸治疗对皮肤体征有积极作用,即对发红、色素沉着、瘢痕等进行了监测。在治疗过程中观察到许多这些体征的消除情况。通过统计学方法——χ检验评估并显示了愈合过程的改善以及最终伤口愈合情况的改善。为证明针灸治疗烧伤的效果,对皮尔逊相关系数和克莱姆列联系数进行了检验。2. 对烧伤后首次进行针灸治疗的时间进行了跟踪,并采用随机分组进行评估。当在烧伤损伤后尽快(理想情况下是立即,最佳是在48小时内)进行首次针灸治疗时,可取得最佳效果。针灸对烧伤的积极作用体现在医学、经济和生物心理社会等方面。

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