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水蛭疗法治疗系统性硬化症中不愈合静脉溃疡的病例报告

Management of nonhealing venous ulcer in systemic sclerosis with leech therapy-A case report.

作者信息

Sharma Pooja, Kajaria Divya

机构信息

MD Scholar, Department of Kayachikitsa, All India Institute of Ayurveda, New Delhi, India.

Assistant Professor, Department of Kayachikitsa, All India Institute of Ayurveda, New Delhi, India.

出版信息

J Family Med Prim Care. 2020 Apr 30;9(4):2114-2118. doi: 10.4103/jfmpc.jfmpc_1184_19. eCollection 2020 Apr.

DOI:10.4103/jfmpc.jfmpc_1184_19
PMID:32670976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7346952/
Abstract

Systemic sclerosis (SSc) is a rare disease characterized by autoimmune pathogenesis, alterations to the vascular system, and fibrosis of the skin and internal organs. Nonhealing venous ulcers are quite common in SSc patients. A 32 years old female was brought with a foul-smelling ulcer with purulent discharge which was not healed despite using the allopathic treatment for 2 months. Even with treatment, it got worsened so the fear of amputation of leg enforced her to take Ayurvedic consultation. After 1 month of treatment with leech therapy along with Ayurvedic medicines and 3 months of follow-up, the wound got healed. It is concluded that leech therapy with Ayurvedic medicines is highly effective for the management of nonhealing venous ulcers.

摘要

系统性硬化症(SSc)是一种罕见疾病,其特征为自身免疫发病机制、血管系统改变以及皮肤和内脏器官纤维化。不愈合的静脉溃疡在SSc患者中相当常见。一名32岁女性因有恶臭且伴有脓性分泌物的溃疡前来就诊,尽管接受了两个月的西医治疗,溃疡仍未愈合。即便经过治疗,病情仍恶化了,因此对截肢的恐惧促使她寻求阿育吠陀医学咨询。在接受水蛭疗法并结合阿育吠陀药物治疗1个月以及3个月的随访后,伤口愈合。得出的结论是,水蛭疗法结合阿育吠陀药物对治疗不愈合的静脉溃疡非常有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12ad/7346952/7530d4f4e5e9/JFMPC-9-2114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12ad/7346952/7530d4f4e5e9/JFMPC-9-2114-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12ad/7346952/7530d4f4e5e9/JFMPC-9-2114-g001.jpg

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本文引用的文献

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Leech therapy in flap salvage: Systematic review and practical recommendations.水蛭疗法在皮瓣挽救中的应用:系统评价与实用建议。
Ann Chir Plast Esthet. 2017 Apr;62(2):e1-e13. doi: 10.1016/j.anplas.2016.06.004. Epub 2016 Jul 15.
2
Topical application of Katupila (Securinega leucopyrus) in Dushta Vrana (chronic wound) showing excellent healing effect: A case study.卡图皮拉(白雀木)局部应用于杜什塔创伤(慢性伤口)显示出极佳的愈合效果:一项病例研究。
Ayu. 2014 Apr;35(2):175-8. doi: 10.4103/0974-8520.146238.
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Systemic sclerosis/scleroderma: a treatable multisystem disease.
系统性硬化症/硬皮病:一种可治疗的多系统疾病。
Am Fam Physician. 2008 Oct 15;78(8):961-8.
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The role of the antioxidant vitamin supplementation in the prevention of cardiovascular diseases.抗氧化维生素补充剂在预防心血管疾病中的作用。
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