Objective Exploring the application effect of meridian warming and scraping therapy combined with moxibus-tion in patients with post-stroke pressure ulcers,aiming to provide a theoretical basis for the clinical prevention and treat-ment of pressure ulcers in traditional Chinese medicine(TCM).Methods A total of 91 patients with post-stroke pres-sure ulcers treated in Zhejiang Provincial Tongde Hospital from March 2022 to March 2024 were selected and divided into a control group(45 cases)and a traditional Chinese medicine group(46 cases)by random number table method,both of which were given routine care.The control group was given hydrocolloid dressing for external application,and the tradi-tional Chinese medicine group was given the combined intervention of meridian warming and scraping therapy combined with moxibustion on the basis of the control group for 2 weeks.The scores of stress wound healing scale(PUSH)and pain VAS,granulation and wound healing time,wound blood perfusion volume,tumor necrosis factor-α(TNF-α),and vascular endothelial growth factor(VEGF)levels were compared between the two groups.Results The PUSH scores and VAS scores of the TCM group were(2.81±0.55)points and(1.67±0.43)points,both lower than those of the con-trol group(5.63±1.24)pointsand(2.58±0.88)points(P＜0.05).The occurrence time of granulation tissue(4.09±1.27)d and wound healing time(19.28±4.10)d were shorter than those of the control group[(6.12±1.34)d and(24.34±3.18)d,P＜0.05].The blood perfusion volume of wound was higher than that of the control group(P＜0.05).The level of TNF-α was lower than that of the control group(P＜0.05),and the level of VEGF was higher than that of the control group(P＜0.05).Conclusion Meridian warming and scraping therapy combined with moxibustion can relieve wound pain and accelerate wound healing in patients with pressure ulcers after stroke,and its mechanism may be related to accelerating local blood perfusion and regulating the levels of TNF-α and VEGF.
StrokePressure soresAppropriate technology of traditional Chinese medicineScraping therapyMoxibus-tionWound healing time
NETL
NSTL
万方数据
