| 引用本文: |
代铁柱,李增鸣,熊玉倩.针刺配合火针治疗单纯性下肢静脉曲张的疗效观察[J].湖南中医药大学学报,2017,37(10):1140-1142[点击复制] |
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| 针刺配合火针治疗单纯性下肢静脉曲张的疗效观察 |
| 代铁柱,李增鸣,熊玉倩 |
| (丹江口市中医院, 湖北 十堰 442700) |
| 摘要: |
| 目的 观察针刺配合火针治疗单纯性下肢静脉曲张（varicose vein of lower extremities，VVLE）的临床疗效。方法 将96例单纯性VVLE患者随机分为观察组和对照组，各48例。对照组采用穿压力弹力袜治疗并普及VVLE的相关健康知识及调护方法；观察组在对照组方法的基础上行针刺和火针治疗，共治疗8周。在治疗前、治疗4周、8周后对患者进行静脉临床严重程度评分（venous clinical severity score，VCSS）和生活质量调查表（chronic venous insufficiency questionnaire，CIVIQ）评分，并在治疗结束时进行临床疗效判定。结果 两组患者治疗4周、8周后较同组治疗前比较，VCSS评分均下降，CIVIQ评分均升高，差异有统计学意义（P<0.05，P<0.01）；治疗4周、8周后两组患者之间比较，观察组VCSS评分均低于对照组，CIVIQ评分高于对照组，差异有统计学意义（P<0.05）。观察组总有效率97.91%优于对照组的89.58%，差异有统计学意义（P<0.05）。结论 针刺配合火针治疗单纯性VVLE的临床疗效显著，且操作方便，安全价廉，值得临床推广应用。 |
| 关键词: 下肢静脉曲张 针刺 火针 VCSS CIVIQ |
| DOI：10.3969/j.issn.1674-070X.2017.010.024 |
| 投稿时间：2017-08-25 |
| 基金项目: |
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| Therapeutic Observation of Acupuncture Combined with Fire Needle in Treatment of Simplex Lower-Limb Varicose Veins |
| DAI Tiezhu,LI Zengming,XIONG Yuqian |
| (Danjiangkou Hospital of Traditinal Chinese Medicine, 442700) |
| Abstract: |
| Objective The clinical effect of acupuncture combined with fire needle in treatment of simplex varicose vein of lower extremities (VVLE) was observed. Methods 96 patients with simplex VVLE were randomly divided into the observation group and the control group, 48 cases in each group. The patients in the control group were treated with pressure wear elastic stockings and popularized related health knowledge and nursing methods of varicose vein. The patients in the observation group received acupuncture and needle treatment on the basis of therapy in the control group, a total of 8 weeks of treatment. The venous clinical severity (VCSS) and chronic venous insufficiency questionnaire (CIVIQ) scores of patients at before treatment, 4 weeks and 8 weeks after treatment were evaluated, and the clinical effects at the end of treatments were determined. Results VCSS score decreased and CIVIQ score increased in the two groups at 4 weeks, 8 weeks after treatment. the differences were statistically significant (P<0.05, P<0.01). At 4 and 8 weeks after treatment, VCSS score in the observation group were lower than the control group, and CIVIQ score was higher than the control group, the differences between the two groups were statistically significant (P<0.05). The total effective rate of the observation group was 97.91%, which was better than 89.58% of the control group, the difference was statistically significant (P<0.05). Conclusion The acupuncture combined with fire needle shows significant effect in treatment of simplex VVLE, lower limbs was significant, which is convenient, safe and cheap, it is worthy of clinical application. |
| Key words: varicose vein of lower extremities acupuncture fire needle VCSS CIVIQ |
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