火针治疗原发性下肢静脉曲张的临床观察

发布时间：2018-05-02 16:43

本文选题：火针 + 地奥司明　；参考：《广西中医药大学》2017年硕士论文

【摘要】：目的:本次研究通过随机对照试验,观察火针疗法以及地奥司明药物治疗原发性下肢静脉曲张的临床疗效差异,探讨火针疗法在治疗原发性下肢静脉曲张的临床疗效和存在问题,为临床上治疗下肢静脉曲张提供新的治疗思路。方法:本次研究所收集的病例来自广西中医药大学第一附属医院仁爱分院,于2015年3月至2016年12月期间收集60例符合本次研究的病人作为本次研究的研究对象。采用前瞻性随机对照的试验方法,根据随机分组的方式,将60例病人随机分为两组,其中治疗组30例,对照组30例。治疗组懫用火针治疗,使用火针针刺患肢的阿是穴、血海穴、太冲穴、足三里穴,每周2次,4周为1个疗程;对照组采用地奥司明药物治疗方法,口服药物,900mg/次,2次/日,4周为1个疗程。观察治疗前后两组患者的踝关节周围长度、下肢静脉溃疡面积、疼痛评分等相关指标变化。结果:1.一般资料本次研究预计收集60例符合诊断标准和纳入标准的患者作为本次研究的研究对象,最终完成58例,一共脱落2例,其中治疗组完成29例,脱落1例,对照组完成29例,脱落1例。两组病人在性别、年龄构成、病程分布均无统计学差异(P0.05),对本次研究最后得出的研究结果没有影响。2.临床指标2.1两组病人治疗前后踝关节周围长的差值对比t经检验,P0.05,其对比具备统计学意义,说明在改善患者下肢肿胀方面,火针治疗组比地奥司明药物组疗效好;2.2两组病人治疗前后下肢静脉溃疡面积差异对比t经检验,P0.05,其对比具备统计学意义,说明在改善患者下肢静脉溃疡方面火针疗法比地奥司明药物疗效好;2.3两组病人治疗前后的下肢不适感评分经t检验P0.05,差异对比有统计学意义,说明火针治疗组对于改善患者整体症状优于药物对照组。2.4两组病人治疗前后的下肢疗效积分比较经检验P0.05,其对比具备统计学意义,说明火针治疗组在改善患者整体症状方面优于药物对照组。2.5两组患者的总有效率对比经检验P0.05,有统计学意义,说明火针治疗组疗效比药物组好。结论:1.火针治疗组在改善原发性下肢静脉曲张患者的下肢肿胀、静脉溃疡以及减轻下肢疼痛方面优于地奥司明药物组。2.火针治疗组与地奥司明药物对照组均能够治疗原发性下肢静脉曲张,其中火针治疗的总体疗效比药物好。
[Abstract]:Objective: to observe the clinical efficacy of fire needle therapy and diosmin in the treatment of primary varicose veins of the lower extremities in a randomized controlled trial. To explore the clinical effect and existing problems of fire acupuncture therapy in the treatment of primary varicose veins of the lower extremities, and to provide a new treatment idea for the treatment of varicose veins of the lower extremities. Methods: 60 patients were collected from the first affiliated Hospital of Guangxi University of traditional Chinese Medicine from March 2015 to December 2016. 60 patients were randomly divided into two groups: treatment group (n = 30) and control group (n = 30). The treatment group was treated with fire acupuncture, the points of Ashi, Xuehai, Taochong and Zusanli of the affected limbs were treated with fire acupuncture, and the control group was treated with Diosmin. One course of treatment was orally administered with 900mg / d twice a day for 4 weeks. The length of ankle joint, the area of venous ulcer of lower extremity and the pain score were observed before and after treatment. The result is 1: 1. General data this study estimated that 60 patients who met the diagnostic criteria and the inclusion criteria were selected as the study objects, 58 cases were finally completed, a total of 2 cases were lost, among which 29 cases were completed in the treatment group, 1 case in the control group, and 29 cases in the control group. One case fell off. There was no significant difference in sex, age composition and course distribution between the two groups (P 0.05), which had no effect on the final results of this study. Clinical outcome 2.1 the difference of the length around the ankle joint between the two groups before and after treatment was compared with that of the control group (P 0.05). The comparison was statistically significant, which indicated that the difference between the two groups was significant in improving the swelling of the lower extremities of the patients. The difference in the area of venous ulcer between the two groups before and after treatment in the fire acupuncture group was better than that in the diosmin group (P 0.05), and the comparison was statistically significant. The results showed that fire needle therapy was better than that of diosmin in improving lower extremity venous ulcer. The lower limb discomfort score before and after treatment was better than that of diosmin. The difference was statistically significant by t test (P0.05). It shows that the treatment group is better than the drug control group in improving the overall symptoms of patients before and after treatment compared with the lower extremity curative effect score of the two groups after treatment (P0.05), the comparison has statistical significance. It showed that the total effective rate of the fire acupuncture treatment group was better than that of the drug control group in improving the overall symptoms of the patients (P0.05), which indicated that the fire acupuncture treatment group was better than the drug group. Conclusion 1. Fire needle therapy group was superior to Diosmin group in improving lower limb swelling, venous ulcer and relieving lower limb pain in patients with primary varicose veins of lower extremity. Fire needle therapy group and diosmin drug control group were able to treat primary varicose veins of lower extremities, and the overall curative effect of fire needle therapy was better than that of medicine.
【学位授予单位】：广西中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.1

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