针药并用治疗系统性硬化症雷诺现象的临床观察  

Study of the Effect of Acupuncture on Raynaud’s Phenomenon in Systemic Sclerosis

作　　者：任文肖[1] 戈海青[1] 张红姗[1] 刘广才[1] 徐强[1] 郑朋飞[1] 王晓军[1] 

机构地区：[1]石家庄平安医院,石家庄050021

出　　处：《上海针灸杂志》2013年第4期274-276,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的评价针药并用治疗系统性硬化症雷诺现象的疗效。方法将纳入患者随机分为对照组30例与治疗组30例,对照组给予丹参片、青霉胺治疗,治疗组在对照组基础上给予针刺疗法,以临床症候评判及甲皱微循环评价疗效,以肝肾功能为安全性指标。结果 57例完成了研究,在临床症状方面,两组治疗前无明显统计学差异(P>0.05),但治疗组治疗后与治疗前比较有统计学差异(P<0.05),对照组治疗后与治疗前比较无明显差异(P>0.05);在甲皱微循环方面,两组输入枝和输出枝、血液流态积分、总积分变化有统计学意义(P<0.05)。结论在常规药物治疗系统性硬化症雷诺现象基础上,加用针刺疗法可以明显改善雷诺现象。Objective To evaluate the therapeutic effect of acupuncture on Raynaud＇s phenomenon in systemic sclerosis. Method The enrolled patients were randomly allocated to a control group of 30 cases and a treatment group of 30 cases. The control group was treated with salvia tablets and penicillamine. The treatment group received acupuncture in addition to those given to the control group. The therapeutic effects were evaluated by scoring the clinical symptoms and observing nail fold microcirculation. Liver and kidney functions were used as safety indices. Result The study was completed in 57 patients. In the clinical symptom score, there was no statistically significant pre-treatment difference between the two groups （P〉0.05）, but there was a statistically significant pre-/post-treatment difference in the treatment group （P〈0.05） and no in the control group （P〉0.05）. In nail fold microcirculation, there were statistically significant differences in the afferent blood flow score, the efferent blood flow score and the total score between the two groups （P〈0.05）. Conclusion Based on routine drug treatment, additional acupuncture can markedly improve Raynaud＇s phenomenon.

关 键 词：硬皮病 系统性 针刺 针药并用 微循环 雷诺现象 中医证候 

分 类 号：R246.1[医药卫生—针灸推拿学]