穴位埋线治疗早期下肢动脉硬化闭塞症寒凝血瘀证临床研究  

Clinical research of acupoint thread-embedding for early arteriosclerosis obliterans of lower extremities of cold coagulation and blood stasis

作　　者：段俊红[1] 李军[1] 张敏妹 马燕山[3] 李亚平[2] 张涛[2] DUAN Junhong;LI Jun;ZHANG Minmei;MA Yanshan;LI Yaping;ZHANG Tao(Department of Endocrinology,Shijiazhuang Hospital of Traditional Chinese Medicine,Shijiazhuang,Hebei 050051;不详)

机构地区：[1]河北省石家庄市中医院内分泌一科,河北石家庄050051 [2]河北省石家庄市中医院东院区脉管科,河北石家庄050011 [3]河北省石家庄市中医院东院区放射科,河北石家庄050011

出　　处：《河北中医》2021年第4期638-642,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局2017年度中医药类科研计划课题(编号:2017119)

摘　　要：目的观察穴位埋线治疗早期下肢动脉硬化闭塞症(ASLOE)寒凝血瘀证的临床疗效。方法将80例早期ASOLE寒凝血瘀证患者按照随机数字表法分为2组。对照组40例予脉管复康片口服,治疗组40例在对照组治疗基础上联合穴位埋线治疗。2组均治疗30 d。比较2组治疗前及治疗15、30 d后皮肤温度、色泽、疼痛评分、踝肱指数(ABI),并统计临床疗效、不良反应发生情况及终点事件发生情况。结果治疗组总有效率92.5%(37/40),对照组总有效率75.0%(30/40),治疗组疗效优于对照组(P<0.05)。治疗15、30 d 2组皮肤温度、色泽、疼痛评分均较本组治疗前升高(P<0.05),治疗30 d 2组各项评分均高于本组治疗15 d(P<0.05),且治疗15、30 d治疗组各项评分均高于对照组同期(P<0.05)。治疗15、30 d 2组ABI均较本组治疗前升高(P<0.05),治疗30 d 2组ABI均高于本组治疗15 d(P<0.05),且治疗15、30 d治疗组ABI均高于对照组同期(P<0.05)。2组治疗期间均未见明显不良反应。2组终点事件发生率比较差异无统计学意义(P>0.05)。结论穴位埋线治疗早期ASOLE寒凝血瘀证疗效确切,能有效改善临床症状及体征,安全性佳,远期效果更优,值得进一步研究与应用。Objective To observe the clinical efficacy of acupoint thread-embedding for early arteriosclerosis obliterans of lower extremities(ASOLE)of cold coagulation and blood stasis.MethodsTotally 80 patients with early ASOLE of cold coagulation and blood stasis were randomly divided into two groups,40 cases in control group were given oral Fukang Tablets for haemal tube,and 40 cases in treatment group were additionally treated with acupoint thread-embedding on the basis of control group.Treated 30 days,the key observation was skin temperature,color,pain score,and ankle brachial index(ABI)between groups before treatment and after 15 and 30 treatments,and the curative effect,incidence of adverse reaction and endpoint events were counted.ResultsThe total effective rates in treatment group were better than those in control group[92.5%(37/40)vs 75.0%(30/40),(P<0.05),respectively].Compared with before treatment,scores of skin temperature,color and pain in15-,30-day of groups were higher(P<0.05),which in treatment group were significantly increased(P<0.05),which in 30 day of groups were higher than in 15-day(P<0.05);ABI in 15-,30-day of groups was higher(P<0.05),which in treatment group was significantly increased(P<0.05),which in 30-day of groups was higher than 15-day(P<0.05).There were no obvious adverse reactions during treatment between groups.There was no statistically significant difference in the incidence of endpoint events between groups(P>0.05).ConclusionFor patients with early ASOLE of cold coagulation and blood stasis,acupoint thread-embedding has definite curative effect,can effectively improve clinical symptoms and sign,and has better long-term effects and safety.It is worthy of further research and application.

关 键 词：闭塞性动脉硬化 下肢 穴位埋线结扎 

分 类 号：R543.5[医药卫生—心血管疾病] R245.93[医药卫生—内科学]