胫骨横向骨搬运技术治疗下肢血栓闭塞性脉管炎的临床研究  

Clinical Study of Transverse Bone Movement Technique of Tibia in the Treatment of Lower Extremity Thromboangiitis Obliterans

作　　者：陈宏 李辉俊 王家合 高华银 CHEN Hong;LI Huijun;WANG Jiahe;GAO Huayin(Qianxinan Autonomous Prefecture Hospital of Traditional Chinese Medicine,Guizhou Province,Xingyi 562400,China;不详)

机构地区：[1]贵州省黔西南州中医院,贵州兴义562400

出　　处：《中国医学创新》2023年第3期15-18,共4页Medical Innovation of China

基　　金：黔西南州科技计划项目课题(2021-2-05)。

摘　　要：目的:探讨胫骨横向骨搬运技术治疗下肢血栓闭塞性脉管炎的临床效果。方法:选取黔西南州中医院2017年10月-2021年10月收治的50例下肢血栓闭塞性脉管炎患者,按随机数字表法分为两组,各25例。对照组予以常规治疗,观察组予以胫骨横向骨搬运技术治疗,随访至治疗6个月后。比较两组临床疗效、血液流变学指标、踝肱指数(ABI)、最大步行距离、疼痛程度及生活质量。结果:两组临床疗效比较,差异无统计学意义(P>0.05);观察组治疗后血浆黏度(PV)、全血高切黏度(HBV)、全血低切黏度(LBV)、纤维蛋白原(Fib)均低于对照组,差异均有统计学意义(P<0.05);观察组治疗后ABI高于对照组,最大步行距离长于对照组,疼痛评分低于对照组,差异均有统计学意义(P<0.05);观察组治疗后生活质量中生理、心理、社会及环境评分均高于对照组,差异均有统计学意义(P<0.05)。结论:胫骨横向骨搬运技术治疗下肢血栓闭塞性脉管炎,可更有效地减轻患肢疼痛,恢复步行功能,改善血液流变学指标及生活质量。Objective: To investigate the clinical effect of transverse bone movement technique of tibia in the treatment of lower extremity thromboangiitis obliterans. Method: A total of 50 patients with lower extremity thromboangiitis obliterans treated in Qianxinan Autonomous Prefecture Hospital of Traditional Chinese Medicine from October 2017 to October 2021 were selected and divided into two groups according to the random number table method, 25 cases in each group. The control group was treated routinely, and the observation group was treated with transverse bone movement technique of tibia. Follow-up to 6 months after treatment. The clinical efficacy, blood rheology indexes, ankle-brachial index(ABI), maximum walking distance, pain severity and quality of life were compared between the two group. Result: There was no significant difference in clinical efficacy between the two groups(P>0.05). After treatment, the plasma viscosity(PV), high blood viscosity(HBV), low blood viscosity(LBV),fibrinogen(Fib) in the observation group were lower than those in the control group, the differences were statistically significant(P<0.05). After treatment, the ABI of the observation group was higher than that of the control group, the maximum walking distance was longer than that of the control group, and the pain score was lower than that of the control group, the differences were statistically significant(P<0.05). After treatment, the physiological, psychological,social and environmental scores of the observation group were higher than those of the control group, the differences were statistically significant(P<0.05). Conclusion: Transverse bone movement technique of tibia is effective for the treatment of lower extremity thromboangiitis obliterans, in that it can relieve pain in affected limbs, recover walking function, and improve blood rheology indexes and quality of life.

关 键 词：血栓闭塞性脉管炎 胫骨横向骨搬运技术 血液流变学 疼痛 生活质量 

分 类 号：R593.2[医药卫生—内科学]