砭石膏摩技术结合情志干预改善消渴病痹症寒凝血瘀型患者下肢疼痛、负性情绪的效果观察  

Effect of Stone Needle and Ointment Rubbing Technique Combined with Emotional Intervention in Improving Lower Limb Pain and Negative Emotions in Patients with Arthralgia due to Diabetes of Cold Coagulation and Blood Stasis Type

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作  者:李佳 张俊峰 孟子皓 王娟[2] LI Jia;ZHANG Junfeng;MENG Zihao;WANG Juan(Endocrinology Department,Beijing Huairou Hospital of Traditional Chinese Medicine,Beijing 101400;Neurology Department,Beijing Huairou Hospital of Traditional Chinese Medicine,Beijing 101400)

机构地区:[1]北京市怀柔区中医医院内分泌科,北京市101400 [2]北京市怀柔区中医医院脑病科,北京市101400

出  处:《湖南师范大学学报(医学版)》2024年第6期74-78,共5页Journal of Hunan Normal University(Medical Sciences)

基  金:北京市属医院科研培育计划项目“李祥舒名老中医外治除痹方治疗中凤后肩手综征的疗效研究”(PZ20211022)

摘  要:目的:探讨砭石膏摩技术结合情志干预对寒凝血瘀型消渴病痹症患者下肢疼痛、负性情绪的改善效果。方法:回顾分析2021年2月至2023年2月我院内分泌科收治的83例寒凝血瘀型消渴病痹症患者临床资料,依据治疗方法分成对照组(n=42)与观察组(n=41),对照组予以常规干预,观察组予以砭石膏摩技术结合情志干预。分析两组治疗疗效,探讨治疗前后中医证候积分、神经传导速度、下肢疼痛评分及负性情绪变化。结果:观察组总有效率为95.12%高于对照组80.95%,差异有统计学意义;观察组中医证候积分、疼痛的视觉模拟评分(visual analogue scale,VAS)、抑郁自评量表(self-rating depression,SDS)及焦虑自评量表(self-rating anxiety scale,SAS)得分均低于对照组,正中神经、腓总神经运动传导速度均高于对照组,差异有统计学意义。结论:砭石膏摩膏摩技术结合情志干预能有效改善患者临床症状,缓解下肢疼痛,改善负性情绪。Objective To investigate the improvement effect of stone needle and ointment rubbing technique combined with emotional intervention on lower limb pain and negative emotions in patients with arthralgia due to diabetes of cold coagulation and blood stasis type.Methods The clinical data of 83 patients with arthralgia due to diabetes of cold coagulation and blood stasis type who were admitted to endocrinology department of the hospital from February 2021 to February 2023 were analyzed retrospectively.According to the treatment method,patients enrolled were divided into control group(n=42)and observation group(n=41).The control group received routine intervention,while the observation group received stone needle and ointment rubbing technique combined with emotional intervention.Intervention effects in the two groups were analyzed.The changes in TCM syndrome scores,nerve conduction velocity,lower limb pain scores and negative emotions after treatment were discussed.Results The total effective rate of the observation group(95.12%)was higher than that of the control group(80.95%).After intervention,TCM syndrome scores,visual analogue scale(VAS)score,self-rating depression(SDS)score and self-rating anxiety scale(SAS)score of the observation group were lower compared to the control group.The motor conduction velocity of median nerve and common peroneal nerve were higher than those in the control group.Conclusion:Stone needle and ointment rubbing technique combined with emotional intervention can effectively improve clinical symptoms,relieve lower limb pain and alleviate negative emotions in patients with arthralgia due to diabetes of cold coagulation and blood stasis type.

关 键 词:砭石膏摩技术 情志干预 寒凝血瘀型 消渴病痹症 负性情绪 

分 类 号:R25[医药卫生—中医内科学]

 

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