针刺配合火针治疗单纯性下肢静脉曲张的疗效观察

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1、针刺配合火针治疗单纯性下肢静脉曲张的疗效观察丹江口市中医院摘要：目的观察针刺配合火针治疗单纯性不肢静脉曲张(varicoseveinoflowerextremities,VVLE)的临床疗效。方法将96例单纯性VVLE患者随机分为观察组和对照组，各48例。对照组采用穿压力弹力袜治疗并普及VVLE的相关健康知识及调护方法;观察组在对照组方法的基础上行针刺和火针治疗，井治疗8周。在治疗前、治疗4周、8周后对患者进行静脉临床严重程度评分(venousclinicalseverityscore,VCSS)和生活质量调查表(chronicvenousinsufficiencyquestionn

2、aire,CIVIQ)评分，并在治疗结束时进行临床疗效判定。结果两组患者治疗4周、8周后较同组治疗前比较，VCSS评分均下降，CIV1Q评分均升高，差异有统计学意义(P<0.05,P〈0.01);治疗4周、8周后两组患者之间比较，观察组VCSS评分均低于对照组，CTVTQ评分高于对照组，差异有统计学意义(P<0.05)。观察组总有效率97.91%优于对照组的89.58%,差异有统计学意义(P〈0.05)。结论针刺配合火针治疗单纯性VVLE的临床疗效显著，且操作方便，安全价廉，值得临床推广应用。关键词:卜‘肢静脉曲张;针刺;火针;VCSS;CIVIQ;作者简介：代铁柱，男，硕士，主治医

3、师，研宂方向:针灸治疗疼痛方面疾病。作者简介：熊玉倩，女，护师，十堰市太和医院神经康复专业，E-mail:593223917@qq.com。收稿日期：2017-08-25TherapeuticObservationofAcupunctureCombinedwithFireNeedleinTreatmentofSimplexLower-LimbVaricoseVeinsDAITiezhuLIZengmingXIONGYuqianDanjiangkouHospitalofTraditinalChineseMedicine;Abstract：ObjectiveTheclinicaleffe

4、ctofacupuncturecombinedwithfireneedleintreatmentofsimplexvaricoseveinoflowerextremities(VVLE)wasobserved.Methods96patientswithsimplexVVLEwererandomlydividedintotheobservationgroupandthecontrolgroup，48casesineachgroup.Thepatientsinthecontrolgroupweretreatedwithpressurewearelasticstockingsandpopu

5、larizedrelatedhealthknowledgeandnursingmethodsofvaricosevein.Thepatientsintheobservationgroupreceivedacupunctureandneedletreatmentonthebasisoftherapyinthecontrolgroup,atotalof8weeksoftreatment.Thevenousclinicalseverity(VCSS)andchronicvenousinsufficiencyquestionnaire(CIVIQ)scoresofpatientsatbefo

6、retreatment,4weeksand8weeksaftertreatmentwereevaluated,andtheclinicaleffectsattheendoftreatmentsweredetermined.ResultsVCSSscoredecreasedandCTVTQscoreincreasedinthetwogroupsat4weeks,8weeksaftertreatment,thedifferenceswerestatisticallysignificant(P<0.05，P<0.01).At4and8weeksaftertreatment,VCSSscor

7、eintheobservationgroupwerelowerthanthecontrolgroup,andCIVIQscorewashigherthanthecontrolgroup,thedifferencesbetweenthetwogroupswerestatisticallysignificant(P<0.05).Thetotaleffectiverateoftheobservationgroupwas97.91%,whichwasbettert