本文選題：火針 + 地奧司明　； 參考：《廣西中醫(yī)藥大學(xué)》2017年碩士論文

【摘要】：目的:本次研究通過(guò)隨機(jī)對(duì)照試驗(yàn),觀察火針療法以及地奧司明藥物治療原發(fā)性下肢靜脈曲張的臨床療效差異,探討火針療法在治療原發(fā)性下肢靜脈曲張的臨床療效和存在問(wèn)題,為臨床上治療下肢靜脈曲張?zhí)峁┬碌闹委熕悸�。方�?本次研究所收集的病例來(lái)自廣西中醫(yī)藥大學(xué)第一附屬醫(yī)院仁愛分院,于2015年3月至2016年12月期間收集60例符合本次研究的病人作為本次研究的研究對(duì)象。采用前瞻性隨機(jī)對(duì)照的試驗(yàn)方法,根據(jù)隨機(jī)分組的方式,將60例病人隨機(jī)分為兩組,其中治療組30例,對(duì)照組30例。治療組懫用火針治療,使用火針針刺患肢的阿是穴、血海穴、太沖穴、足三里穴,每周2次,4周為1個(gè)療程;對(duì)照組采用地奧司明藥物治療方法,口服藥物,900mg/次,2次/日,4周為1個(gè)療程。觀察治療前后兩組患者的踝關(guān)節(jié)周圍長(zhǎng)度、下肢靜脈潰瘍面積、疼痛評(píng)分等相關(guān)指標(biāo)變化。結(jié)果:1.一般資料本次研究預(yù)計(jì)收集60例符合診斷標(biāo)準(zhǔn)和納入標(biāo)準(zhǔn)的患者作為本次研究的研究對(duì)象,最終完成58例,一共脫落2例,其中治療組完成29例,脫落1例,對(duì)照組完成29例,脫落1例。兩組病人在性別、年齡構(gòu)成、病程分布均無(wú)統(tǒng)計(jì)學(xué)差異(P0.05),對(duì)本次研究最后得出的研究結(jié)果沒(méi)有影響。2.臨床指標(biāo)2.1兩組病人治療前后踝關(guān)節(jié)周圍長(zhǎng)的差值對(duì)比t經(jīng)檢驗(yàn),P0.05,其對(duì)比具備統(tǒng)計(jì)學(xué)意義,說(shuō)明在改善患者下肢腫脹方面,火針治療組比地奧司明藥物組療效好;2.2兩組病人治療前后下肢靜脈潰瘍面積差異對(duì)比t經(jīng)檢驗(yàn),P0.05,其對(duì)比具備統(tǒng)計(jì)學(xué)意義,說(shuō)明在改善患者下肢靜脈潰瘍方面火針療法比地奧司明藥物療效好;2.3兩組病人治療前后的下肢不適感評(píng)分經(jīng)t檢驗(yàn)P0.05,差異對(duì)比有統(tǒng)計(jì)學(xué)意義,說(shuō)明火針治療組對(duì)于改善患者整體癥狀優(yōu)于藥物對(duì)照組。2.4兩組病人治療前后的下肢療效積分比較經(jīng)檢驗(yàn)P0.05,其對(duì)比具備統(tǒng)計(jì)學(xué)意義,說(shuō)明火針治療組在改善患者整體癥狀方面優(yōu)于藥物對(duì)照組。2.5兩組患者的總有效率對(duì)比經(jīng)檢驗(yàn)P0.05,有統(tǒng)計(jì)學(xué)意義,說(shuō)明火針治療組療效比藥物組好。結(jié)論:1.火針治療組在改善原發(fā)性下肢靜脈曲張患者的下肢腫脹、靜脈潰瘍以及減輕下肢疼痛方面優(yōu)于地奧司明藥物組。2.火針治療組與地奧司明藥物對(duì)照組均能夠治療原發(fā)性下肢靜脈曲張,其中火針治療的總體療效比藥物好。
[Abstract]:Objective: to observe the clinical efficacy of fire needle therapy and diosmin in the treatment of primary varicose veins of the lower extremities in a randomized controlled trial. To explore the clinical effect and existing problems of fire acupuncture therapy in the treatment of primary varicose veins of the lower extremities, and to provide a new treatment idea for the treatment of varicose veins of the lower extremities. Methods: 60 patients were collected from the first affiliated Hospital of Guangxi University of traditional Chinese Medicine from March 2015 to December 2016. 60 patients were randomly divided into two groups: treatment group (n = 30) and control group (n = 30). The treatment group was treated with fire acupuncture, the points of Ashi, Xuehai, Taochong and Zusanli of the affected limbs were treated with fire acupuncture, and the control group was treated with Diosmin. One course of treatment was orally administered with 900mg / d twice a day for 4 weeks. The length of ankle joint, the area of venous ulcer of lower extremity and the pain score were observed before and after treatment. The result is 1: 1. General data this study estimated that 60 patients who met the diagnostic criteria and the inclusion criteria were selected as the study objects, 58 cases were finally completed, a total of 2 cases were lost, among which 29 cases were completed in the treatment group, 1 case in the control group, and 29 cases in the control group. One case fell off. There was no significant difference in sex, age composition and course distribution between the two groups (P 0.05), which had no effect on the final results of this study. Clinical outcome 2.1 the difference of the length around the ankle joint between the two groups before and after treatment was compared with that of the control group (P 0.05). The comparison was statistically significant, which indicated that the difference between the two groups was significant in improving the swelling of the lower extremities of the patients. The difference in the area of venous ulcer between the two groups before and after treatment in the fire acupuncture group was better than that in the diosmin group (P 0.05), and the comparison was statistically significant. The results showed that fire needle therapy was better than that of diosmin in improving lower extremity venous ulcer. The lower limb discomfort score before and after treatment was better than that of diosmin. The difference was statistically significant by t test (P0.05). It shows that the treatment group is better than the drug control group in improving the overall symptoms of patients before and after treatment compared with the lower extremity curative effect score of the two groups after treatment (P0.05), the comparison has statistical significance. It showed that the total effective rate of the fire acupuncture treatment group was better than that of the drug control group in improving the overall symptoms of the patients (P0.05), which indicated that the fire acupuncture treatment group was better than the drug group. Conclusion 1. Fire needle therapy group was superior to Diosmin group in improving lower limb swelling, venous ulcer and relieving lower limb pain in patients with primary varicose veins of lower extremity. Fire needle therapy group and diosmin drug control group were able to treat primary varicose veins of lower extremities, and the overall curative effect of fire needle therapy was better than that of medicine.
【學(xué)位授予單位】：廣西中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.1

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