摘要
目的观察温和灸治疗阳虚寒凝型动脉硬化闭塞症(ASO)的临床疗效。方法将120例阳虚寒凝型ASO患者随机分为2组,对照组60例予常规治疗,治疗组60例在对照组治疗基础上应用温和灸治疗。治疗28 d。比较2组疗效;观察2组治疗前后症状、体征积分变化,治疗前后C反应蛋白(CRP)、总胆固醇(TC)、甘油三酯(TG)、纤维蛋白原(FIB)及踝肱指数(ABI)变化。结果治疗组临床痊愈率、显效率均高于对照组(P<0.01),治疗组疗效优于对照组。2组治疗后肢体皮肤发凉、肢体痠胀、肢体麻木、间歇性跛行积分均降低(P<0.05,P<0.01),且治疗组降低更明显(P<0.05)。2组治疗后TC较本组治疗前降低(P<0.01),ABI升高(P<0.01),且治疗组改变更明显(P<0.05,P<0.01)。结论温和灸治疗阳虚寒凝型ASO,可以提高临床疗效,改善患者症状、体征,降低TC值,提高ABI值。
Objective To observe the clinical effects of mild moxibustion on atherosclerosis obliterans （ ASO） with deficiency of yang and coagulation of cold type .Methods 120 ASO patients with deficiency of yang and coagulation of cold type were randomly divided into two groups .60 patients in control group received routine ther-apy.60 patients in treatment group received mild moxibustion combined with routine therapy .The course was 28 days in two groups .Efficacy of two groups was compared .The changes of symptom and physical sign index ,c-reactive pro-tein（CRP）,total cholesterol（TC）,triglyceride（TG）,fibrinogen（FIB） and ankle-brachial index（ABI） before and after treatment were observed in two groups .Results The cure rate and obvious effective rate in treatment group were higher than those in control group （P〈0.01）,the curative effect in treatment group was superior to that in con-trol group.The integral of cool feeling on the skin ,limb soreness,limb numbness,intermittent claudication after treat-ment were decreased in two groups （P〈0.05,P〈0.01）,those decrease in treatment group were superior to those in control group（P〈0.05）.TC after treatment were decreased in two groups as compared with those before treatment （P〈0.01）,and ABI was increased （P〈0.01）.The changes of TC and ABI in treatment group were more signifi-cant （P〈0.01, P〈0.05）.Conclusion Mild moxibustion on the treatment of atherosclerosis obliterans with defi-ciency of yang and coagulation of cold type can improve the clinical efficacy ,improve the symptom and physical sign , decrease TC and increase ABI .
出处
《河北中医》
2015年第5期666-668,675,共4页
Hebei Journal of Traditional Chinese Medicine
基金
首都医学科技发展基金项目(编号:SF-2009-II-10)
关键词
动脉硬化
闭塞性
针灸疗法
温针疗法
Arteriosclerosis
Obliterans
Acupuncture and moxibustion
Needle warming therapy
