摘要
目的探讨温针灸治疗对下肢动脉粥样硬化症(LEAD)患者的临床疗效及足背血流情况的影响。方法收集2019年1月至2020年6月北京老年医院收治的LEAD患者的临床资料,根据治疗方式的不同将患者分为常规组(采用常规治疗)和温针组(在常规治疗的基础上应用温针灸治疗),每组46例。比较两组患者的临床疗效。比较两组患者治疗前后的绝对跛行距离(ACD)、静息态踝肱指数(ABI)、足背血流指标(动脉内径、血流峰速、血流量)及各项临床症状评分。结果温针组患者的总有效率为93.48%(43/46),高于常规组患者的73.91%(34/46),差异有统计学意义(P=0.011)。温针组患者的临床疗效明显优于常规组患者(P<0.01)。治疗后,温针组患者皮肤发凉、酸胀、麻木、烧灼、肤温降低、肤色异常、足背脉搏异常的评分均明显低于常规组患者,ACD、ABI均明显高于常规组患者,差异均有统计学意义(P<0.01)。治疗后,温针组患者的动脉内径长于常规组患者,血流峰速、血流量均高于常规组患者,差异均有统计学意义(P<0.05)。结论温针灸可提高LEAD患者的临床疗效,进一步减轻患者的临床症状,增强患者的足背血流。
Objective To investigate the clinical effect of warm acupuncture and moxibustion on patients with lower extremity atherosclerosis disease(LEAD)and its influence on the dorsal foot blood flow.Method Clinical data of LEAD patients admitted to Beijing Geriatric Hospital from January 2019 to June 2020 were collected,and the patients were divided into the conventional group(n=46,treated with conventional intervention)and the warm acupuncture and moxibustion group(n=46,treated with conventional intervention+warm acupuncture and moxibustion).The clinical efficacy of the two groups was compared,and the absolute claudication distance(ACD),resting ankle brachial index(ABI),and dorsal foot blood flow indexes(arterial diameter,peak blood flow velocity,and blood flow),and clinical symptom scores were compared before and after treatment.Result The total effective rate of warm acupuncture and moxibustion group was higher than that of the conventional group[93.48%(43/46)vs 73.91%(34/46)],the difference was statistically significant(P=0.011).The clinical efficacy of warm acupuncture and moxibustion group was significantly better than that of conventional group(P<0.01).After treatment,the scores of cold sensation of skin,soreness,numbness,burning,decreased skin temperature,abnormal skin color and abnormal pulse of dorsal foot were significantly lower than those in the conventional group(P<0.01),ACD and ABI were significantly higher than those in conventional group(P<0.01);arterial diameter was longer than that in conventional group,peak blood flow velocity and blood flow were higher than those in conventional group(P<0.05).Conclusion Warm acupuncture and moxibustion can improve the clinical effect of LEAD,reduce clinical symptoms and enhance the dorsal foot blood flow.
作者
姜义龙
黄勇军
许永利
邢方印
Jiang Yilong;Huang Yongjun;Xu Yongli;Xing Fangyin(Department of Rehabilitation Medicine,Beijing Geriatric Hospital,Beijing 100095,China;Department of Vascular Intervention,Beijing Geriatric Hospital,Beijing 100095,China)
出处
《血管与腔内血管外科杂志》
2021年第9期1046-1050,共5页
Journal of Vascular and Endovascular Surgery
关键词
动脉粥样硬化
温针灸
足背
血流速度
血流量
临床疗效
atherosclerosis
warm acupuncture and moxibustion
dorsal foot
blood flow velocity
blood flow
clinical efficacy
