针刺配合火针治疗单纯性下肢静脉曲张的疗效观察.docVIP

针刺配合火针治疗单纯性下肢静脉曲张 的疗效观察 代铁柱李增鸣熊玉倩 丹江口市中医院 摘要： 目的观察针刺配合火针治疗单纯性下肢静脉曲张(varicose vcin of lower extremities, 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，共治疗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(venous clinical severity score, VCSS)和生活质量调查表(chronic venous insufficiency questionnaire, 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，CIVIQ 评分均升高，差异有统计学意义(P0. 05, P0.01);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(P0. 05) o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(P0. 05) o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： 下肢静脉曲张;针刺;火针;VCSS; CIVIQ; 作者简介：代铁柱，男，硕士，主治医师，研究方向: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：2017-08-25 Therapeutic Observation of Acupuncture Combined with Fire Needle in Treatment of Simplex Lower-Limb Varicose Veins DAI Tiezhu LI Zengming XIONG Yuqian Danjiangkou Hospital of Traditinal Chinese Medicine; Abstract： Objective The clinical effect of acupuncture combined with fire needle in treatment of simplex varicose vein of lower extremities (VVLE) was observed. Methods 96 patients with simplex VVLE were randomly divided into the observation group and the control group, 48 cases in each group. The patients in the control group were treated with pressure wear elastic stockings and popularized related health knowledge and nursing methods of varicose vein. The patients in the observation group received acupuncture and needle treatment on the basis of therapy in the control group, a total of 8 weeks of treeltment. The venous clinical severity (VCSS) and chronic venous insufficicncy questionnaire (CIVIQ) scores of patients at before treatment, 4 weeks and 8 weeks after treatment were evaluated, and the clinical effects at the end of treatments were determined. Results VCSS score decreased and CTVTQ score in creased in the two groups at 4 weeks, 8 weeks after treatment. the differences were statistically significant (P0. 05, P0. 01)? At 4 and 8 weeks after treatme