摘要
目的:观察火针、电针和碳酸钙D3疗法对氟骨症患者疼痛、关节运动障碍以及尿氟排泄的影响。方法:采用随机对照试验,将95例患者随机分为火针组(31例)、电针组(33例)、碳酸钙D3组(31例)。火针组和电针组取阿是穴、大椎、膈俞、曲池、合谷、血海等穴,分别采用火针和电针疗法,每周3次;碳酸钙D3组口服碳酸钙D3片,每次600mg,每日2次。电针组和碳酸钙D3组均治疗2个月,火针组治疗1个月。比较3组患者治疗前后疼痛视觉模拟评分(VAS)、关节活动度以及尿氟含量的变化。结果:治疗后,3组患者VAS值、关节活动度均显著改善(均P<0.05);3组治疗后组间比较差异无统计学意义(均P>0.05);治疗后火针组尿氟值显著升高[(7.89±3.61)mg/L vs(9.81±4.17)mg/L,P<0.01],电针组也有所升高[(7.53±3.46)mg/L vs(8.97±4.21)mg/L,P<0.05],而碳酸钙D3组前后差异无统计学意义(P>0.05)。结论:火针、电针、碳酸钙D3对于防治氟骨症均有临床价值,目前尚未观察到疗法间疗效的差异,但是火针和电针对于促进尿氟排泄有积极意义。
Objective To observe the impacts on skeletal fluorosis pain, joint motor dysfunetion and urine fluoride excretion in the treatment with fire needle therapy, electroacupuncture and calcium carbonate D3. Methods The randomized controlled trial was adopted. Ninety-five patients were randomized into a fire needle group （31 cases）, an electroacupuncture group （33 cases） and a calcium carbonate D3 group （31 cases）. In the fire needle group and the electroacupuncture group, Ashi points, Dazhui （GV 14）, Geshu （BL 17）, Quchi （LI 11）, Hegu （LI 4）, Xuehai （SP 10） points were selected and stimulated with fire needleand eleetroacupuncture separately, three times a week. In the calcium carbonate D3 group, calcium carbonate D3 tablets was prescribed for oral administration, 600 mg each time, twice a day. The duration of treatment was 2 months [n the electroacupuncture group and calcium carbonate 133 group and 1 month in the fire needle group. VAS score, the range of motion （ROM） and urine fluoride value were compared before and after treatment in the patients of the three groups. Results After treatment, VAS value and ROM were improved significantly in the patients of the three groups （all P〈0.05）, the difference was not significant in comparison of the three groups （all P〉0. 05）. After treatment, the urine fluoride value was increased significantly in the fire needle group [（7. 89±3.61） mg/L vs （9. 81±24.17） mg/L, P〈0.01] and was increased in the electroacupuncture group [（7, 53±3.46） mg/L vs （8. 97±4.21） mg/L,P〈0. 05]. The difference was not significant in comparison before and after treatment in the calcium carbonate D3 group （P〉 0.05）. Conclusion The fire needle therapy, electroaeupuncture and calcium carbonate D3 all have the clinical value in the prevention and treatment of skeletal fluorosis and the diffe-rence in the therapeutic effect has not been discovered among them yet at present. But it has been found that the fire needle therapy and electroacupuncture display the active significance in the promotion of urine fluoride excretion.
出处
《中国针灸》
CAS
CSCD
北大核心
2014年第3期213-217,共5页
Chinese Acupuncture & Moxibustion
基金
联合国妇女儿童基金会项目:54.change-groundwater monitoring
关键词
氟骨症
火针
电针
碳酸钙D3
尿氟
关节活动度
随机对照试验
skeletal fluorosis
fire needle therapy
electroacupuncture
calcium carbonate D3
urine fluoride
range of motion
RCT
