摘要
目的:探究火针联合踝泵运动对下肢静脉曲张(VVLE)患者血液流变学及临床疗效的影响。方法:将60例VVLE患者按随机数字表法分为火针组、踝泵组、联合组、空白组,每组15例,其中火针组完成研究者13例,踝泵组14例。火针组每周1次火针治疗,踝泵组每日3次、每次50组踝泵运动,联合组联用两种方案,空白组仅健康宣教,观察周期均为8周。比较四组患者血液流变学指标、超声血流速度、中医证候积分、疗效及不良反应。结果:治疗4周、8周后,除空白组外,其余三组全血黏度(高切、中切、低切)、血浆黏度均较治疗前降低,且联合组低于其他组(均P<0.05);治疗4周后,联合组血流速度提升,且高于其他组(均P<0.05),治疗8周后,联合组、火针组血流速度均提升,且联合组高于其他组(均P<0.05);治疗4周、8周后,联合组、火针组、踝泵组中医证候积分均降低,且联合组低于其他组(均P<0.05);治疗后联合组总有效率(93.3%)高于火针组(84.6%)、踝泵组(50.0%)(P<0.05),四组整体疗效比较,差异有统计学意义(P<0.05);四组均未见严重不良反应发生。结论:火针联合踝泵运动可有效改善VVLE患者血液流变学异常与血流速度,缓解中医证候,提升疗效且安全性良好,机制可能与调节血液高凝、改善微循环相关。
Objective:To investigate the effects of fire needling combined with ankle pump exercise on hemorheology and clinical efficacy in patients with varicose veins of the lower extremity(VVLE).Methods:A total of 60 patients with VVLE were randomly divided into the fire needling group,the ankle pump group,the combination group,and the blank group according to the random number table method,with 15 patients in each group.Among them,13 patients in the fire needling group completed the study,and 14 patients in the ankle pump group completed the study.The fire needling group received fire needling treatment once a week,while the ankle pump group performed 50 ankle pump movements three times a day.The combination group received both treatments,and the blank group only received health education.The observation period was 8 weeks for all groups.The blood rheology indicators,ultrasound blood flow velocity,traditional Chinese medicine(TCM)syndrome scores,therapeutic effects,and adverse reactions of the four groups of patients were compared.Results:After 4 weeks and 8 weeks of treatment,except for the blank group,the whole blood viscosity(high/medium/low shear)and plasma viscosity of the other three groups were all lower than those before treatment,and the combination group was lower than the other groups(all P<0.05);after 4 weeks of treatment,the blood flow velocity of the combination group increased and was higher than that of the other groups(all P<0.05);after 8 weeks of treatment,the blood flow velocity of the combination group and the fire needling group both increased,and the combination group was higher than the other groups(all P<0.05);after 4 weeks and 8 weeks of treatment,the TCM syndrome scores of the combination group,the fire needling group,and the ankle pump group all decreased,and the combination group was lower than the other groups(all P<0.05);after treatment,the total effective rate of the combination group(93.3%)was higher than that of the fire needling group(84.6%)and the ankle pump group(50.0%)(P<0.05),and the overall efficacy comparison among the four groups showed a statistically significant difference(P<0.05);no serious adverse reactions were observed in all four groups.Conclusion:The combination of fire needling therapy and ankle pump exercises can effectively improve the abnormal hemorheology and blood flow velocity in patients with VVLE,alleviate the TCM syndromes,enhance the therapeutic effect,and it is of good safety.The mechanism may be related to regulating high blood coagulation and improving microcirculation.
作者
史移明
王光安
李若笛
SHI Yiming;WANG Guang’an;LI Ruodi(College of Acupuncture and Tuina,Henan University of Chinese Medicine,Zhengzhou 450046,China)
出处
《山东中医杂志》
2026年第3期293-300,共8页
Shandong Journal of Traditional Chinese Medicine
基金
河南省中医药科学研究专项课题(编号:2022ZY1111)。
关键词
下肢静脉曲张
火针
踝泵运动
血液流变学
全血黏度
血浆黏度
血流速度
varicose veins of the lower extremity
fire needling
ankle pump exercise
hemorheology
whole blood viscosity
plasma viscosity
blood flow velocity
