火针水针联合补阳还五汤治疗下肢静脉曲张临床观察

Clinical Observation on Fire Needle Water Needle Combined with Buyang Huanwu Decoction in Treating Varicose Veins of Lower Limbs

目的:探讨火针、水针联合补阳还五汤治疗下肢静脉曲张的临床疗效。方法:选取2018年12月至2019年12月到我院针灸科及中医科收治的60例下肢静脉曲张的患者纳入研究范围,采用随机数据表法完成分组,对照组与观察组人数相同,均为30例。对照组接受西药水针治疗,观察组采用火针、水针联合补阳还五汤治疗,对比两组患者临床获益情况、VCSS评分情况以及远期疗效情况。结果:观察组临床获益为96.67%,显著高于对照组的80%,在治疗后,观察组VCSS评分为(2.01±0.98)分,显著低于对照组。随访1年发现,对照组复发率为20.00%,观察组复发率为0,经检验,P均<0.05,差异具有统计学意义。结论:火针、水针联合中药补阳还五汤加减内服治疗下肢静脉曲张的临床疗效确切,能够显著改善患者的VCSS评分,且远期疗效稳定,复发率低,值得推广。

Objective:To investigate the clinical efficacy of fire needle,water needle combined with Buyang Huanwu Decoction in the treatment of varicose veins of the lower extremities.Methods:From December 2018 to December 2019,60 patients with varicose veins of the lower extremities who were admitted to the Department of Acupuncture and Moxibustion and Traditional Chinese Medicine of our hospital were selected into the study,and the random data table method was used to complete the grouping.The control group and the observation group include 30 samples respectively.The control group received acupuncture treatment,and the observation group received fire acupuncture and water acupuncture combined with Buyang Huanwu Decoction.The clinical benefit,VCSS score and long-term efficacy of the two groups were compared.Results:The clinical benefit of the observation group was 96.67%,which was significantly higher than 80%of the control group.After treatment,the VCSS score of the observation group was(2.01±0.98)points,which was significantly lower than the control group.After a 1-year follow-up,it was found that the recurrence rate of the control group was 20.00%,and the recurrence rate of the observation group was 0.With the testing result P<0.05,the difference was statistically significant.Conclusion:Fire needle,water needle combined with traditional Chinese medicine Buyang Huanwu Decoction has a definite clinical effect in the treatment of varicose veins of the lower extremities.It can significantly improve the patient's VCSS score.The long-term effect is stable and the recurrence rate is low.It is worthy of promotion.