艾灸足三里联合五倍子外敷神阙穴治疗老年骨折患者术后气虚型汗证的临床研究

Clinical study on moxibustion of Zusanli combined with Chinese gall external application of Shenque point for treatment Qi deficiency type sweat syndrome after operation in elderly patients with fractures

目的探讨艾灸足三里联合五倍子外敷神阙穴治疗老年骨折患者术后气虚型汗证的临床疗效。方法选取2021年4月至2022年3月于温州市中西医结合医院进行骨折手术治疗的术后气虚型汗证老年患者120例,根据随机数字表法将其分为常规组、艾灸组、五倍子组和联合组,每组各30例。常规组患者给予抗炎、补液等基础治疗,艾灸组患者给予艾灸足三里治疗,五倍子组患者给予五倍子外敷神阙穴治疗,联合组患者给予艾灸足三里联合五倍子外敷神阙穴治疗,每组治疗时间均为2周。比较治疗前后四组患者的不同时间点体温和免疫球蛋白(immunoglobulin,Ig)A、IgM、IgG水平与证候积分及临床疗效等。结果治疗后,四组患者的体温和IgA、IgM、IgG水平及自汗、乏力、懒言、神疲积分均降低;联合组患者的体温和IgA、IgM、IgG水平及自汗、乏力、懒言、神疲积分降低水平更为显著,具有统计学意义(P<0.05);联合组患者的治疗总有效率明显高于常规组、艾灸组和五倍子组(P<0.05)。结论艾灸足三里联合五倍子外敷神阙穴治疗老年骨折患者术后气虚型汗证疗效显著,有利于缓解患者的发热情况,改善炎症反应及免疫反应,缓解患者的临床症状。

Objective To investigate the clinical effect of moxibustion Zusanli combined with Chinese gall external application of Shenque point in treating postoperative Qi deficiency sweat syndrome in elderly fracture patients.Methods A total of 120 elderly patients with postoperative Qi deficiency type sweat syndrome treated for fracture surgery in Wenzhou Integrated Traditional Chinese and Western Medicine Hospital from April 2021 to March 2022 were randomly divided into conventional group,moxibustion group,Chinese gall group and combined group,with 30 patients in each group.The conventional group gave anti-inflammatory basic treatments such as fluid and rehydration,moxibustion group was treated with moxibustion Zusanli,Chinese gall group was treated with Chinese gall external application of Shenque point,and the combined group was treated with moxibustion Zusanli combined with Chinese gall external application of Shenque point.The treatment time of each group was 2 weeks.Body temperature,immunoglobulin(Ig)A,IgM,IgG levels,syndrome integral and clinical efficacy were compared.Results After treatment,the body temperature,IgA,IgM,IgG levels,spontaneous sweating,fatigue,laziness,and exhaustion scores were all decreased in four groups.In combination group,the body temperature,IgA,IgM,IgG,spontaneous sweating,fatigue,laziness,and exhaustion scores decreased significantly,which had statistical significance(P<0.05).The total effective rate of combined group was significantly higher than that of conventional group,moxibustion group and Chinese gall group(P<0.05).Conclusion Moxibustion Zusanli combined with Chinese gall external application of Shenque point is very effective in the treatment of postoperative Qi deficiency type sweat syndrome in elderly fracture patients.This combined treatment program is conducive to relieving the fever in patients,improving the inflammatory response and immune response,and alleviating patients’clinical symptoms.