摘要
目的:观察中药足浴联合穴位按摩治疗下肢动脉硬化闭塞症的临床疗效。方法:86例下肢动脉硬化闭塞症患者按随机数字表法分为对照组、试验组各43例。对照组给予常规西药治疗,试验组在对照组基础上给予中药足浴联合穴位按摩治疗。比较2组治疗前后症状评分、踝/肱比值、下肢Fugl-Meyer评分,并评估2组临床疗效及不良反应发生情况。结果:对照组总有效率74.42%,低于试验组93.02%(P<0.05)。2组治疗后间歇性跛行缓解时间、皮肤温度感、间歇性跛行距离、皮肤色泽、疼痛症状评分及总分均较治疗前降低(P<0.05),踝/肱比值、下肢Fugl-Meyer评分升高(P<0.05),且试验组治疗后间歇性跛行缓解时间、皮肤温度感、间歇性跛行距离、皮肤色泽、疼痛症状评分及总分低于对照组(P<0.05),踝/肱比值、下肢FuglMeyer评分高于对照组(P<0.05)。2组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:中药足浴联合穴位按摩治疗下肢动脉硬化闭塞症疗效确切,能够提高患者踝/肱比值,改善下肢功能,安全性较高。
Objective:To observe the clinical effect of foot bath with Chinese herbal medicine combined with point massage for lower extremity arteriosclerosis obliterans.Methods:A total of 86 cases of patients with lower extremity arteriosclerosis obliterans were divided into the control group and the trial group according to the random number table method,with 43 cases in each group.The control group was treated with routine western medicine,and the trial group was additionally treated with foot bath with Chinese herbal medicine combined with point massage based on the treatment of the control group.Symptom scores,ankle-humerus ratio,and Fugl-Meyer scores of lower limbs were compared before and after treatment between the two groups;the clinical effects and the incidence of adverse reactions in the two groups were evaluated.Results:The total effective rate was 74.42%in the control group,lower than that of 93.02%in the trial group(P<0.05).After treatment,the remission time of intermittent claudication,the sensation of skin temperature,the distance of intermittent claudication,skin color,pain symptom scores,and the total scores in the two groups were shortened or decreased when compared with those before treatment(P<0.05),and ankle-humerus ratio and Fugl-Meyer scores of lower limbs were increased(P<0.05);the remission time of intermittent claudication,the sensation of skin temperature,the distance of intermittent claudication,skin color,pain symptom scores,and the total score in trial group were shorter or lower than those in the control group(P<0.05),ankle-humerus ratio and Fugl-Meyer score of lower limbs were higher than those in the control group(P<0.05);there was no significant difference being found in the comparison of the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Foot bath with Chinese herbal medicine combined with point massage has a definite curative effect in the treatment of lower extremity arteriosclerosis obliterans,which can enhance the anklehumerus ratio and improve lower limbs function with high safety.
作者
颜聪颖
汪海敏
邵珍丽
叶海东
YAN Congying;WANG Haimin;SHAO Zhenli;YE Haidong
出处
《新中医》
CAS
2023年第11期129-133,共5页
New Chinese Medicine
基金
温州市科研项目(Y20190295)。
关键词
下肢动脉硬化闭塞症
中药足浴
穴位按摩
踝/肱比值
下肢功能
Lower extremity arteriosclerosis obliterans
Foot bath with Chinese herbal medicine
Point massage
Ankle-humerus ratio
Lower limbs function