摘要
目的评价针药并用治疗系统性硬化症雷诺现象的疗效。方法将纳入患者随机分为对照组30例与治疗组30例,对照组给予丹参片、青霉胺治疗,治疗组在对照组基础上给予针刺疗法,以临床症候评判及甲皱微循环评价疗效,以肝肾功能为安全性指标。结果 57例完成了研究,在临床症状方面,两组治疗前无明显统计学差异(P>0.05),但治疗组治疗后与治疗前比较有统计学差异(P<0.05),对照组治疗后与治疗前比较无明显差异(P>0.05);在甲皱微循环方面,两组输入枝和输出枝、血液流态积分、总积分变化有统计学意义(P<0.05)。结论在常规药物治疗系统性硬化症雷诺现象基础上,加用针刺疗法可以明显改善雷诺现象。
Objective To evaluate the therapeutic effect of acupuncture on Raynaud＇s phenomenon in systemic sclerosis. Method The enrolled patients were randomly allocated to a control group of 30 cases and a treatment group of 30 cases. The control group was treated with salvia tablets and penicillamine. The treatment group received acupuncture in addition to those given to the control group. The therapeutic effects were evaluated by scoring the clinical symptoms and observing nail fold microcirculation. Liver and kidney functions were used as safety indices. Result The study was completed in 57 patients. In the clinical symptom score, there was no statistically significant pre-treatment difference between the two groups （P〉0.05）, but there was a statistically significant pre-/post-treatment difference in the treatment group （P〈0.05） and no in the control group （P〉0.05）. In nail fold microcirculation, there were statistically significant differences in the afferent blood flow score, the efferent blood flow score and the total score between the two groups （P〈0.05）. Conclusion Based on routine drug treatment, additional acupuncture can markedly improve Raynaud＇s phenomenon.
出处
《上海针灸杂志》
2013年第4期274-276,共3页
Shanghai Journal of Acupuncture and Moxibustion
关键词
硬皮病
系统性
针刺
针药并用
微循环
雷诺现象
中医证候
Scleroderma, systemic
Acupuncture
Microcirculation
Raynaud＇s phenomenon
Symptomatology of traditionalChinese medicine
