[1]张青天,仝光照,许志会,等.芒针联合脊髓电刺激疗法治疗下肢缺血性疼痛及对患者疼痛与睡眠质量评分的影响[J].陕西中医,2021,(11):1611-1615.[doi:DOI:10.3969/j.issn.1000-7369.2020.11.027]
　ZHANG Qingtian,TONG Guangzhao,XU Zhihui,et al.Effect of Awn needle combined with SCS therapy on PSQI and VAS scores of patients with lower limb ischemic pain[J].,2021,(11):1611-1615.[doi:DOI:10.3969/j.issn.1000-7369.2020.11.027]
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芒针联合脊髓电刺激疗法治疗下肢缺血性疼痛及对患者疼痛与睡眠质量评分的影响
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2021年11期
页码:
1611-1615
栏目:
针灸经络
出版日期:
2021-11-05

文章信息/Info

Title:
Effect of Awn needle combined with SCS therapy on PSQI and VAS scores of patients with lower limb ischemic pain
作者:
张青天; 仝光照; 许志会; 黄忠利; 戴 莹
(石家庄市中医院脉管一科,河北 石家庄 050000)
Author(s):
ZHANG Qingtian; TONG Guangzhao; XU Zhihui; HUANG Zhongli; DAI Ying
(Department of Vascular,Shijiazhuang Hospital of Traditional Chinese Medicine,Shijiazhuang 050000,China)
关键词:
疼痛;  下肢缺血性;  芒针;  脊髓电刺激疗法;  经皮氧分压;  踝肱指数;  匹兹堡睡眠质量
Keywords:
Pain;  Lower extremity ischemic;  Awn needle;  Spinal cord electrical stimulation therapy;  Percutaneous partial oxygen pressure;  Ankle brachial index;  Pittsburgh sleep quality
分类号:
R 441.1
DOI:
DOI:10.3969/j.issn.1000-7369.2020.11.027
文献标志码:
A
摘要:
目的:探究芒针联合脊髓电刺激(SCS)疗法对下肢缺血性疼痛患者匹兹堡睡眠质量(PSQI)、视觉模拟评分(VAS)的影响。方法:选取下肢缺血性患者106例,按随机数字表法将患者分为SCS治疗组与联合治疗组各53例。其中SCS治疗组使用SCS疗法治疗,联合治疗组患者使用芒针联合SCS疗法治疗。红外热成像仪检测皮肤温差,多普勒血流控制仪检测踝肱指数(ABI),记录两组患者患肢冷感评分及麻木评分,记录患者间歇性跛行距离,经皮氧分压监测仪检测经皮氧分压(TcPO2),VAS、PSQI评估患者疼痛状况与睡眠状况。结果:治疗后,与SCS治疗组相比,联合治疗组皮肤温差、踝肱指数均较高(P<0.05)。治疗后,与SCS治疗组相比,联合治疗组冷感评分、麻木评分均明显降低(P<0.05)。治疗后,与SCS治疗组相比,联合治疗组经皮氧分压、间歇性跛行距离均明显升高(P<0.05)。治疗后,与SCS治疗组相比,联合治疗组SAS评分、PSQI评分均较低(P<0.05)。治疗后,联合治疗组治疗有效率高于SCS治疗组(P<0.05)。结论:应用芒针联合SCS疗法对下肢缺血性疼痛患者进行治疗,能够有效改善患者病情,减轻冷感及麻木情况,改善皮肤组织的氧供量及下肢微循环,减轻患者疼痛,提高患者睡眠质量,效果明显。
Abstract:
Objective:To investigate the effects of needle combined with spinal cord electrical stimulation(SCS)on pittsburgh sleep quality(PSQI)and visual analog scale(VAS)in patients with lower limb ischemic pain.Methods:A total of 106 patients with lower limb ischemia were selected and divided into SCS treatment group and combined treatment group(53 cases)according to random number table method.Patients in the SCS treatment group were treated with SCS therapy,and patients in the combined treatment group were treated with awn needle combined with SCS therapy.Skin temperature difference was detected by infrared thermal imaging,anklebral index(ABI)was detected by doppler flow control device,cold sensation score and numbness score of affected limbs of patients in both groups were recorded,intermittent claudicancy distance was recorded,transcutaneous partial oxygen pressure(TcPO2)was measured by transcutaneous partial oxygen pressure monitor,pain status and sleep status of patients were evaluated by VAS and PQI.Results:After treatment,compared with SCS treatment group,skin temperature difference and ankle-brachial index were higher in combined treatment group(P<0.05).After treatment,compared with SCS treatment group,the score of cold sensation and numbness in the combined treatment group were significantly decreased(P<0.05).After treatment,compared with SCS treatment group,the percutaneous partial oxygen pressure and intermittent claudication distance in combined treatment group were significantly increased(P<0.05).After treatment,compared with SCS treatment group,SAS score and PSQI score of combined treatment group were lower(P<0.05).After treatment,the effective rate of combined treatment group was higher than that of SCS treatment group(P<0.05).Conclusion:The application of Awn needle combined with SCS therapy in the treatment of patients with lower limb ischemic pain can effectively improve the patient's condition,reduce cold and numbness,improve the oxygen supply of skin tissue and lower limb microcirculation,alleviate the pain of patients,improve the sleep quality of patients,with obvious effects.

参考文献/References:

[1] Khoury MK,Rectenwald JE,Tsai S,et al.Outcomes after open lower extremity revascularization in patients with critical limb ischemia[J].Ann Vasc Surg,2020(67):417-424.
[2] Elsharkawi M,Elkassaby M,Veigh N,et al.Clinical outcomes from profundoplasty performed as a sole procedure for revascularization in critically ischaemic limbs[J].Vascular,2021,29(3):396-403.
[3] 李伟浩,张学民,张小明.脊髓电刺激治疗慢性下肢缺血性疾病的研究进展[J].中华普通外科杂志,2020,35(4):350-352.
[4] 窦海云,阎 莉,傅立新,等.芒针结合中药治疗重症肌无力1则[J].天津中医药大学学报,2019,38(6):576-577.
[5] 中华医学会外科学分会血管外科学组.下肢动脉硬化闭塞症诊治指南[J].中华普通外科学文献:电子版,2016,10(1):1-18.
[6] 韩焕梅,黄 敏,倪健丽.消癥方保留灌肠联合米非司酮治疗子宫腺肌症疗效及对患者中医症状的影响[J].陕西中医,2021,42(3):301-303.
[7] 安国松,张润宁,寇久社,等.盐酸羟考酮缓释片联合射频热凝对骨转移癌痛患者镇痛效果、睡眠及生活质量的影响[J].陕西医学杂志,2020,49(12):1645-1647.
[8] 董松波,郑 军,李建荣,等.急性Stanford A型主动脉夹层合并下肢缺血的外科治疗[J].中华胸心血管外科杂志,2021,37(2):75-78.
[9] Guilleron C,Maktouf W,Beaune B,et al.Coactivation pattern in leg muscles during treadmill walking in patients suffering from intermittent claudication[J].Gait Posture,2021(84):245-253.
[10] 颜汉坤,畅智慧,刘兆玉.外周动脉疾病患者下肢动脉钙化与下肢缺血程度的关系[J].中国现代医学杂志,2020,30(11):79-83.
[11] Angstadt R,Esperti S,Mangano A,et al.Palliative ketamine:The use of ketamine in central post-stroke pain syndrome:A case report[J].Ann Palliat Med,2020(20):972.
[12] 刘 妍,董道松,赵 林,等.脊髓电刺激治疗下肢缺血性疼痛的临床研究[J].中国疼痛医学杂志,2020,26(2):116-121.
[13] 张 雷,欧 鹏,朱洁婷,等.下肢缺血性疼痛的镇痛药物治疗及其进展[J].中南药学,2020,18(5):815-821.
[14] 刘 芳,李晓燕,张国武.下肢缺血性疾病介入治疗的临床疗效研究[J].心血管外科杂志:电子版,2020,9(1):173-174.
[15] 郑明非,王晓军,申 芳,等.踝肱指数与糖尿病性慢性下肢缺血疾病的相关性研究[J].医学信息,2012,25(3):191-192.
[16] 王雷永,李赫妍,安世栋,等.中医导引术在重度下肢缺血并坏疽保肢治疗中的应用[J].中国血管外科杂志:电子版,2020,12(4):306-309,323.
[17] 刘婷婷.基于“阳化气,阴成形”探讨益气生络法治疗下肢缺血性疾病[J].内蒙古中医药,2020,39(4):97-98.
[18] 潘飞艳,童洪杰,张晓玲,等.经皮氧分压监测在VA-ECMO患者下肢保护中的应用价值[J].中国现代医生,2020,58(23):113-117.
[19] 张军波,吕 颖,马 强,等.小剂量尿激酶导管内溶栓治疗急性下肢缺血的临床结局研究[J].新疆医科大学学报,2020,43(2):178-182.
[20] 仝光照,张青天,黄忠利,等.芒针深刺环跳穴辅以龙虎交战手法治疗慢性下肢缺血性疼痛的临床研究[J].现代中西医结合杂志,2021,30(13):1398-1402.
[21] 张 燕,申 军.滋肾平颤汤联合多巴丝肼片对老年帕金森病伴失眠症病人PSQI评分、TESS评分及生活质量的影响[J].中西医结合心脑血管病杂志,2019,17(24):4046-4050.

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备注/Memo

备注/Memo:
基金项目:河北省中医药管理局科研计划项目(2020336)
更新日期/Last Update: 2021-11-10