首页|火针点刺治疗老年人腓肠肌痉挛的随机对照研究

火针点刺治疗老年人腓肠肌痉挛的随机对照研究

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目的:探讨火针点刺治疗老年人夜间腓肠肌痉挛的临床疗效.方法:研究纳入 80 例老年腓肠肌痉挛患者,随机分为观察组(n=39)和对照组(n=38).观察组采用火针点刺治疗,对照组采用Park针治疗.2 组均每周治疗 3 次,3 次为1 个疗程,共治疗 3 个疗程.比较 2 组患者症状、体征以及失眠改善情况.结果:观察组总有效率为 97.44%,对照组总有效率为 57.89%,2 组比较差异有明显统计学意义(P<0.001).2 组治疗 1 周、2 周、3 周后的症状分级积分、体征分级积分、失眠严重指数、炎症细胞因子、氧化应激等指标均较治疗前及前一治疗时间点改善(P<0.05),且观察组上述指标的改善程度均优于对照组(P<0.01).结论:火针点刺治疗能有效缓解老年人夜间腓肠肌痉挛状态,改善睡眠,提高抗氧化应激能力,减轻炎症损伤,可以在临床上广泛推广.
A Rrandomized Controlled Study on the Treatment of Gastrocnemius Spasm in the Elderly with Fire Needle Pricking
Objective:To explore the clinical efficacy of fire needle pricking in the treatment of nocturnal gastrocnemius spasm in the elderly.Methods:80 elderly patients with gastrocnemius spasm were included in the study and randomly divided into observation group(n=39)and control group(n=38).The observation group was treated with fire needle pricking,and the control group was treated with Park needle.Both groups were treated 3 times a week,and 3 times were 1 course of treatment,for a total of 3 courses of treatment.The improvement of symptoms,signs and insomnia were compared between the two groups.Results:The total effective rate was 97.44%in the observation group,while 57.89%in the control group.There was significant difference between the two groups(P<0.001).The symptom grading score,physical sign grading score,insomnia severity index,inflammatory cytokines and oxidative stress in the two groups after 1 week,2 weeks and 3 weeks of treatment were better than those before treatment and the time point before treatment(P<0.05).The degree of improvement of the above indexes in the observation group was better than that in the control group(P<0.01).Conclusion:Fire needle pricking treatment can effectively alleviate nocturnal gastrocnemius muscle spasms in elderly patients,optimize sleep quality,improve antioxidant stress capacity,reduce inflammatory damage,and can be widely used in clinical application.

Gastrocnemius SpasmFire NeedleThe ElderlyPark Needle

蔡海英、徐前威、鲍蔚敏、李彬

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北京市东城区永定门外社区卫生服务中心 北京 100075

北京大学第三医院中医科 北京 100191

北京市东城区建国门社区卫生服务中心 北京 100005

首都医科大学附属北京中医医院针灸科 北京 100010

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腓肠肌痉挛 火针 老年人 Park针

中国社区卫生协会"社区卫生科研基金"创新项目

2021-2-072

2024

江西中医药大学学报
江西中医学院

江西中医药大学学报

影响因子:0.575
ISSN:2095-7785
年,卷(期):2024.36(3)
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