火针点刺治疗老年人腓肠肌痉挛的随机对照研究
A Rrandomized Controlled Study on the Treatment of Gastrocnemius Spasm in the Elderly with Fire Needle Pricking
蔡海英 1徐前威 2鲍蔚敏 3李彬4
作者信息
- 1. 北京市东城区永定门外社区卫生服务中心 北京 100075
- 2. 北京大学第三医院中医科 北京 100191
- 3. 北京市东城区建国门社区卫生服务中心 北京 100005
- 4. 首都医科大学附属北京中医医院针灸科 北京 100010
- 折叠
摘要
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.
Abstract
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.
关键词
腓肠肌痉挛/火针/老年人/Park针Key words
Gastrocnemius Spasm/Fire Needle/The Elderly/Park Needle引用本文复制引用
基金项目
中国社区卫生协会"社区卫生科研基金"创新项目(2021-2-072)
出版年
2024
国家科技期刊平台
NSTL
万方数据