经皮穴位电刺激联合足浴治疗寒凝血瘀型产后身痛临床研究
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R271.43

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宁波市医学科技计划项目(2020Y17)


Clinical Study on Transcutaneous Electrical Point Stimulation Combined with Foot Bath for Postpartum Body Pain of Cold Congealing and Blood Stasis Type
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    摘要:

    目的:观察经皮穴位电刺激联合足浴治疗寒凝血瘀型产后身痛的疗效。方法:选取90例寒凝血瘀 型产后身痛患者,按随机数字表法分为穴位组、足浴组与联合组各30例。穴位组进行经皮穴位电刺激治疗, 足浴组进行足浴治疗,联合组进行经皮穴位电刺激联合足浴治疗。比较3组临床疗效及不良反应发生情况,比 较3组治疗前后中医证候积分、疼痛视觉模拟评分法(VAS)、生活质量量表(SF-36) 评分、血清指标值[前 列腺素E2(PGE2)、前列腺素F2α(PGF2α)、β-内啡肽(β-EP)] 的变化。结果:联合组临床疗效总有效率 为96.67%,高于穴位组及足浴组,差异有统计学意义(P<0.05)。治疗后,3组中医证候积分均较治疗前下 降(P<0.05),联合组中医证候积分低于足浴组、穴位组(P<0.05)。治疗后,3组VAS评分均较治疗前下 降(P<0.05),SF-36 评分均较治疗前升高(P<0.05);联合组VAS 评分低于穴位组、足浴组(P<0.05), SF-36 评分高于穴位组、足浴组(P<0.05)。治疗后,3 组PGE2、β-EP 水平均较治疗前升高(P<0.05), PGF2α水平均较治疗前下降(P<0.05);联合组PGE2、β-EP水平均高于穴位组、足浴组(P<0.05),PGF2α 水平低于穴位组、足浴组(P<0.05)。3组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:经皮 穴位电刺激联合足浴治疗寒凝血瘀型产后身痛患者疗效确切,能缓解其临床症状,降低疼痛,提高生活质量, 改善子宫内分泌激素含量,安全性高。

    Abstract:

    Abstract: Objective: To observe the effect of transcutaneous electrical point stimulation combined with foot bath on postpartum body pain of cold congealing and blood stasis type. Methods : A total of 90 patients with postpartum body pain of cold congealing and blood stasis type were selected and divided into the point group,the foot bath group and the combination group according to the random number table method, with 30 cases in each group. The point group was treated with transcutaneous electrical point stimulation;the foot bath group was treated with foot bath,and the combination group was treated with transcutaneous electrical point stimulation combined with foot bath. The clinical effects and adverse reactions of the three groups were compared, and the changes of traditional Chinese medicine (TCM) syndrome scores, Visual Analogue Scale (VAS), the MOS 36-Item Short-Form Health Survey (SF-36), and serum indexes [prostaglandin E2 (PGE2), prostaglandin F2α (PGF2α), β -endorphin (β -EP)] were compared before and after treatment between the three groups. Results: The total effective rate was 96.67% in the combination group, higher than those in the point group and the foot bath group, the difference being significant (P<0.05). After treatment,the TCM syndrome scores in the three groups were decreased when compared with those before treatment (P<0.05), and the TCM syndrome scores in the combination group were lower than those in the foot bath group and the point group (P<0.05). After treatment, the VAS scores in the three groups were decreased when compared with those before treatment (P<0.05), and the SF-36 scores were increased when compared with those before treatment (P<0.05); the VAS score in the combination group was lower than those in the point group and the foot bath group (P<0.05), and the SF-36 score was higher than those in the point group and the foot bath group (P<0.05). After treatment,the levels of PGE2 and β-EP in the three groups were increased when compared with those before treatment (P<0.05), and the PGF2α levels were decreased when compared with those before treatment (P<0.05);the levels of PGE2 and β-EP in the combination group were higher than those in the point group and the foot bath group (P<0.05),and the level of PGF2α was lower than that in the point group and the foot bath group (P<0.05). There was no significant difference in the incidence of adverse reactions among the three groups (P>0.05). Conclusion:The therapy of transcutaneous electrical point stimulation combined with foot bath has a definite curative effect on patients with postpartum pain of cold congealing and blood stasis type,which can improve their clinical symptoms,reduce pain,improve quality of life,and enhance uterine endocrine hormone content,with great safety.

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郑书真,桂静芳,蒋婴.经皮穴位电刺激联合足浴治疗寒凝血瘀型产后身痛临床研究[J].新中医,2024,56(13):177-182

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  • 在线发布日期: 2024-07-10
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