不同粗细针具干预少商放血治疗急性咽喉肿痛疗效观察
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摘要
目的对不同粗细针具干预少商放血治疗急性咽喉肿痛的疗效进行对比观察,为放血镇痛最佳刺激量的优选提供科学依据。方法将90例急性咽喉肿痛患者随机分为3组,每组30例。分别用3号针头、4.5号针头、6号针头放血,以视觉模拟量表(VAS)评分和现有疼痛强度量表(PPI)评分为观察指标。观察3组的即时镇痛效果及其临床疗效差异,对不同粗细针具干预方法的疗效进行对比评价。结果 3组治疗后VAS、PPI评分均有下降(P<0.05,P<0.01);4.5号针头组、6号针头组治疗前后VAS评分差值与3号针头组比较差异有统计学意义(P<0.05,P<0.01),6号针头组治疗前后VAS、PPI评分差值与4.5号针头组比较差异有统计学意义(P<0.05)。3组临床疗效存在显著性差异,其中6号针头组愈显率明显优于4.5号针头组和3号针头组(P<0.05,P<0.01)。结论 6号针头放血组的镇痛疗效明显优于3号针头放血组和4.5号针头放血组。
Objective To comparatively observe the efficacy of bloodletting at Shaoshang(LU11) with needles of different thickness for acute sore throat, and to provide scientific evidence for selecting the optimal volume of stimulus for bloodletting analgesia. Method Ninety patients with acute sore throat were randomized into three groups, with 30 cases in each group. Syringe needles of NO. 3, 4.5 and 6 were selected for bloodletting. Visual Analogue Scale(VAS)and present pain intensity(PPI) were taken as the observation indexes. The real-time analgesic effects and the differences in clinical efficacy of the three groups were observed, and the efficacies of different-thickness needles were comparatively evaluated. Result The VAS and PPI scores declined in the three groups after treatment(P<0.05, P<0.01); compared with the NO. 3 needle group, the changes in VAS score in the No. 4.5 and 6 needle groups were significantly different(P<0.05, P<0.01); the changes in VAS and PPI scores in the No. 6 needle group were significantly different from those in the No. 4.5 needle group(P<0.05). The clinical efficacies were markedly different among the three groups, and the markedly effective rate in the No. 6 needle group was superior to that in the No. 4.5 and 3 needle groups(P<0.05, P<0.01). Conclusion Using syringe needle of No. 6 can produce a more significant analgesic effect in bloodletting than syringe needles of No. 3 and 4.5.
Objective To comparatively observe the efficacy of bloodletting at Shaoshang(LU11) with needles of different thickness for acute sore throat, and to provide scientific evidence for selecting the optimal volume of stimulus for bloodletting analgesia. Method Ninety patients with acute sore throat were randomized into three groups, with 30 cases in each group. Syringe needles of NO. 3, 4.5 and 6 were selected for bloodletting. Visual Analogue Scale(VAS)and present pain intensity(PPI) were taken as the observation indexes. The real-time analgesic effects and the differences in clinical efficacy of the three groups were observed, and the efficacies of different-thickness needles were comparatively evaluated. Result The VAS and PPI scores declined in the three groups after treatment(P<0.05, P<0.01); compared with the NO. 3 needle group, the changes in VAS score in the No. 4.5 and 6 needle groups were significantly different(P<0.05, P<0.01); the changes in VAS and PPI scores in the No. 6 needle group were significantly different from those in the No. 4.5 needle group(P<0.05). The clinical efficacies were markedly different among the three groups, and the markedly effective rate in the No. 6 needle group was superior to that in the No. 4.5 and 3 needle groups(P<0.05, P<0.01). Conclusion Using syringe needle of No. 6 can produce a more significant analgesic effect in bloodletting than syringe needles of No. 3 and 4.5.
引文
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[13]钟玉龙.张子和运用刺营放血疗法学术思想研究[D].广州:广州中医药大学,2017:14-15.
[14]傅佳.试探刺血疗法治病机理及临床应用[J].光明中医,2018,33(1):94-96.
[15]吕俊玲.委中穴不同放血量治疗下腰痛的即刻疗效及对表面肌电影响的临床研究[D].福州:福建中医学院,2008:16-19.
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[19]王银平,王彩虹,杨华元,等.针刺手法刺激量定量化研究进展[J].上海针灸杂志,2006,25(4):47-50.
[2]郑佳,刘建武,吴玉婷,等.放血疗法治疗急性咽炎初期30例[J].江西中医药,2016,47(12):36-37.
[3]国家中医药管理局.中医病证诊断疗效标准[S].南京:南京大学出版社,1994:24.
[4]黄选兆,汪吉宝.实用耳鼻喉科学[M].北京:人民卫生出版社,2002:325.
[5]王德鑑.中医耳鼻喉科学[M].上海:上海科学技术出版社,1985:72.
[6]王净净,龙俊杰.中医临床病证诊断疗效标准[M].南京:南京大学出版社,1994:25.
[7]代传伦.针刺天突配合少商放血治疗咽喉肿痛55例[J].内蒙古中医药,2011,30(10):40.
[8]张连良,李胜,刘辉.少商、商阳穴点刺放血治疗急性扁桃体炎100例[J].针灸临床杂志,2000,16(9):33-34.
[9]肖鸣,周建伟,湛业华.少商穴点刺出血治疗咽喉肿痛88例临床小结[J].针灸临床杂志,1999,15(2):34-35.
[10]谷杰法.少商穴放血治疗痉挛性喉炎[J].中国民间疗法,2001,9(7):19-20.
[11]吴谦.医宗金鉴[M].第2版.北京:人民卫生出版社,2006:109-110.
[12]曹方,李铁,哈丽娟,等.基于现代文献的针灸治疗咽喉肿痛的同功穴规律分析[J].世界中医药,2016,11(2):205-208,213.
[13]钟玉龙.张子和运用刺营放血疗法学术思想研究[D].广州:广州中医药大学,2017:14-15.
[14]傅佳.试探刺血疗法治病机理及临床应用[J].光明中医,2018,33(1):94-96.
[15]吕俊玲.委中穴不同放血量治疗下腰痛的即刻疗效及对表面肌电影响的临床研究[D].福州:福建中医学院,2008:16-19.
[16]许金水.刺络放血量与疗效关系初探[J].江西中医学院学报,1991,4(1):28-30.
[17]朱国祥,程子刚.环跳穴不同深度刺法治疗坐骨神经痛疗效观察[J].中国针灸,1999,19(11):679-680.
[18]李澎涛,何路军,王新月.大椎穴深浅刺法的退热效应研究[J].山东中医杂志,1989,8(4):17-18.
[19]王银平,王彩虹,杨华元,等.针刺手法刺激量定量化研究进展[J].上海针灸杂志,2006,25(4):47-50.