“从络论治”视角探讨中医外治法与循序减压法治疗下肢静脉曲张的研究进展
摘要
下肢静脉曲张是由于下肢静脉回流障碍而引发的病变,目前西医治疗下肢静脉曲张主要以微创手术为主,但存在并发症多、复发率高等问题。下肢静脉曲张属于中医学"筋瘤"范畴,脉络瘀阻是导致其发生、发展的重要原因。该文拟通过"从络论治"角度对中医外治法与循序减压法治疗下肢静脉曲张进行论述,以期为今后治疗研究提供参考。
引文
[1] Yamany A,hamdy B.Effect of sequential pneumatic compression therapy on venous blood velocity,refilling time,pain and quality of life in women with varicose veins:a randomized control study[J].J Phys Ther Sci,2016,28(7):1981.
[2] Rabe E,Berboth G,Pannier F.Epidemiology of chronic venous diseases[J].Wien Med Wochenschr,2016;166(9-10):260.
[3] Pavlovic MD,Schuller-Petrovic S,Pichot O,et al.Guidelines of the First International Consensus Conference on Endovenous Thermal Ablation for Varicose Vein Disease--ETAV Consensus Meeting 2012[J].Phlebology,2015,30(4):257.
[4] Milleret R,Huot L,Nicolini P,et al.Great saphenous vein ablation with steam injection:results of a multicentre study[J].Eur J Vasc Endovasc Surg,2013,45(4):391.
[5] Biemans AA,Kockaert M,Akkersdijk GP,et al.Comparing endovenous laser ablation,foam sclerotherapy,and conventional surgery for great saphenous varicose veins[J].J Vasc Surg,2013,58(3):727.
[6] 陈奎铭,王小平,王珊珊,等.中医外治法结合微波腔内闭合术治疗下肢静脉曲张伴溃疡[J].中国中西医结合外科杂志,2017,23(2):128.
[7] 王丽晨,储开昀,曾琳,等.贺氏火针疗法治疗原发性下肢静脉曲张:随机对照研究[J].中医针灸,2016,36(3):231.
[8] 黄谊.中药汤剂联合西药治疗下肢静脉曲张的效果与安全性分析[J].辽宁中医杂志,2017,44(6):1242.
[9] 田珂.益气活血汤联合活血通络丸治疗单纯性下肢浅静脉曲张52例[J].光明中医,2017,32(22):3257.
[10] 苏福巧,刘保义.益气化瘀方内服对下肢静脉曲张微创术后并发症发生的防治[J].中医药临床杂志,2018,30 (4):748.
[11] 张慧民.中西医结合治疗下肢静脉曲张的疗效观察[J].湖北中医药大学学报,2016,18(6):70.
[12] 田勇飞,彭金军.泡沫硬化联合化瘀散结方外敷治疗下肢静脉曲张临床研究[J].陕西中医,2018,39(2):223.
[13] 瞿真,邓大一.四妙汤配合中药外敷对大隐静脉曲张伴静脉炎围手术期的疗效分析[J].中医中药,2018,16(2):111.
[14] 吴章,吴玉泉,刘莺.中药内服外用治疗下肢静脉曲张硬化剂注射术后复发病例疗效观察[J].中医临床研究,2015,7(10):76.
[15] 吴以岭,魏聪,贾振华,等.脉络学说概要及其应用[J].中医杂志,2014,03(55):181.
[16] 王显,王永炎.对“络脉、病络与络病”的思考与求证[J].北京中药大学学报,2015,9(38):581.
[17] 吴以岭.脉络学说构建及其指导血管病变防治研究[J].中国中西医结合杂志,2017,2(37):147.
[18] 吴以岭,赵珊珊,魏聪.“脉络—血管系统病”调和营卫气血用药规律及常用通络药物[J].疑难病杂志,2018,3 (17):282.
[19] Depopas E,Brown M.Varicose Veins and Lower Extremity Venous Insufficiency[J].Semin intervent Radiol,2018,35(1):56.
[20] Spinedi L,Uthoff H,Partovi S,et al.Varicosities of the lower extremity,new approaches:cosmetic or therapeutic needs[J].Swiss Med Wkly,2016,146:w14360.
[21] Raines JK,Almeida JI.Role of Physiologic Testing in Venous Disorders in:Bergan JJ The Vein Book(1st ed)[M],Waltham:Academic Press,2006:47.
[22] Chwala M,Szczeklik W,Szczeklik M,et al.Varicose veins of lower extremities,hemodynamics and treatment methods[J].Adv Clin Exp Med,2015,24(1):5.
[23] 冯志刚,杨雨民,申玄三,等.医用弹力袜在大隐静脉曲张术后的应用价值[J].临床与实践,2014,12(10):28.
[24] 中华医学会外科学分会血管外科学组.慢性下肢静脉疾病诊断与治疗中国专家共识[J].中国血管外科杂志(电子版),2014,6(3):143.
[25] Ratliff CR,Yates S,McNichol L,et al.Compression for Primary Prevention,Treatment,and Prevention of Recurrence of Venous Leg Ulcers:An Evidence-and Consensus-Based Algorithm for Care Across the Continuum[J].J Wound Ostomy Continence Nurs,2016,43(4):347.
[2] Rabe E,Berboth G,Pannier F.Epidemiology of chronic venous diseases[J].Wien Med Wochenschr,2016;166(9-10):260.
[3] Pavlovic MD,Schuller-Petrovic S,Pichot O,et al.Guidelines of the First International Consensus Conference on Endovenous Thermal Ablation for Varicose Vein Disease--ETAV Consensus Meeting 2012[J].Phlebology,2015,30(4):257.
[4] Milleret R,Huot L,Nicolini P,et al.Great saphenous vein ablation with steam injection:results of a multicentre study[J].Eur J Vasc Endovasc Surg,2013,45(4):391.
[5] Biemans AA,Kockaert M,Akkersdijk GP,et al.Comparing endovenous laser ablation,foam sclerotherapy,and conventional surgery for great saphenous varicose veins[J].J Vasc Surg,2013,58(3):727.
[6] 陈奎铭,王小平,王珊珊,等.中医外治法结合微波腔内闭合术治疗下肢静脉曲张伴溃疡[J].中国中西医结合外科杂志,2017,23(2):128.
[7] 王丽晨,储开昀,曾琳,等.贺氏火针疗法治疗原发性下肢静脉曲张:随机对照研究[J].中医针灸,2016,36(3):231.
[8] 黄谊.中药汤剂联合西药治疗下肢静脉曲张的效果与安全性分析[J].辽宁中医杂志,2017,44(6):1242.
[9] 田珂.益气活血汤联合活血通络丸治疗单纯性下肢浅静脉曲张52例[J].光明中医,2017,32(22):3257.
[10] 苏福巧,刘保义.益气化瘀方内服对下肢静脉曲张微创术后并发症发生的防治[J].中医药临床杂志,2018,30 (4):748.
[11] 张慧民.中西医结合治疗下肢静脉曲张的疗效观察[J].湖北中医药大学学报,2016,18(6):70.
[12] 田勇飞,彭金军.泡沫硬化联合化瘀散结方外敷治疗下肢静脉曲张临床研究[J].陕西中医,2018,39(2):223.
[13] 瞿真,邓大一.四妙汤配合中药外敷对大隐静脉曲张伴静脉炎围手术期的疗效分析[J].中医中药,2018,16(2):111.
[14] 吴章,吴玉泉,刘莺.中药内服外用治疗下肢静脉曲张硬化剂注射术后复发病例疗效观察[J].中医临床研究,2015,7(10):76.
[15] 吴以岭,魏聪,贾振华,等.脉络学说概要及其应用[J].中医杂志,2014,03(55):181.
[16] 王显,王永炎.对“络脉、病络与络病”的思考与求证[J].北京中药大学学报,2015,9(38):581.
[17] 吴以岭.脉络学说构建及其指导血管病变防治研究[J].中国中西医结合杂志,2017,2(37):147.
[18] 吴以岭,赵珊珊,魏聪.“脉络—血管系统病”调和营卫气血用药规律及常用通络药物[J].疑难病杂志,2018,3 (17):282.
[19] Depopas E,Brown M.Varicose Veins and Lower Extremity Venous Insufficiency[J].Semin intervent Radiol,2018,35(1):56.
[20] Spinedi L,Uthoff H,Partovi S,et al.Varicosities of the lower extremity,new approaches:cosmetic or therapeutic needs[J].Swiss Med Wkly,2016,146:w14360.
[21] Raines JK,Almeida JI.Role of Physiologic Testing in Venous Disorders in:Bergan JJ The Vein Book(1st ed)[M],Waltham:Academic Press,2006:47.
[22] Chwala M,Szczeklik W,Szczeklik M,et al.Varicose veins of lower extremities,hemodynamics and treatment methods[J].Adv Clin Exp Med,2015,24(1):5.
[23] 冯志刚,杨雨民,申玄三,等.医用弹力袜在大隐静脉曲张术后的应用价值[J].临床与实践,2014,12(10):28.
[24] 中华医学会外科学分会血管外科学组.慢性下肢静脉疾病诊断与治疗中国专家共识[J].中国血管外科杂志(电子版),2014,6(3):143.
[25] Ratliff CR,Yates S,McNichol L,et al.Compression for Primary Prevention,Treatment,and Prevention of Recurrence of Venous Leg Ulcers:An Evidence-and Consensus-Based Algorithm for Care Across the Continuum[J].J Wound Ostomy Continence Nurs,2016,43(4):347.