摘要
目的探讨体质辨识与局部辨证相结合治疗下肢静脉功能不全的疗效。方法 438例下肢静脉功能不全患者按患者意愿分别进入中药组(123例)和西药组(315例)。中药组患者进行体质辨识,体质偏颇明显者按照体质确定基础方;体质偏颇不明显以及平和质患者则局部辨证进行治疗。西药组CEAP分级C0-C3级者口服草木犀流浸液片或地奥司明片,C4-C5级口服脉血康胶囊或银杏叶滴丸,C6级患者在上述基础上适当选用抗生素口服或静脉滴注。观察中药组不同体质及不同证型患者CEAP分级情况,比较两组患者治疗前后静脉疾病临床严重度评分(VCSS)。结果中药组患者体质主要以血虚质为主,C2-C6级主要体质分别为血虚质、气虚质、血虚质、血虚质或阴虚质、热盛质。共77例患者进行证型分类,以湿热下注和血虚风燥为主,C2-C6级主要证型分别为湿热下注、肝(气)郁化火、血虚风燥(盛)、血虚风燥(盛)、湿热下注。各级两组治疗前后VCSS评分组内比较,差异均有统计学意义(P<0.01);治疗后C4-C6级中药组患者VCSS评分均较同级别的西药组明显降低(P<0.05或P<0.01)。结论体质辨识与局部辨证相结合治法能明显改善下肢静脉功能不全患者病情,尤其对CEAP分级中C4-C6级别患者疗效更优。
Objective To study for venous insufficiency. Methods cine group （ 123 cases） and western m the efficacy Totally 438 of physique differentiation combined with syndrome differentiation cases of venous insuffici edicine group （ 315 cases） according tification was conducted in the Chinese medicine group. The patients with ency were divided into the Chinese to the intention of patients. Physical obvious biased physique were given mediidenbasicformula according to physique differentiation. The patients without obvious biased physique or with placid constitution were treated on the basis of syndrome differentiation. According to the Clinical-Etiology-Anatomy-Pathophysiology （CEAP） classification, CO - C3 patients in the western medicine group were orally taken Melilotus Extract Tablets orDiosmin Tablets, C4 -C5 patients were orally taken Maixuekang Capsules or Ginkgo biloba Dripping Pills, and C6 patients were orally taken or intravenously infused antibiotics. The CEAP classification of patients with different physique and syndrome was observed in the Chinese medicine group. The Venous Clinical Severity Score （VCSS） wascompared before and after treatment in both groups. Results mainly with blood deficiency physique. The C2 - C6 patients were The patients in the Chinese medicine group were mainly with blood deficiency physique, qi deficiency physique, blood deficiency physique, blood deficiency physique or yin deficiency physique and intense heat physiquein turn. Totally 77 patients were classified by TCM syndromes. The common TCM syndromes were dampness-heat flowing downward and blood-deficiency wind-dryness. The common TCM syndromes in C2 -C6 patients were damp- ness-heat flowing downward, liver （qi） stagnation transforming into fire, blood-deficiency wind-dryness, blood-deft-ciency wind-dryness and dampness-heat flowing and after treatment in VCSS in both groups （P the VCSS of C4 - C6 patients were significantly downward in turn. There 〈0. 01 ）. Comparing with were significant differences bet
出处
《中医杂志》
CSCD
北大核心
2014年第12期1034-1037,共4页
Journal of Traditional Chinese Medicine
关键词
下肢静脉功能不全
体质辨识
中医辨证
venous insufficiency
physique identification
TCM syndrome differentiation
