Warming Needle Moxibustion For Treatment Of Arterial Stiffness Of Lower Extremities With Cold Stasis And Collateral Obstruction Clinical Research On Occlusive Disease

Objective:In this study,patients with arteriosclerosis obliterans of the lower extremities were treated with conventional treatment,plus the intervention of warm acupuncture and moxibustion with the external treatment of traditional Chinese medicine.By evaluating the symptoms and signs,pain VAS,ankle-brachial index ABI and hemorheological changes,the warm acupuncture treatment was observed.The clinical efficacy of lower extremity arteriosclerosis obliterans is expected to provide a reference for the clinical research of traditional Chinese medicine in the treatment of lower extremity arteriosclerosis obliterans,and to provide a scientific basis for enriching the treatment methods of lower extremity arteriosclerosis obliterans.Methods:This study randomly selected 80 qualified cases of cold blood stasis collateral arteriosclerosis obliterans on the basis of meeting the inclusion criteria,and randomly divided them into two groups.The control group was given conventional Western medicine treatment,and the treatment group was added to the conventional treatment group.Use warming acupuncture and moxibustion,treatment course:daily warming acupuncture treatment,30 minutes each time,1 course every 10 days,each course is 2 days apart,3 consecutive courses total 30 days.The acupuncture points are Tanzhong,Guanyuan,Qihai,Xuehai,Zhongwan,Zusanli,Yinlingquan,Hegu,and Taichong.The changes in patients with intermittent claudication,numbness,skin color,skin temperature,pain VAS,ankle-brachial index ABI and hemorheology were observed before and after treatment,and compared with the control group.All included cases were subjected to baseline analysis and safety evaluation,and all data were statistically analyzed using SPSS23 software.Results:A total of 80 cases were included in the study,74 cases completed the course of treatment,and 6 cases withdrew midway.Among them,40 cases were included in the treatment group,35 cases were completed,and 5 cases were withdrawn(3 cases withdrew due to pain intolerance;2 cases withdrawn due to poor compliance);the control group included 40 cases,with 1 case withdrawn,(1 case withdrawn due to early discharge);39 cases completed.Finally,74 cases were included in statistical analysis.During the course of the study,there were no obvious adverse reactions such as deterioration of the disease in the two groups.Before and after treatment,there were statistically significant differences between the two groups in intermittent claudication,skin color,and pain VAS scores(P<0.05),and the treatment group improved the intermittent claudication,skin color,and pain VAS scores before and after treatment.All were better than the control group(P<0.05).After treatment,there was no significant difference between the two groups in numbness,skin temperature,ankle-brachial index ABI,and hemorheology(P>0.05).Comparing the curative effect of the two groups of symptoms and signs,the total effective rate of the treatment group was 88.57%,which was significantly different from 66.67%of the control group(P<0.05).The number of adverse reactions in the two groups was not statistically significant(P>0.05).Conclusion:By selecting the points of Tanzhong,Zhongwan,Tianshu,Xuehai,Guanyuan,Zusanli,Shangxiajuxu,Hegu,Taichong,Quchi,Yinlingquan,and Taixi,combined with some external treatments of acupoint warming acupuncture,It can alleviate the clinical symptoms and signs of patients with lower extremity arteriosclerosis obliterans,improve blood viscosity,thereby improve the quality of life of patients,and effectively achieve the goals of clinical treatment.