Clinical observations in treatment of lower extremity varicose veins with trigger points acupuncture

被引:4
作者
Liu, Lin [1 ,2 ]
Wu, Zong-Hui [3 ]
Huang, Qiang-Min [2 ,4 ,7 ]
Liu, Qing-Guang [5 ]
Wang, Li-Na [6 ]
Jin, Xiao-Hong [6 ]
机构
[1] Nanjing Sport Inst, Sch Sport & Hlth, Nanjing, Jiangsu, Peoples R China
[2] Shanghai Univ Sport, Sch Sport Sci, Shanghai, Peoples R China
[3] Southwest Univ Hosp, Chongqing, Peoples R China
[4] Yiyang Tradit Chinese Med Clin, Dept Pain Rehabil, Shanghai, Peoples R China
[5] Tongji Univ, Int Coll Football, Shanghai, Peoples R China
[6] Soochow Univ, Dept Anesthesiol & Pain Management, Affiliated Hosp 1, Suzhou, Jiangsu Provinc, Peoples R China
[7] Shanghai Univ Sport, 188 Hengren Rd, Shanghai 200438, Peoples R China
基金
中国国家自然科学基金;
关键词
Lower extremity varicose veins; trigger points; acupuncture; fascia; ENDOVENOUS LASER-ABLATION; STANDARD; SURGERY; TRIAL;
D O I
10.1177/02683555231198615
中图分类号
R61 [外科手术学];
学科分类号
摘要
Objectives: To observe the effect of the acupuncture of myofascial trigger points (MTrPs) in the treatment of lower extremity varicose veins (LEVVs). Methods: Overall, 260 patients with LEVVs participated in this study. LEVVs were selected based on diagnostic criteria of Clinical, Etiology, Anatomy, and Pathophysiology levels 2-5 and classified into six types on the basis of their anatomical positions. The MTrPs in the lower extremities were localized in accordance with the classification of LEVVs and treated by MTrPs acupuncture combined with self-massage and self-stretching. The interval between each treatment was 2 weeks to 1 month, depending on needling pain tolerance of each patient. An in-house evaluation was used to estimate the proportion of varicose veins in the lower limbs and their accompanying symptoms. The treatment effect was evaluated before each treatment and at 1-year follow-up. Results: The mean evaluation score of LEVVs before the treatment course was 3.66 +/- 1.19. After the course, this reduced to 1.18 +/- 0.97, with the following response rates: 85% for excellent and good and 15% for medium. After 1-year follow-up, the mean evaluation score of all patients was 1.11 +/- 0.92, with the following response rates: 87% for excellent and good, and 13% for medium. Conclusions: In some patients, MTrP acupuncture could cure LEVVs and its accompanying symptoms. These LEVVs are probably caused by fascia tension as a pre-pathology induced by the MTrPs.
引用
收藏
页码:675 / 682
页数:8
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