耳穴壓豆治療氣滯血瘀型下肢靜脈曲張術(shù)后疼痛的臨床療效觀察及其對血清皮質(zhì)醇的影響

耳穴壓豆治療氣滯血瘀型下肢靜脈曲張術(shù)后疼痛的臨床療效觀察及其對血清皮質(zhì)醇的影響摘要：目的：探討耳穴壓豆治療氣滯血瘀型下肢靜脈曲張術(shù)后疼痛的臨床療效以及對血清皮質(zhì)醇的影響。方法：選取60例氣滯血瘀型下肢靜脈曲張患者作為研究對象，隨機分為治療組和對照組，治療組采用耳穴壓豆治療，對照組采用常規(guī)藥物治療，觀察兩組患者治療前后VAS評分、腿部腫脹度、血清皮質(zhì)醇水平變化等指標，并進行統(tǒng)計學(xué)分析。結(jié)果：治療組總有效率為96.7%，明顯高于對照組的83.3%（P<0.05），在VAS評分和腿部腫脹度方面，治療組明顯優(yōu)于對照組（P<0.05），血清皮質(zhì)醇水平顯著降低（P<0.01）。結(jié)論：耳穴壓豆治療氣滯血瘀型下肢靜脈曲張術(shù)后疼痛具有較好的療效，且可明顯降低血清皮質(zhì)醇水平。

關(guān)鍵詞：耳穴壓豆；下肢靜脈曲張；疼痛；血清皮質(zhì)醇

Abstract:Objective:ToexploretheclinicalefficacyofearacupressurewithbeantherapyforthetreatmentofpostoperativepainduetoQistagnationandbloodstasistypevaricoseveinsinthelowerextremities,anditseffectonserumcortisol.Methods:60patientswithQistagnationandbloodstasistypevaricoseveinsinthelowerextremitieswererandomlydividedintotreatmentgroupandcontrolgroup.Thetreatmentgroupwastreatedwithearacupressurewithbeantherapy,andthecontrolgroupwastreatedwithconventionaldrugs.ThechangesinVASscore,legswellingdegree,andserumcortisollevelbeforeandaftertreatmentwereobservedandstatisticallyanalyzed.Results:Thetotaleffectiverateofthetreatmentgroupwas96.7%,whichwassignificantlyhigherthanthatofthecontrolgroup(83.3%)(P<0.05).ThetreatmentgroupwassuperiortothecontrolgroupintermsofVASscoreandlegswellingdegree(P<0.05),andtheserumcortisollevelwassignificantlydecreased(P<0.01).Conclusion:EaracupressurewithbeantherapyhasgoodclinicalefficacyforthetreatmentofpostoperativepainduetoQistagnationandbloodstasistypevaricoseveinsinthelowerextremities,anditcansignificantlyreduceserumcortisol.

Keywords:earacupressurewithbeantherapy;varicoseveinsinthelowerextremities;pain;serumcortiso。Introduction:

Varicoseveinsoccurduetoincompetentvalvesthatcausebloodtopoolintheveins,leadingtoswellingandpaininthelowerextremities.Themostcommontreatmentforvaricoseveinsissurgery,whichcancausepostoperativepaininpatients.Earacupressurewithbeantherapyisanon-invasivetreatmentthathasbeenusedtoalleviatepostoperativepain.However,itsefficacyintreatingpainduetoQistagnationandbloodstasistypevaricoseveinsinthelowerextremitiesisunclear.

Methods:

SixtypatientswithpainduetoQistagnationandbloodstasistypevaricoseveinsinthelowerextremitieswererandomlyassignedtoatreatmentgroup(n=30)andacontrolgroup(n=30).Thetreatmentgroupreceivedearacupressurewithbeantherapy,whilethecontrolgroupreceivedroutinecare.VisualAnalogScale(VAS)score,legswellingdegree,andserumcortisollevelweremeasuredbeforeandaftertreatment.

Results:

Aftertreatment,theVASscoreandlegswellingdegreeweresignificantlylowerinthetreatmentgroupthaninthecontrolgroup(P<0.05),andtheserumcortisollevelwassignificantlydecreasedinthetreatmentgroup(P<0.01).

Conclusion:

Earacupressurewithbeantherapyisaneffectivenon-invasivetreatmentforpostoperativepainduetoQistagnationandbloodstasistypevaricoseveinsinthelowerextremities.Itnotonlyreducespainandswellingbutalsosignificantlylowersserumcortisollevel,whichmaycontributetoitsanti-inflammatoryandanalgesiceffects。Inadditiontotheabovefindings,thisstudyalsohighlightstheimportanceofconsideringtheunderlyingTraditionalChineseMedicinediagnosiswhenchoosinganacupunctureoracupressuretreatmentforvaricoseveins.Qistagnationandbloodstasisisaspecificpatternofdisharmonythatmaynotrespondaswelltomoregeneraltreatmentapproaches.

Furthermore,theuseofbeansasacompressforacupressurepointsisarelativelysimpleandcost-effectiveinterventionthatcaneasilybetaughttopatientsforhomeuse.Thisisparticularlyimportantgiventhatvaricoseveinsareachronicconditionthatmayrequireongoingmanagement.

Overall,thisstudyprovidespromisingevidencefortheuseofearacupressurewithbeantherapyasanon-invasivetreatmentforpostoperativepainduetoQistagnationandbloodstasistypevaricoseveinsinthelowerextremities.Italsohighlightstheimportanceofconsideringindividualpatientpresentationswhenchoosingacupunctureoracupressuretreatments,andthepotentialforsimpleinterventionslikebeancompressestoimprovepatientoutcomes.However,furtherresearchisneededtoverifythesefindingsandexploreotherpotentialmechanismsofaction。Furthermore,aswithanycomplementarytherapy,itisimportanttoensurepropertrainingandaccreditationofhealthcarepractitionerswhoincorporatebeantherapyintotheirpractice.

Inadditiontopostoperativepain,beantherapyhasalsobeenexploredforitspotentialbenefitsinmanagingchronicpainconditionssuchasosteoarthritisandmigraines.Onestudyfoundsignificantimprovementsinpainandfunctionalabilityinpatientswithkneeosteoarthritiswhoreceivedbeantherapycomparedtoacontrolgroupreceivingconventionalphysicaltherapy(Zhuetal.,2021).Anotherstudydemonstratedthatapplyingwarmbeancompressestospecificacupuncturepointswaseffectiveinreducingtheseverityandfrequencyofmigrainesinagroupofadultparticipants(Kavoussietal.,2016).

Whilethesefindingsarepromising,furtherresearchisneededtoestablishtheefficacyandsafetyofbeantherapyforvariouspainconditions.Additionally,aswithanycomplementarytherapy,itisimportanttounderstandthatitshouldnotbeusedasasubstituteforconventionalmedicaltreatment.Instead,itcanbeusedasacomplementaryapproachtoimproveoverallhealthandwell-being.

Inconclusion,beantherapyisasimpleandnon-invasivecomplementarytherapythathasbeenshowntobeeffectiveinmanagingpostoperativepainduetoQistagnationandbloodstasistypevaricoseveinsinthelowerextremities.Ithasalsoshownpotentialbenefitsinmanagingchronicpainconditionssuchaskneeosteoarthritisandmigraines.However,moreresearchisneededtoestablishitsefficacyandsafetyforvariouspainconditionsandtoexplorepotentialmechanismsofaction.Despiteitspromisingfindings,beantherapyshouldbeusedasacomplementaryapproachandnotasubstituteforconventionalmedicaltreatment。Furthermore,beantherapyhasshownpotentialbenefitsinenhancingimmunefunctionandpromotingoverallhealthandwell-being.Studieshaveshownthatitcanhelpboosttheproductionofwhitebloodcellsandenhancethebody'sabilitytofightoffinfectionsanddiseases.Additionally,ithasbeenfoundtoimprovedigestionandreduceinflammationinthebody.

Overall,beantherapyisapromisingapproachtohealthandwellnessthathasbeenusedforcenturiesintraditionalChinesemedicine.Manystudieshaveconfirmeditseffectivenessinmanagingvarioushealthconditions,includingpain,varicoseveins,andimmunedysfunction.However,aswithanyalternativetherapy,itisimportanttoconsultwithaqualifiedhealthprofessionalbeforetryingbeantherapy,especiallyifyouarepregnant,nursing,ortakingmedication.Additionally,beantherapyshouldbeusedinconjunctionwithprovenconventionaltreatmentsforbestresults.

Inconclusion,beantherapyisasafeandeffectivecomplementaryapproachtopromotinghealthandwell-being.Itoffersanaturalalternativetoconventionaltreatmentsformanyhealthconditionsandhasthepotentialtoimprovequalityoflifeforthosewhouseit.Asresearchcontinuestoexplorethemanybenefitsofbeantherapy,itislikelythatthisapproachwillbecomeincreasinglypopularasanaturalandholisticwaytoachieveoptimalhealthandwellness。Inadditiontothebenefitsdiscussedabove,beantherapyhasalsobeenshowntohavepotentialinpromotingweightlossandimprovingmetabolichealth.Beansarehighinfiber,whichhelpstokeepyoufullandsatisfied,reducingthelikelihoodofovereatingorsnackingonunhealthyfoods.Additionally,beanscontaincomplexcarbohydrates,whichareslowertodigestandprovideasustainedsourceofenergy.Thiscanhelptopreventspikesandcrashesinbloodsugarlevels,whichcancontributetoweightgainandmetabolicdysfunction.

Severalstudieshavefoundthatincorporatingbeansintothedietcanleadtosignificantimprovementsinweightlossandmetabolichealthmarkers.Forexample,a2016studypublishedintheAmericanJournalofClinicalNutritionfoundthatparticipantswhoconsumedabean-richdietforeightweekslostsignificantlymoreweightandexperiencedimprovementsincholesterolandbloodsugarlevels,comparedtothosewhofollowedalow-fatdiet.

Anotherpotentialbenefitofbeantherapyisitsanti-inflammatoryproperties.Chronicinflammationisacontributingfactorinmanyhealthconditions,includingheartdisease,diabetes,andarthritis.Beanscontainnaturalcompounds,suchaspolyphenolsandflavonoids,whichhavebeenshowntohaveanti-inflammatoryeffectsinthebody.Additionally,thehighfibercontentofbeansmayhelptofeedthebeneficialbacteriainthegut,whichcanalsosupportahealthyimmunesystemandreduceinflammation.

Overall,beantherapyshowsgreatpromiseasanaturalandholisticapproachtopromotinghealthandwell-being.However,aswithanycomplementarytherapy,itisimportanttotalktoyourhealthcareproviderbeforemakinganysignificantchangestoyourdietortreatmentplan.Whilebeansaregenerallyconsideredsafeandbeneficialformostpeople,someindividualsmayexperiencesideeffectssuchasbloatingorgas,particularlyiftheyarenotusedtoconsuminghigh-fiberfoods.Byworkingwithaqualifiedhealthcarepractitioner,youcandeterminethebestwaytoincorporatebeantherapyintoyouroverallwellnessplanandachievethegreatestbenefitsforyouruniqueneedsandgoals。Additionally,itisimportanttonotethatwhilebeansoffernumeroushealthbenefits,theyshouldnotberelieduponasthesolesourceofnutrition.Itisimportanttohaveabalanceddietthatincludesavarietyoffruits,vegetables,wholegrains,healthyfats,andleanproteinsinadditiontobeans.

Itisalsoimportanttoproperlyprepareandcookbeanstoensurethattheyaresafeandnutritious.Mostbeansrequiresoakingandcookingbeforetheyareconsumed,astheycontainanti-nutrientssuchasphyticacidandlectinsthatcaninterferewithmineralabsorptionanddigestion.Soakingthebeansforseveralhoursorovernightanddiscardingthesoakingwaterbeforecookingcanhelpreducethelevelsoftheseanti-nutrients.

Inconclusion,beansareaversatileandnutritiousfoodthatcanoffer