郭玉峰主任医师运用毫火针排针浅刺法治疗慢性湿疹临床疗效观察

发布时间：2018-01-07 02:01

本文关键词：郭玉峰主任医师运用毫火针排针浅刺法治疗慢性湿疹临床疗效观察　出处：《北京中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：研究背景:湿疹是由多种内外因素引起的、有明显渗出倾向的皮肤炎症反应,是临床常见皮肤病,慢性湿疹具有剧烈瘙痒,反复发作等特点,给患者的生活造成极大困扰。研究目的:郭玉峰主任医师运用"毫火针排针浅刺法"治疗慢性湿疹5年,治疗患者众多,效果确切、反应良好。本课题设计研究方案,旨在对毫火针排针浅刺法治疗慢性湿疹进行系统性疗效观察,明确该疗法对慢性湿疹的临床疗效,并初步总结郭玉峰主任医师运用毫火针排针浅刺法治疗慢性湿疹的经验。研究方法:研究对象来自于2016年7月至2017年4月就诊于中国中医科学院广安门医院针灸科门诊的慢性湿疹患者30例,采用前后自身对照的研究方法,使用毫火针浅刺皮损部位,1周2次,治疗4周(8次)后进行总结,收集治疗前,治疗第2天,和全部治疗结束后第3天数据,将其于治疗前进行评估对比。分别通过湿疹面积及严重度指数(Eczema Area and Severity Index,EASI),直观模拟标尺法(Visual Analogue Scale,VAS)评价患者的临床症状及瘙痒程度。研究结果:1.全部30例患者中,痊愈2例(6.7%),显效13例(43.3%),好转15例(50%),无效0例,总有效率为100%。2.治疗前与治疗后VAS评分相比较,VAS评分好转,差异显著(P0.01),说明毫火针治疗慢性湿疹可明显改善患者瘙痒程度,3.治疗前基数与治疗第2天相比较,VAS评分降低,差异显著(P0.01),说明毫火针缓解慢性湿疹瘙痒起效时间快,施术1天后即可起效。4.治疗第2天和治疗结束后的EASI评分,与治疗前基数比较,EASI评分持续降低,差异显著(P0.01),治疗第2天和治疗结束后的EASI评分相比较(P0.01),有显著性差异,说明毫火针治疗慢性湿疹可持续的,明显的改善患者EASI评分。5.治疗前和治疗结束后相比,皮损面积积分降低,有显著性差异(P0.01),说明毫火针治疗慢性湿疹可明显减少患者的皮损面积。6.治疗前基数和治疗结束后相比,皮损严重程度好转,有显著性差异(P0.01),说明毫火针治疗慢性湿疹可明显的减轻患者皮损严重程度。7.治疗第2天与治疗结束的VAS相比较,VAS评分升高,差异显著(P0.01),表明毫火针施术后止痒效果快,但是会有一定的反复。8.治疗前与治疗第2天的皮损严重程度和皮损面积积分比较,无统计学差异(P0.05),说明治疗1天无法改善患者的皮损严重程度和皮损面积。研究结论:毫火针排针浅刺法是郭玉峰主任医师在传统火针疗法的基础上经过临床不断尝试、反馈、修正后固定形成的一种新型火针刺法,具有工作效率高,安全性高的优势。毫火针排针浅刺发治疗慢性湿疹可同时发挥缓解瘙痒、皮损修复的功效,且起效迅速,有效缓解患者痛苦,降低医疗成本,操作安全可靠,值得推广。
[Abstract]:Background: eczema is caused by a variety of internal and external factors, has a clear tendency to exudate skin inflammation, is a common clinical skin disease, chronic eczema has the characteristics of severe pruritus, recurrent attacks and so on. To the patient's life cause great trouble. Objective: the chief physician Guo Yufeng used "Needle Needle shallow needling method" to treat chronic eczema for 5 years, there are many patients treated, the effect is accurate. The purpose of this study is to observe the systemic curative effect of the treatment of chronic eczema and to make clear the clinical effect of this therapy on chronic eczema. The experience of Director Guo Yufeng in the treatment of chronic eczema was preliminarily summarized. The subjects of this study were 30 patients with chronic eczema from July 2016 to April 2017 in Department of Acupuncture and moxibustion Department of Guang'an Men Hospital of Chinese Academy of traditional Chinese Medicine. The method of self-control before and after treatment was used. The lesions were treated with light fire needle twice a week and 8 times in 4 weeks). Before and after treatment, the patients were collected and treated on the second day. And 3 days after treatment. The eczema Area and Severity index (EASI) was evaluated and compared before treatment. Visual Analogue scale was used to evaluate the clinical symptoms and the degree of pruritus. The total effective rate was 100. 2. The total effective rate was 100. 2. The total effective rate was 100. 2. The total effective rate was 100. 2. The VAS score was compared before and after treatment. The difference of VAS score was significant (P 0.01), which indicated that the pruritus degree of patients with chronic eczema could be significantly improved by the treatment of Needle Fire Needle. 3. The baseline before treatment was lower than that on the 2nd day after treatment. The difference was significant (P 0.01), which indicated that the time of relieving chronic eczema pruritus with fire needle was faster, and the effect could be taken after 1 day. 4. The EASI score of the second day of treatment and the end of treatment. Compared with the baseline before treatment, the scores of EASI were significantly lower than those before treatment (P 0.01), and the scores of EASI on the second day of treatment and the end of treatment were significantly different (P 0.01). The results showed that the treatment of chronic eczema with Needle Needle could significantly improve the EASI score of patients with chronic eczema. Compared with the end of treatment, the score of lesion area was lower than that before treatment, and there was a significant difference (P 0.01). It shows that the treatment of chronic eczema can significantly reduce the area of skin lesions. 6. The cardinal number before treatment and after treatment, the severity of skin lesions improved, there was a significant difference (P 0.01). The results showed that the treatment of chronic eczema with Needle Fire could significantly reduce the severity of skin lesions. Compared with the end of treatment on the second day of treatment, the VAS score increased significantly (P 0.01). The results showed that the antipruritic effect was quick, but there would be a certain number of repeated .8. there was no statistical difference between the severity of skin lesion and the score of lesion area before treatment and the second day of treatment (P 0.05). The result shows that the treatment for one day can not improve the severity of skin lesions and the area of skin lesions. Conclusion: the shallow needling method is based on the traditional fire needle therapy by Director Guo Yufeng through the clinical trial and feedback. A new type of fire acupuncture method formed by modified fixation has the advantages of high working efficiency and high safety. The treatment of chronic eczema with shallow needling can play the role of relieving pruritus and repairing skin lesions. And the effect is quick, the effective relief patient pain, reduces the medical treatment cost, the operation is safe and reliable, is worth popularizing.
【学位授予单位】：北京中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R249;R246.7

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