消银汤和穴位埋线序贯疗法治疗寻常型银屑病的临床研究

发布时间：2018-03-26 02:29

本文选题：穴位埋线　切入点：序贯疗法　出处：《云南中医学院》2014年硕士论文

【摘要】：目的:应用消银汤和穴位埋线序贯疗法进行中医药治疗寻常型血热证银屑病，以期延长缓解期时间，防止和减少复发，降低医疗成本，提高患者生活质量。方法：按病例纳入标准选择进行期血热证的患者95例服用消银汤，进入缓解期患者按照1：1的比例随机分为治疗组和对照组。治疗组应用穴位埋线序贯疗法继续治疗，在局部麻醉下行穴位埋线一次；对照组不予任何干预措施。两组每个月电话随访1次，每2个月医患见1次面，为期半年。观察并记录两组复发率，缓解期持续时间以及两组病情PASI积分。结果：治疗观察6个月结束时，复发率比较：治疗组32例，2例复发30例未复发，复发率为6.3%；对照组30例，复发9例，21例未复发，复发率为30%；有统计学意义（P 0.05），治疗组优于对照组。缓解期维持时间：治疗组（x±s）5.880.55个月,对照组（x±s）5.361.25个月，有统计学意义（P0.05），治疗组优于对照组。病情程度方面（PASI积分）：治疗组治疗前PASI积分(x±s）为2.790.76，治疗后（x±s）为2.700.57，无统计学意义（P0.05）；对照组治疗前PASI积分（x±s）为3.371.42，治疗后（x±s）为4.321.68，有统计学意义（P0.05）。表明治疗组6个月结束时总体无加重趋势，对照组有加重趋势。结论：应用消银汤和穴位埋线序贯疗法治疗寻常型银屑病能有效降低缓解期复发率，缓解复发后皮损严重程度，延长了复发期间隔时间，，降低了缓解期时维持进行期治疗的经济成本，有效维持缓解期病情。
[Abstract]:Objective: to treat psoriasis vulgaris with traditional Chinese medicine (TCM) with Xiaoyin decoction and acupoint catgut embedding in order to prolong the time of remission, prevent and reduce recurrence, reduce medical cost and improve the quality of life of patients. Methods: 95 patients with blood heat syndrome were divided into treatment group and control group according to the proportion of 1:1 in the remission period. The treatment group was treated with sequential therapy of catgut embedding at acupoint, and the treatment group was treated with sequential therapy of catgut embedding at acupoint. The patients in the two groups were followed up by telephone once a month, the doctors and patients were seen once every 2 months for half a year. The recurrence rates of the two groups were observed and recorded. Duration of remission and PASI score of two groups. Results: at the end of 6 months after treatment, the recurrence rate was compared: 32 cases in the treatment group with recurrence in 2 cases, 30 cases in the treatment group, 30 cases in the control group, 9 cases in the control group, and 21 cases in the control group. The recurrence rate was 30% (P 0.05), the treatment group was superior to the control group. The duration of remission period was 5.880.55months in the treatment group and 5.361.25 months in the control group. The scores of PASI before treatment and after treatment in treatment group were 2.790.76 and 2.700.57 respectively, which had no statistical significance (P 0.05), and PASI scores before treatment and after treatment were 3.371.42and 4.321.68, respectively. Statistical significance (P0.05) showed that there was no trend of aggravation at the end of 6 months in the treatment group. The control group had the tendency of aggravation. Conclusion: the treatment of psoriasis vulgaris with Xiaoyin decoction and sequential therapy of catgut embedding at acupoint can effectively reduce the relapse rate, alleviate the severity of skin lesion after recurrence, and prolong the interval time of recurrence. It reduces the economic cost of maintaining the treatment during the remission period, and effectively maintains the condition during the remission period.
【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R275.9

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