自血疗法治疗接触性皮炎的临床疗效观察

发布时间：2018-01-18 15:35

本文关键词：自血疗法治疗接触性皮炎的临床疗效观察　出处：《广州中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:接触性皮炎性是目前临床上的常见病、多发病,轻则影响患者的美观,给生活及工作带来不便。重者可引起严重的全身性反应,威胁患者的身心健康。治疗上,主要是预防为主,即查找出皮疹出现的原因,下次尽量避免再次接触此类物质。用药方面西医主要是使用口服抗组织胺药物、维生素C、糖皮质激素或者使用抗生素等,局部则以药物湿敷、膏药涂抹等方法。但口服药物对于患者往往或多或少会产生一定的副作用,如肝肾功能损害、嗜睡、继发药物过敏等等。自血疗法应用于痤疮、慢性荨麻疹等皮肤病方面的治疗疗效确切,但关于自血治疗接触性皮炎这一类的课题比较少,本课题通过采用自血疗法治疗接触性皮炎,并通过与常规使用西药治疗进行对照,观察自血穴位注射疗法治疗接触性皮炎的临床疗效,旨在为临床治疗接触性皮炎找到一种更为简便、安全、有效的方法。方法:本课题根据已制定的要求共收集病例60例,采用简单随机法平均分为治疗组和对照组,各30例。照组:服用地氯雷他定5mg,每日一次,12天为1个疗程。治疗组采用自血疗法:抽取患者肱部的静脉血4ml,将注射器快速刺入A组穴位(双曲池穴和双血海穴)或B组穴位(双肺俞穴和双膈俞穴),待患者感到进针局部有酸麻重胀感觉即将抽取的血液缓慢推入,每个穴位1ml左右,隔日治疗1次,A和B组穴位交替运用,12天为1个疗程。于治疗前、治疗1次及治疗结束后分别记录相关指标,通过统计软件对相关数据进行统计分析,最后得出结论。结果:在局部瘙痒及VAS评分、烧灼感评分及方面,自血疗法组在治疗前和接受第一次治疗之后有明显差异(P0.05),说明自血疗法对于瘙痒及烧灼感方面的改善起效速度比使用西药(地氯雷他定)治疗更快;在总体症状评分方面,自血疗法组和西药对照组治疗之前和治疗之后相比较差异均比较显著(P0.05),说明自血疗法或者西药对于接触性皮炎均具有比较好的治疗效果。两组间总的疗效比较无统计学差异(P0.05),说明自血疗法及西药对于接触性皮炎的总体治疗效应相差不大。结论:本研究结果表明自血疗法治疗接触性皮炎其临床疗效与西药相当,但自血疗法在改善患者瘙痒及烧灼不适感方面具有起效快的特点,相比于西药,自血疗法还具有副作用少的特点,值得临床推广。
[Abstract]:Objective: contact dermatitis is a common disease in clinic at present. It often occurs, it affects the beauty of patients, and brings inconvenience to life and work. Threat to the physical and mental health of patients. Treatment, mainly prevention, that is to find out the cause of rash, next time try to avoid contact with such substances. Western medicine is mainly used oral antihistamine drugs. Vitamin C, glucocorticoid or the use of antibiotics, etc., local use of medicine wet compress, plaster smear methods. But oral medicine for patients often more or less will produce certain side effects, such as liver and kidney function damage. Narcolepsy, secondary drug allergy and so on. Self-blood therapy applied to acne, chronic urticaria and other skin diseases is effective, but the self-blood treatment of contact dermatitis this kind of topics are less. The clinical effect of self-blood point injection therapy on contact dermatitis was observed by using self-blood therapy to treat contact dermatitis. To find a more simple, safe and effective method for clinical treatment of contact dermatitis. The patients were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with self-blood therapy: 4 ml venous blood was extracted from the brachial region of the patients. The syringe was punctured into the acupoints of group A (hyperbolic acupoints and Shuangxuehai points) or group B (Shuangfei Shu points and Shuanggeshu points). 1 ml of each acupoint was treated once every other day for 12 days alternately in group A and B. Before treatment, 1 time before treatment and after treatment, the related indexes were recorded respectively. Statistical software was used to analyze the relevant data, and finally the conclusion was drawn. Results: in the local pruritus and VAS score, burning sensation score and aspects. There was significant difference between the blood therapy group before treatment and after the first treatment (P 0.05). It shows that the self-blood therapy can improve the pruritus and burning sensation more quickly than the western medicine (desloratadine). In the overall symptom score, the blood therapy group and the Western medicine control group before and after treatment were significantly different (P 0.05). The results showed that the self-blood therapy or western medicine had better therapeutic effect on contact dermatitis. There was no statistical difference between the two groups in the total curative effect (P0.05). Conclusion: the results of this study indicate that the clinical efficacy of self-blood therapy in treating contact dermatitis is similar to that of western medicine. But the self-blood therapy has the characteristic of quick effect in improving the patients' pruritus and burning discomfort. Compared with the western medicine, the self-blood therapy has less side effects, so it is worth popularizing in clinic.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R246.7

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