火针密刺治疗慢性湿疹疗效观察

发布时间：2018-07-03 14:17

本文选题：火针 + 慢性湿疹　；参考：《广州中医药大学》2016年硕士论文

【摘要】：目的：通过火针密刺治疗慢性湿疹的疗效观察,探究火针作用机理,为火针治疗慢性湿疹提供临床依据,。方法：本研究通过收集在2015年2月至2016年2月时间段在广州中医药大学第一附属医院针灸科和皮肤科就诊的符合慢性湿疹诊断标准和课题纳入标准的60例患者作为研究对象,随机分配治疗组30例和对照组30例。治疗组予火针密刺湿疹皮损部位,1周治疗3次；对照组根据湿疹部位予外涂卤米松乳膏,1天1次,两组疗程均为3周。3周后观察两组湿疹皮损情况,根据湿疹面积及严重度指数(Eczema area and severity index,简称EASI)量表统计病例治疗前后情况数据。在治疗结束一个月后电话随访痊愈患者,收集两种疗法的复发情况。通过近期疗效、长期疗效、复发情况三方面指标去评价火针治疗慢性湿疹的临床疗效。成果：治疗组30例与对照组30例完成本研究试验,两组患者在年龄、病程、皮损严重程度的差异无统计学意义(p0.05),两组在性别上的差异无统计学意义(x2=0.287,p=0.789),即两组慢性湿疹患者具有可比性。EASI积分评价上,治疗组治疗前EASI积分13.89±5.00,治疗后积分3.22±3.05；对照组治疗前EASI积分13.65±5.59,治疗后积分5.66±5.27,组内治疗前后疗效经配对样本t检验,均p0.01,治疗前后疗效有明显统计学意义,说明火针和卤米松乳膏治疗慢性湿疹都有显著疗效。而治疗组治疗后积分与对照组比较,经独立样本t检验,p=0.033(p0.05),说两组疗效有统计学差异,火针治疗慢性湿疹疗效优于卤米松乳膏。疗效评价上,治疗组痊愈8例,显效12例,有效7例,无效3例,总好转率为90%；对照组中痊愈5例,显效13例,有效6例,无效6例,总好转率为80%。治疗组与观察组疗效经过秩和检验得：p=0.030(p0.05),说明两组疗效差异有统计学意义,即火针治疗慢性湿疹疗效优于卤米松乳膏。在疗程结束后一个月电话随访中,治疗组痊愈8例中无复发情况,对照组痊愈5例中有2例复发,可知火针对于慢性湿疹患者的长期疗效优于卤米松乳膏。结论：治疗组火针治疗慢性湿疹疗效优于对照组卤米松乳膏,能明显减轻患者湿疹的病情,可为慢性湿疹患者多提供一种治疗手段,该疗法值得临床上加以推广。
[Abstract]:Objective: to investigate the mechanism of fire acupuncture in the treatment of chronic eczema and to provide clinical basis for fire acupuncture treatment of chronic eczema. Methods: from February 2015 to February 2016, 60 patients with chronic eczema who met the diagnostic criteria and subject inclusion criteria in the Department of Acupuncture and Dermatology, first affiliated Hospital of Guangzhou University of traditional Chinese Medicine, were collected as subjects. 30 cases in the treatment group and 30 cases in the control group were randomly assigned. In the treatment group, the skin lesions of the eczema were treated with fire acupuncture for 3 times a week, and the patients in the control group were treated with halogen milisone cream once a day according to the site of eczema. The course of treatment in both groups was 3 weeks and 3 weeks later, the lesions of eczema were observed in both groups. According to eczema area and severity index (EASI), the data of cases before and after treatment were analyzed. A month after the end of treatment, the patients were followed up by telephone and the recurrence of both treatments was collected. To evaluate the clinical efficacy of fire acupuncture in treating chronic eczema by three indexes: short-term curative effect, long-term curative effect and recurrence. Results: 30 cases in the treatment group and 30 cases in the control group completed the study. There was no significant difference in the severity of skin lesions between the two groups (p0.05), and there was no significant difference in sex between the two groups (x20.287, p0.789). That is to say, the scores of EASI before and after treatment were 13.89 卤5.00 before treatment and 3.22 卤3.05 after treatment in the two groups. The scores of EASI before and after treatment in the control group were 13.65 卤5.59 and 5.66 卤5.27 respectively. After treatment, the curative effect of the control group was tested by paired sample t test (p0.01). The curative effect was statistically significant before and after treatment, indicating that fire needle and halomethasone cream had significant curative effect on chronic eczema. Compared with the control group, the therapeutic effect of the treatment group was better than that of halomethasone cream after treatment, and the curative effect was statistically different between the two groups by independent t-test (p0.05), and the curative effect of the two groups was better than that of halomethasone cream in the treatment of chronic eczema. In the treatment group, 8 cases were cured, 12 cases were effective, 7 cases were effective, 3 cases were ineffective, the total improvement rate was 90%, while in the control group, 5 cases were cured, 13 cases were markedly effective, 6 cases were ineffective, and the total improvement rate was 80%. The curative effect of the treatment group and the observation group was obtained by rank sum test. The difference between the two groups was statistically significant, that is, the curative effect of fire acupuncture on chronic eczema was better than that of halomethasone cream. In the telephone follow-up of one month after the end of the treatment, there was no recurrence in 8 cases in the treatment group and 2 cases in the 5 cases in the control group. The long-term curative effect of fire on chronic eczema patients was better than that of halomethasone cream. Conclusion: the therapeutic effect of fire acupuncture in treatment group is better than halomethasone cream in control group, it can obviously alleviate the condition of eczema, and can provide a more therapeutic method for chronic eczema patients. This therapy 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】：2016
【分类号】：R246.7

【相似文献】