中药联合穴位埋线治疗风寒束表型慢性荨麻疹的临床观察

发布时间：2018-08-31 10:13

【摘要】：目的:观察加味麻辛附子汤联合穴位埋线治疗风寒束表型慢性荨麻疹的临床疗效。方法:将90例风寒束表型慢性荨麻疹患者分成三组:联合治疗组、对照组1、对照组2。联合治疗组予:口服加味麻辛附子汤联合穴位埋线;对照组1:口服加味麻辛附子汤;对照组2予:口服玉屏风胶囊。观察三组治疗前后组间和组内的瘙痒程度积分、风团大小积分、持续时间积分、风团数目积分、发作次数积分及嗜酸性粒细胞计数,以及不良反应发生情况。结果:1、组内比较:三组患者在疗前、疗后瘙痒程度积分、风团大小积分、持续时间积分、风团数目积分、发作次数积分、嗜酸性粒细胞计数比较,p均0.05,说明加味麻辛附子汤联合穴位埋线疗法、单独口服加味麻辛附子汤疗法、口服玉屏风胶囊疗法对风寒束表型慢性荨麻疹均有治疗效果。2、组间比较:(1)瘙痒程度:联合治疗组与对照组1、对照组2相比,瘙痒程度积分减小明显,p均0.05;对照组1与对照组2相比,瘙痒程度积分下降明显p0.05。(2)风团大小:联合治疗组与对照组1、对照组2相比,风团大小积分减小明显,p均0.05;而对照组1和对照组2相比,风团大小积分减小不明显p=0.260.05。(3)风团数目:联合治疗组与对照组1、对照组2相比,风团数目积分减小明显,p均0.05;对照组1与对照组2相比,风团数目积分减小明显p=0.040.05。(4)持续时间:联合治疗组与对照组1、对照组2相比,发病持续时间积分减少显著,p均0.05;而对照组1和对照组2相比,发病持续时间积分减少不明显p=0.110.05。(5)发作次数:联合治疗组与对照组1、对照组2相比,风团发作次数积分减少显著,p均0.05;对照组1与对照组2相比,风团发作次数积分减少明显p=0.030.05。(6)联合治疗组与对照组2相比,嗜酸性粒细胞计数减少明显,p0.05;而联合治疗组与对照组1相比,嗜酸性粒细胞计数差异不明显p0.05;对照组1与对照组2相比,嗜酸性粒细胞计数差异不明显p0.05。结论:加味麻辛附子汤联合穴位埋线治疗风寒束表型慢性荨麻疹疗效确切。
[Abstract]:Objective: to observe the clinical effect of Jiawei Maxinfuzi decoction combined with acupoint catgut embedding in the treatment of phenotypic chronic urticaria of wind-cold bundle. Methods: 90 cases of chronic urticaria with wind-cold tract phenotype were divided into three groups: combined treatment group, control group 1, control group 2. Combined treatment group: oral Jiawei Maxinfuzi decoction combined with catgut embedding; control group 1: oral Jiawei Maxinzi decoction; control group 2: oral Yupingfeng capsule. The scores of pruritus degree, wind mass size, duration, number of wind masses, number of episodes and eosinophils were observed before and after treatment in the three groups, as well as the occurrence of adverse reactions. Results: comparison: before and after treatment, the patients in the three groups had itching degree integral, wind mass size integral, duration integral, wind mass number integral, attack times integral, The eosinophilic granulocyte count was 0.05, which indicated that Jiawei Maxinfuzi decoction combined with acupoint catgut embedding therapy, and maoxinfuzi decoction alone, Oral Yupingfeng capsule therapy for chronic urticaria of wind-cold bundle phenotype, the comparison between groups: (1) pruritus degree: combined treatment group and control group 1, control group 2 comparison, Compared with the control group, the score of pruritus degree decreased significantly (p 0.05). (2) the wind mass size: the combined treatment group and the control group (1), the control group (2), the control group (1), the control group (2). Compared with control group 2, the score of wind mass size decreased significantly (P < 0.05). (3) the number of wind mass in the combined treatment group and the control group was 1 and 2, respectively, while that in the control group was less than that in the control group (P < 0.05). Compared with control group 2, the number of wind mass in control group decreased significantly (p 0.040.05). (4) duration: combined treatment group and control group 1, control group 2, compared with control group 2, the number of wind mass decreased significantly (P < 0.05), compared with control group (n = 2). The scores of onset duration decreased significantly (P < 0.05), but the scores of onset duration in control group 1 were not significantly decreased compared with control group (P < 0.05). (5) the number of episodes in the combined treatment group and the control group was 1 and 2, respectively, and that in the control group was significantly lower than that in the control group (P < 0.05). Compared with control group 2, the score of wind mass attack number decreased significantly (P < 0.05). (6) compared with control group 2, the score of wind mass attack number decreased significantly. (6) compared with control group 2, the score of wind mass attack in the combined treatment group was significantly lower than that in the control group (P < 0.05). The eosinophilic granulocyte count in the combined treatment group was not significantly different from that in the control group (p0.05), while the eosinophilic granulocyte count in the control group was not significantly different from that in the control group (p0.05). Conclusion: modified maxinfuzi decoction combined with catgut embedding at acupoint is effective in treating chronic urticaria with wind-cold bundle phenotype.
【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R275.9

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