火针治疗结节性痒疹的临床观察与疗效评价
发布时间：2018-10-15 11:08
【摘要】：目的：本研究主要观察火针治疗结节性痒疹的临床疗效,以期望找出能缩短病程、减少复发和安全可重复的有效方案。方法：采用随机对照的研究方法,把符合纳入标准的68例病例随机分为治疗组(34例)、对照组(34例)。治疗组采用火针,选穴为局部皮损,湿热风毒证加曲池、阴陵泉穴,血瘀风燥证者加血海、足三里穴,每周治疗一次；对照组予卤米松乳膏外用皮损结节处,第一周一天一次,第二周两天一次,第三周三天一次,第四周停药。最终共完成63例,两组均观察4周,治疗后随访3个月。通过对治疗前后皮疹消退率、瘙痒程度、时间、生活质量评分、中医症候积分的变化及复发率的观察,主要探讨火针治疗结节性痒疹在缩短病程、减少复发方面的临床疗效。以上观察结果应用SPSS19.0统计软件进行分析。结果：1、两组治疗后综合疗效评分与治疗前均有统计学差异(P0.05)；2、治疗组患者缓解瘙痒的开始时间及持续时间优于对照组,两组有统计学差异(P0.05)；3、两组第一周的皮损消退率、瘙痒程度评分无统计学差异(P0.05),第二、三、四周治疗组要优于对照组,两组有统计学差异(P0.05)；4、两组在治疗结束1、2、3月随访,治疗组复发率要低于对照组,两组有统计学差异(P0.05)；5、治疗组患者的生活质量评分及中医症候积分均低于对照组,两组有统计学差异(P0.05)。结论：1、火针疗法与卤米松乳膏外用均可有效改善结节性痒疹患者皮损、瘙痒程度及生活质量；2、火针疗法缓解瘙痒起效快,疗效稳定,优于卤米松乳膏；3、火针与卤米松乳膏外用治疗结节性痒疹近期(一周)疗效相当,在第二、三、四周对皮损严重程度及瘙痒的改善均优于卤米松乳膏；4、火针疗法在降低疾病复发率、提高患者生活质量、改善患者中医症候方面均优于卤米松乳膏；5、火针治疗结节性痒疹简、便、廉、效,值得向临床推广和运用。
[Abstract]:Objective: to observe the clinical effect of fire needle therapy on prurigo nodosum so as to find out an effective scheme which can shorten the course of disease, reduce recurrence and safety and repeatability. Methods: 68 cases were randomly divided into treatment group (34 cases) and control group (34 cases). The treatment group was treated once a week with fire needle, selected points as local lesions, damp-heat wind-toxic syndrome plus qu Chi, Yin Ling Quan point, blood stasis wind dryness syndrome plus Xue Hai, Zusanli point, and the control group was treated with halomethasone cream, once a week, once a day. The second week, two days, the third week, three days, the fourth week. A total of 63 cases were completed. The two groups were observed for 4 weeks and followed up for 3 months after treatment. Based on the observation of the regression rate of rash, the degree of pruritus, time, quality of life, the change of TCM symptom score and the recurrence rate before and after treatment, the clinical efficacy of fire acupuncture in shortening the course of disease and reducing the recurrence of prurigo nodosum was discussed. The above observation results were analyzed by SPSS19.0 statistical software. Results: 1, the scores of comprehensive curative effect after treatment in two groups were statistically different from those before treatment (P0.05); (2) the onset time and duration of relieving pruritus in the treatment group was better than that in the control group, and there was statistical difference between the two groups (P0.05); (3) the rate of skin lesion regression in the first week of the two groups was significantly higher than that in the control group (P0.05). There was no statistical difference in the score of pruritus (P0.05), the second, third, four-week treatment group was better than the control group, there was statistical difference between the two groups (P0.05); 4, at the end of treatment, the recurrence rate of the treatment group was lower than that of the control group (P0.05), and the recurrence rate of the treatment group was lower than that of the control group (P0.05). 5, the quality of life score and TCM symptom score of the treatment group were lower than that of the control group, there was statistical difference between the two groups (P0.05). Conclusion: 1, fire needle therapy and halomethasone cream can effectively improve the lesion, degree of pruritus and quality of life of patients with prurigo nodosum, 2, fire needle therapy can relieve pruritus quickly, the curative effect is stable, and it is better than halomethasone cream. (3) the curative effect of fire needle and halogen milisone cream on the treatment of prurigo nodosum is similar in the near future (one week). In the second, third, and four weeks, the improvement of the severity and itching of skin lesions is better than that of halomethasone cream. 4, fire needle therapy can reduce the recurrence rate of the disease. To improve the quality of life of patients, improve the symptoms of traditional Chinese medicine are better than halomasone cream; 5, fire needle treatment of prurigo nodosum simple, stool, cheap, effective, worthy of clinical promotion and application.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.7
[Abstract]:Objective: to observe the clinical effect of fire needle therapy on prurigo nodosum so as to find out an effective scheme which can shorten the course of disease, reduce recurrence and safety and repeatability. Methods: 68 cases were randomly divided into treatment group (34 cases) and control group (34 cases). The treatment group was treated once a week with fire needle, selected points as local lesions, damp-heat wind-toxic syndrome plus qu Chi, Yin Ling Quan point, blood stasis wind dryness syndrome plus Xue Hai, Zusanli point, and the control group was treated with halomethasone cream, once a week, once a day. The second week, two days, the third week, three days, the fourth week. A total of 63 cases were completed. The two groups were observed for 4 weeks and followed up for 3 months after treatment. Based on the observation of the regression rate of rash, the degree of pruritus, time, quality of life, the change of TCM symptom score and the recurrence rate before and after treatment, the clinical efficacy of fire acupuncture in shortening the course of disease and reducing the recurrence of prurigo nodosum was discussed. The above observation results were analyzed by SPSS19.0 statistical software. Results: 1, the scores of comprehensive curative effect after treatment in two groups were statistically different from those before treatment (P0.05); (2) the onset time and duration of relieving pruritus in the treatment group was better than that in the control group, and there was statistical difference between the two groups (P0.05); (3) the rate of skin lesion regression in the first week of the two groups was significantly higher than that in the control group (P0.05). There was no statistical difference in the score of pruritus (P0.05), the second, third, four-week treatment group was better than the control group, there was statistical difference between the two groups (P0.05); 4, at the end of treatment, the recurrence rate of the treatment group was lower than that of the control group (P0.05), and the recurrence rate of the treatment group was lower than that of the control group (P0.05). 5, the quality of life score and TCM symptom score of the treatment group were lower than that of the control group, there was statistical difference between the two groups (P0.05). Conclusion: 1, fire needle therapy and halomethasone cream can effectively improve the lesion, degree of pruritus and quality of life of patients with prurigo nodosum, 2, fire needle therapy can relieve pruritus quickly, the curative effect is stable, and it is better than halomethasone cream. (3) the curative effect of fire needle and halogen milisone cream on the treatment of prurigo nodosum is similar in the near future (one week). In the second, third, and four weeks, the improvement of the severity and itching of skin lesions is better than that of halomethasone cream. 4, fire needle therapy can reduce the recurrence rate of the disease. To improve the quality of life of patients, improve the symptoms of traditional Chinese medicine are better than halomasone cream; 5, fire needle treatment of prurigo nodosum simple, stool, cheap, effective, worthy of clinical promotion and application.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.7
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