佛山科学技术学院学报（自然科学版）
彿山科學技術學院學報（自然科學版）
불산과학기술학원학보（자연과학판）
Journal of Foshan University (Natural Science Edition)
2015年
5期
66-70
,共5页
局限性神经性皮炎%梅花针疗法%中医外治法
跼限性神經性皮炎%梅花針療法%中醫外治法
국한성신경성피염%매화침요법%중의외치법
localized neurodermatitis%plum acupuncture therapy%external treatment of Traditional Chinese Medicine
目的：本研究探讨评价梅花针对局限性神经性皮炎的作用及起效机理。方法将60例局限性神经性皮炎患者随机分为对照组（30例），治疗组（30例）。对照组采用卤米松涂搽皮损处，加上口服氯雷他定0.1 mg。治疗组与对照组的区别在于增加梅花针扣刺皮损处和配穴。一周两次，期间相隔3 d治疗一次。两组均是以4周为一个疗程。一个疗程结束后比较两组的瘙痒度、皮损形态、面积和临床疗效。结果：两组治疗后均能改善局限性神经性皮炎的瘙痒度、皮损形态、面积。观察组在瘙痒度、皮损面积的改变方面较对照组优越，差异有统计学意义（p<0.05）。面积改变方面相近，差异无统计学意义（p>0.05）。两组疗效比较，治疗组总有效率86.67%，对照组总有效率56.67%，差异有统计学意义（p<0.05），治疗组优于对照组。两组在治疗过程中无出现不良反应。结论梅花针配合西药辩证治疗局限性神经性皮炎，能明显改善皮损形态、瘙痒度，治疗效果优于单纯西药治疗。
目的：本研究探討評價梅花針對跼限性神經性皮炎的作用及起效機理。方法將60例跼限性神經性皮炎患者隨機分為對照組（30例），治療組（30例）。對照組採用滷米鬆塗搽皮損處，加上口服氯雷他定0.1 mg。治療組與對照組的區彆在于增加梅花針釦刺皮損處和配穴。一週兩次，期間相隔3 d治療一次。兩組均是以4週為一箇療程。一箇療程結束後比較兩組的瘙癢度、皮損形態、麵積和臨床療效。結果：兩組治療後均能改善跼限性神經性皮炎的瘙癢度、皮損形態、麵積。觀察組在瘙癢度、皮損麵積的改變方麵較對照組優越，差異有統計學意義（p<0.05）。麵積改變方麵相近，差異無統計學意義（p>0.05）。兩組療效比較，治療組總有效率86.67%，對照組總有效率56.67%，差異有統計學意義（p<0.05），治療組優于對照組。兩組在治療過程中無齣現不良反應。結論梅花針配閤西藥辯證治療跼限性神經性皮炎，能明顯改善皮損形態、瘙癢度，治療效果優于單純西藥治療。
목적：본연구탐토평개매화침대국한성신경성피염적작용급기효궤리。방법장60례국한성신경성피염환자수궤분위대조조（30례），치료조（30례）。대조조채용서미송도차피손처，가상구복록뢰타정0.1 mg。치료조여대조조적구별재우증가매화침구자피손처화배혈。일주량차，기간상격3 d치료일차。량조균시이4주위일개료정。일개료정결속후비교량조적소양도、피손형태、면적화림상료효。결과：량조치료후균능개선국한성신경성피염적소양도、피손형태、면적。관찰조재소양도、피손면적적개변방면교대조조우월，차이유통계학의의（p<0.05）。면적개변방면상근，차이무통계학의의（p>0.05）。량조료효비교，치료조총유효솔86.67%，대조조총유효솔56.67%，차이유통계학의의（p<0.05），치료조우우대조조。량조재치료과정중무출현불량반응。결론매화침배합서약변증치료국한성신경성피염，능명현개선피손형태、소양도，치료효과우우단순서약치료。
This study systematically observed Plum Acupuncture to treat localized neurodermatitis curative effective and side effect of Plum Needle. 60 patients were grouped by random number method, were divided into control group, treatment group 30 cases each. Control group using halogen betamethasone daub affected area, twice a day, plus oral loratadine tablets 0.1 mg a day; Treatment group had the same foundation treatment as the control group treatment .And the treatment group add the plum acupuncture. All of the patients would get the effect of grading before and after four weeks after treatment. Judging from itchy skin shape, area and degree. According to the facts to record, using t test and rand sun test to analyze clinical efficacy. Two groups after treatment, thire lesions form, area and the degree of pruritus score is significantly lower than before, the difference was statistically significant(p<0.05). Comparison after treatment between the two groups, treatment group score of the itchy skin lesions form and degree lower than the control group, the difference was statistically significant(p<0.05). About the score of area, there was no statistically significant difference(p> 0.05). Two groups after treatmen, their total score of skin lesions were lower than prior treatment, the difference was statistically significant(p<0.05). Comparison after treatment between the two groups, treatment group total score of the skin lesions was lower than the control group, the difference was statistically significant(p<0.05). Treatment group total effective rate was 86.67%, control group total effective rate was 56.67%, the difference of the effective rate between the two groups was statistically significant(p<0.05), all patients were not special adverse reactions.
