中国中西医结合皮肤性病学杂志
中國中西醫結閤皮膚性病學雜誌
중국중서의결합피부성병학잡지
Chinese Journal of Dermatovenerology of Integrated Traditional and Western Medicine
2015年
5期
276-278
,共3页
高晖%焦召华%李瑞超%徐家淳%李岩
高暉%焦召華%李瑞超%徐傢淳%李巖
고휘%초소화%리서초%서가순%리암
火针%刺络放血%慢性湿疹%湿疹面积及严重度指数评分%瘙痒程度直观模拟评分
火針%刺絡放血%慢性濕疹%濕疹麵積及嚴重度指數評分%瘙癢程度直觀模擬評分
화침%자락방혈%만성습진%습진면적급엄중도지수평분%소양정도직관모의평분
Fire needle therapy%Bloodletting therapy%Chronic eczema%Eczema area and severity index%Visual analogue scale
目的 观察火针联合刺络放血疗法对慢性湿疹瘙痒程度的改善情况,为本疗法提供临床依据;并通过与其他疗法的比较, 探讨对于缓解慢性湿疹的瘙痒症状更加有效的疗法. 方法 将符合标准的慢性湿疹患者随机分为4组:火针组、刺络放血组、火针联合刺络放血组以及西药对照组,观察治疗前后VAS评分数据变化,判断治疗方案对于瘙痒的疗效,并对起效时间和疗效维持时间进行比较. 结果 (1)各组治疗后VAS评分均明显下降(P<0.05);治疗3个疗程后,3个治疗组VAS评分下降程度均较对照组明显(P<0.05).(2)3个治疗组起效时间差异与对照组比较差异有统计学意义;火针联合刺络放血组与刺络放血组起效时间差异有统计学意义,火针组与刺络放血组及火针联合刺络放血组起效时间比较差异无统计学意义.(3)3个治疗组疗效维持时间与对照组比较差异均有统计学意义;3个治疗组疗效维持时间差异无统计学意义.结论 火针联合刺络放血疗法能够明显改善慢性湿疹的瘙痒程度,并具备起效时间短的治疗优势.
目的 觀察火針聯閤刺絡放血療法對慢性濕疹瘙癢程度的改善情況,為本療法提供臨床依據;併通過與其他療法的比較, 探討對于緩解慢性濕疹的瘙癢癥狀更加有效的療法. 方法 將符閤標準的慢性濕疹患者隨機分為4組:火針組、刺絡放血組、火針聯閤刺絡放血組以及西藥對照組,觀察治療前後VAS評分數據變化,判斷治療方案對于瘙癢的療效,併對起效時間和療效維持時間進行比較. 結果 (1)各組治療後VAS評分均明顯下降(P<0.05);治療3箇療程後,3箇治療組VAS評分下降程度均較對照組明顯(P<0.05).(2)3箇治療組起效時間差異與對照組比較差異有統計學意義;火針聯閤刺絡放血組與刺絡放血組起效時間差異有統計學意義,火針組與刺絡放血組及火針聯閤刺絡放血組起效時間比較差異無統計學意義.(3)3箇治療組療效維持時間與對照組比較差異均有統計學意義;3箇治療組療效維持時間差異無統計學意義.結論 火針聯閤刺絡放血療法能夠明顯改善慢性濕疹的瘙癢程度,併具備起效時間短的治療優勢.
목적 관찰화침연합자락방혈요법대만성습진소양정도적개선정황,위본요법제공림상의거;병통과여기타요법적비교, 탐토대우완해만성습진적소양증상경가유효적요법. 방법 장부합표준적만성습진환자수궤분위4조:화침조、자락방혈조、화침연합자락방혈조이급서약대조조,관찰치료전후VAS평분수거변화,판단치료방안대우소양적료효,병대기효시간화료효유지시간진행비교. 결과 (1)각조치료후VAS평분균명현하강(P<0.05);치료3개료정후,3개치료조VAS평분하강정도균교대조조명현(P<0.05).(2)3개치료조기효시간차이여대조조비교차이유통계학의의;화침연합자락방혈조여자락방혈조기효시간차이유통계학의의,화침조여자락방혈조급화침연합자락방혈조기효시간비교차이무통계학의의.(3)3개치료조료효유지시간여대조조비교차이균유통계학의의;3개치료조료효유지시간차이무통계학의의.결론 화침연합자락방혈요법능구명현개선만성습진적소양정도,병구비기효시간단적치료우세.
Objective To provide clinical evidence for integrated therapy of fire needle with bloodletting, by observing the efficacy on the improvement of itch in treating chronic eczema, and to explore the best therapy for improving itch of chronic eczema by comparing with other therapies. Methods Patients meeting the criteria were randomized into four groups:fire needle group, bloodletting group, integrated therapy of fire needle with bloodletting group, and modern medicine group. Then we compared the scores of VAS before and after the treatment to assess the efficiency of different therapies on itch, and to compare the onset time and effect-maintaining time. Results (1) VAS scores were all decreased after treating (P<0.05);VAS scores in three treatment groups were significantly decreased compared with modern medicine group (P<0.05) after three sessions. (2) The onset times in three treatment groups were significantly decreased compared with that of that of modern medicine group (P<0.05) after three sessions. The onset time in integrated therapy of fire needle with bloodletting was statistically significant compared with that of bloodletting therapy, while there was no statistical significance in fire needle group and integrated group. (3)The effect maintaining time in three treatment groups were statistically significant compared with modern medicine group, while there was no statistical significance in three groups. Conclusion Integrated therapy of fire needle with bloodletting could significantly improve itch of chronic eczema, and has the advantage of less onset time.
