本文關(guān)鍵詞：自血療法治療接觸性皮炎的臨床療效觀察　出處：《廣州中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 自血療法 接觸性皮炎 療效觀察

【摘要】：目的:接觸性皮炎性是目前臨床上的常見(jiàn)病、多發(fā)病,輕則影響患者的美觀,給生活及工作帶來(lái)不便。重者可引起嚴(yán)重的全身性反應(yīng),威脅患者的身心健康。治療上,主要是預(yù)防為主,即查找出皮疹出現(xiàn)的原因,下次盡量避免再次接觸此類物質(zhì)。用藥方面西醫(yī)主要是使用口服抗組織胺藥物、維生素C、糖皮質(zhì)激素或者使用抗生素等,局部則以藥物濕敷、膏藥涂抹等方法。但口服藥物對(duì)于患者往往或多或少會(huì)產(chǎn)生一定的副作用,如肝腎功能損害、嗜睡、繼發(fā)藥物過(guò)敏等等。自血療法應(yīng)用于痤瘡、慢性蕁麻疹等皮膚病方面的治療療效確切,但關(guān)于自血治療接觸性皮炎這一類的課題比較少,本課題通過(guò)采用自血療法治療接觸性皮炎,并通過(guò)與常規(guī)使用西藥治療進(jìn)行對(duì)照,觀察自血穴位注射療法治療接觸性皮炎的臨床療效,旨在為臨床治療接觸性皮炎找到一種更為簡(jiǎn)便、安全、有效的方法。方法:本課題根據(jù)已制定的要求共收集病例60例,采用簡(jiǎn)單隨機(jī)法平均分為治療組和對(duì)照組,各30例。照組:服用地氯雷他定5mg,每日一次,12天為1個(gè)療程。治療組采用自血療法:抽取患者肱部的靜脈血4ml,將注射器快速刺入A組穴位(雙曲池穴和雙血海穴)或B組穴位(雙肺俞穴和雙膈俞穴),待患者感到進(jìn)針局部有酸麻重脹感覺(jué)即將抽取的血液緩慢推入,每個(gè)穴位1ml左右,隔日治療1次,A和B組穴位交替運(yùn)用,12天為1個(gè)療程。于治療前、治療1次及治療結(jié)束后分別記錄相關(guān)指標(biāo),通過(guò)統(tǒng)計(jì)軟件對(duì)相關(guān)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析,最后得出結(jié)論。結(jié)果:在局部瘙癢及VAS評(píng)分、燒灼感評(píng)分及方面,自血療法組在治療前和接受第一次治療之后有明顯差異(P0.05),說(shuō)明自血療法對(duì)于瘙癢及燒灼感方面的改善起效速度比使用西藥(地氯雷他定)治療更快;在總體癥狀評(píng)分方面,自血療法組和西藥對(duì)照組治療之前和治療之后相比較差異均比較顯著(P0.05),說(shuō)明自血療法或者西藥對(duì)于接觸性皮炎均具有比較好的治療效果。兩組間總的療效比較無(wú)統(tǒng)計(jì)學(xué)差異(P0.05),說(shuō)明自血療法及西藥對(duì)于接觸性皮炎的總體治療效應(yīng)相差不大。結(jié)論:本研究結(jié)果表明自血療法治療接觸性皮炎其臨床療效與西藥相當(dāng),但自血療法在改善患者瘙癢及燒灼不適感方面具有起效快的特點(diǎn),相比于西藥,自血療法還具有副作用少的特點(diǎn),值得臨床推廣。
[Abstract]:Objective: contact dermatitis is a common disease in clinic at present. It often occurs, it affects the beauty of patients, and brings inconvenience to life and work. Threat to the physical and mental health of patients. Treatment, mainly prevention, that is to find out the cause of rash, next time try to avoid contact with such substances. Western medicine is mainly used oral antihistamine drugs. Vitamin C, glucocorticoid or the use of antibiotics, etc., local use of medicine wet compress, plaster smear methods. But oral medicine for patients often more or less will produce certain side effects, such as liver and kidney function damage. Narcolepsy, secondary drug allergy and so on. Self-blood therapy applied to acne, chronic urticaria and other skin diseases is effective, but the self-blood treatment of contact dermatitis this kind of topics are less. The clinical effect of self-blood point injection therapy on contact dermatitis was observed by using self-blood therapy to treat contact dermatitis. To find a more simple, safe and effective method for clinical treatment of contact dermatitis. The patients were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with self-blood therapy: 4 ml venous blood was extracted from the brachial region of the patients. The syringe was punctured into the acupoints of group A (hyperbolic acupoints and Shuangxuehai points) or group B (Shuangfei Shu points and Shuanggeshu points). 1 ml of each acupoint was treated once every other day for 12 days alternately in group A and B. Before treatment, 1 time before treatment and after treatment, the related indexes were recorded respectively. Statistical software was used to analyze the relevant data, and finally the conclusion was drawn. Results: in the local pruritus and VAS score, burning sensation score and aspects. There was significant difference between the blood therapy group before treatment and after the first treatment (P 0.05). It shows that the self-blood therapy can improve the pruritus and burning sensation more quickly than the western medicine (desloratadine). In the overall symptom score, the blood therapy group and the Western medicine control group before and after treatment were significantly different (P 0.05). The results showed that the self-blood therapy or western medicine had better therapeutic effect on contact dermatitis. There was no statistical difference between the two groups in the total curative effect (P0.05). Conclusion: the results of this study indicate that the clinical efficacy of self-blood therapy in treating contact dermatitis is similar to that of western medicine. But the self-blood therapy has the characteristic of quick effect in improving the patients' pruritus and burning discomfort. Compared with the western medicine, the self-blood therapy has less side effects, so it is worth popularizing in clinic.
【學(xué)位授予單位】：廣州中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R246.7

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