【摘要】：目的：本研究主要觀察火針治療結(jié)節(jié)性癢疹的臨床療效,以期望找出能縮短病程、減少復(fù)發(fā)和安全可重復(fù)的有效方案。方法：采用隨機(jī)對照的研究方法,把符合納入標(biāo)準(zhǔn)的68例病例隨機(jī)分為治療組(34例)、對照組(34例)。治療組采用火針,選穴為局部皮損,濕熱風(fēng)毒證加曲池、陰陵泉穴,血瘀風(fēng)燥證者加血海、足三里穴,每周治療一次；對照組予鹵米松乳膏外用皮損結(jié)節(jié)處,第一周一天一次,第二周兩天一次,第三周三天一次,第四周停藥。最終共完成63例,兩組均觀察4周,治療后隨訪3個月。通過對治療前后皮疹消退率、瘙癢程度、時間、生活質(zhì)量評分、中醫(yī)癥候積分的變化及復(fù)發(fā)率的觀察,主要探討火針治療結(jié)節(jié)性癢疹在縮短病程、減少復(fù)發(fā)方面的臨床療效。以上觀察結(jié)果應(yīng)用SPSS19.0統(tǒng)計軟件進(jìn)行分析。結(jié)果：1、兩組治療后綜合療效評分與治療前均有統(tǒng)計學(xué)差異(P0.05)；2、治療組患者緩解瘙癢的開始時間及持續(xù)時間優(yōu)于對照組,兩組有統(tǒng)計學(xué)差異(P0.05)；3、兩組第一周的皮損消退率、瘙癢程度評分無統(tǒng)計學(xué)差異(P0.05),第二、三、四周治療組要優(yōu)于對照組,兩組有統(tǒng)計學(xué)差異(P0.05)；4、兩組在治療結(jié)束1、2、3月隨訪,治療組復(fù)發(fā)率要低于對照組,兩組有統(tǒng)計學(xué)差異(P0.05)；5、治療組患者的生活質(zhì)量評分及中醫(yī)癥候積分均低于對照組,兩組有統(tǒng)計學(xué)差異(P0.05)。結(jié)論：1、火針療法與鹵米松乳膏外用均可有效改善結(jié)節(jié)性癢疹患者皮損、瘙癢程度及生活質(zhì)量；2、火針療法緩解瘙癢起效快,療效穩(wěn)定,優(yōu)于鹵米松乳膏；3、火針與鹵米松乳膏外用治療結(jié)節(jié)性癢疹近期(一周)療效相當(dāng),在第二、三、四周對皮損嚴(yán)重程度及瘙癢的改善均優(yōu)于鹵米松乳膏；4、火針療法在降低疾病復(fù)發(fā)率、提高患者生活質(zhì)量、改善患者中醫(yī)癥候方面均優(yōu)于鹵米松乳膏；5、火針治療結(jié)節(jié)性癢疹簡、便、廉、效,值得向臨床推廣和運(yùn)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.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R246.7

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