刺络拔罐配合毫针刺治疗血虚风燥型神经性皮炎23例临床疗效观察

Observation on the Therapeutic Effect of Venesection and Cupping Combined with Acupuncture in Treating neurodermatitis of Blood Asthenia and Wind-dry of 23 Cases

目的观察刺络拔罐配合毫针刺治疗血虚风燥型神经性皮炎的临床疗效。方法将符合纳入标准的46例血虚风燥型神经性皮炎患者随机分为刺络拔罐配合毫针刺治疗组(治疗组)和中药汤剂治疗组(对照组),每组各23例,均连续治疗一个月,统计评价两组患者治疗前后的皮损面积、皮损程度、瘙痒程度、苔藓化程度变化情况和总体疗效。结果治疗后,两组患者的皮损面积、皮损程度、瘙痒程度、苔藓化程度等均较治疗前显著减小和减轻(P<0.01),症状综合积分均较治疗前显著降低(P<0.01),治疗组优于对照组(P<0.05);治疗组的总有效率100%,优于对照组的78.3%(P<0.05)。结论刺络拔罐配合毫针刺治疗血虚风燥型神经性皮炎效果明显,总体疗效及在减小皮损面积、减轻瘙痒和苔藓化程度较中药汤剂更优,值得进一步研究和推广应用。

Objective To observe the therapeutic effect of venesection and cupping combined with acupuncture in treating neurodermatitis of blood asthenia and wind-dry.Methods 46 patients with neurodermatitis of blood asthenia and wind-dry who met the inclusion criteria were randomly divided into two groups,the treatment group（n=23） were treated by venesection and cupping combined with acupuncture,and the control group（n=23） by herbal decoction,two groups were treated continuously for one month.Lesions of area,degree of skin lesions,itching level,the degree of changes in moss and the overall effect were statistically evaluated before and after treatment.Results After treatment,lesions of area,degree of skin lesions,itching extent,the degree of moss,and the comprehensive symptom scores were reduced significantly than those before treatment in the two groups（P 〈0.01）,the treatment group was better than the control group（P〈0.05）;the total effective rate of treatment group was 100%,higher than 78.3% of the control group（P〈0.05）.Conclusion The efficacy of venesection and cupping combined with acupuncture in treating neurodermatitis of blood asthenia and wind-dry is obvious,the overall efficacy,reducing the lesion area,reducing the degree of itching and moss are better than the herbal decoction,which deserves further study and application.