火针联合活血解毒汤治疗银屑病疗效观察

Curative Observation of Using Fire Needle Combined with Huoxue Jiedu Decoction in the Treatment of Patients with Psoriasis

目的:观察火针联合活血解毒汤治疗银屑病的效果与安全性。方法:从我院2015年1月~2016年7月收治的银屑病患者中遴选50例为本次的研究对象,根据治疗方法不同将其分为对照组与观察组,对照组患者给予活血解毒汤治疗,观察组在其基础上给予火针联合治疗,比较两组患者的治疗效果以及症状改善。结果:观察组患者在中医证候改善比较上均显著优于对照组(P<0.05),包括皮疹颜色、皮疹浸润、瘙痒程度、肌肤甲错等,经PASI评分计算观察组患者皮损面积恢复也优于对照组(P<0.05),差异有统计学意义。观察组患者在治疗总有效率(92.0%)比较上相比对照组(88.0%)无明显差异。结论:斑块型银屑病采用火针联合活血解毒汤治疗,效果显著,能有效改善患者皮损及瘙痒的症状,同时缓解焦虑提高生活质量,且安全无严重不良反应,是一种值得临床借鉴的治疗方式。

Objective ： Studying the efficacy and safety of applying acupuncture combined with Huoxue Jiedu Decoction in the treatment of patients with psoriasis. Methods： 50 patients with psoriasis were selected as the research object from January 2015 to July 2016. According to the different treatment methods, the patients were divided into controlled group and observation group. The controlled group was treated with Huoxue Jiedu Decoction, the observation group was given acupuncture treatment on the ba- sis of the controlled group. Compared the treatment effect and the improvement of symptoms of the two groups of patients. Re- sults ： The improvement of traditional Chinese medicine syndrome of patients in the observation group were significantly better than the controlled group （P 〈 0. 05） , including the color of the rash, the infiltration of the rash, the degree of itching, the skin a mistake, etc. PASI score showed that the skin lesion recovery of the observation group was better than the controlled group （ P 〈 0. 05 ） , the difference was statistically significant. The total effective rate of the observation group （ 92% ） and the controlled group （88%） was not significantly different. Conclusion： Applying acupuncture combined with Huoxue Jiedu Decoction in the treatment of plaque psoriasis can effectively improve the skin lesions and pruritus in patients with symptoms, relieve anxiety and improve the quality of life, with no serious adverse reactions, which is worthy of clinical reference treatment.