围刺联合血府逐瘀汤治疗血瘀型斑块状银屑病的临床观察

Clinical Observation of Xuefu Zhuyu Decoction Combined with Encircling Needling Therapy for Psoriasis Plaque of Blood Stasis Pattern

目的:观察围刺联合血府逐瘀汤治疗血瘀型斑块状银屑病的临床疗效。方法:将60例血瘀型银屑病患者依据入组顺序分为治疗组和对照组,各30例。治疗组给予口服血府逐瘀汤联合围刺疗法,对照组给予口服血府逐瘀汤配合外用他扎罗汀乳膏;经脱落后两组实际各纳27例、28例,通过观察银屑病皮损面积及严重程度指数(PASI)评分变化及瘙痒症候程度,分别于28天、56天后记录评分并进行疗效判定。结果:治疗后,两组与各自组别治疗前比较,PASI评分和瘙痒视觉模拟评分均存在显著差异(P<0.05)。治疗第28天后治疗组愈显率为40.74%,对照组为32.14%;第56天后治疗组愈显率(74.07%)明显高于对照组(57.14%),差异均有统计学意义(P<0.05)。结论:围刺联合血府逐瘀汤治疗血瘀型斑块状银屑病疗效显著,值得临床应用及进一步研究。

Objective ：To observe the clinical effect of Xuefu Zhuyu decoction combined with encircling needling in the treatment of psoriasis plaque of blood stasis pattern. Methods ：60 patients were randomized into two groups, each group had 30 patients. The treatment group was treated by Xuefu Zhuyu decoction combined with encircling needling, and the control group was given Xuefu Zhuyu decoction with Tazarotene cream. The final number of the treatment group was 27, and the number of control group was 28 after selection. Psoriasis area and severity index （PASI） and itching symptoms were recorded to evaluate the therapeutic effect after 28 days and 56 days. Results： There was a significant difference in the PASI and visual analogue scales of itching symptom in both groups before and after treatment （P 〈 0.05 ）. The total effective rate of the treatment group was 40.74% and the control group was 32.14% after 28 days. The figures rise to 74.07% （treatment group） and 57.14% （control group） respectively after 56 days, with a significant difference （P 〈 0. 05 ）. Conclusion ：Xuefu Zhuyu decoction combined with encircling needling is an effective treatment for psoriasis plaque of blood stasis pattern, which is worthy of further popularization and application.