蜂针初期治疗者即刻肿胀规律的探讨

Research on the Pattern of Instant Edema in Early Treatment Caused by Apitherapy

观察蜂针初期治疗者即刻肿胀的反应规律,为临床蜂针治疗中防治肿胀反应的发生提供依据。选择符合诊断、纳入、排除标准的受试者60例,随机分为蜂针直刺组和点刺组各30例。蜂针直刺组采用蜂针直刺法,点刺组采用蜂针点刺法进行治疗。隔日1次,每月15次,1个月为1疗程,共观察2个疗程。治疗后即刻对患者局部潮红面积及肿胀面积进行观察,采用SPSS13.0软件进行统计分析,结果显示:蜂针治疗后,皮肤局部肿胀的发生率为98.83%,几乎初期接受蜂针治疗的患者均会出现;蜂针治疗后,肿胀的发生随着治疗次数的增加呈现出轻—重—轻的反应,前3次蜂针治疗后的肿胀程度与前次相当(P>0.05),而第4～10次肿胀程度有明显的增加,第11次开始,肿胀程度较前次有所减轻。这样的一个反应过程一般在10～12次,肿胀程度变得较为平稳。点刺法控制蜂针后肿胀程度优于直刺法(P<0.05)。蜂针后,局部肿胀是一种比较普遍的不良反应,但肿胀程度较轻。蜂针治疗后,肿胀的发生随着治疗次数的增加呈现出轻—重—轻的反应。点刺法控制肿胀优于直刺法,适用于初期治疗者治疗使用。

To observe the pattern of instant edema in early treatment caused by apitherapy,to probe into the mechanism and prevention of edema,in order to provide the basis of preventging the occurrence of edema reaction in apitherapy.Methods:60 cases according with diagnostic criteria,inclusion criteria and exclusion criteria were selected and randomly divided into a retained needling group(30 cases) and a swift pricking group(30 cases).In this study, retained needling was used in the retained needling group,while swift pricking was used in the swift pricking group. Once every other day,fifteen times per month,one month for a course of treatment,two treatments were observed. After every treatment,areas of partial redness and swell on the skin were observed instantly,with SPSS 13.0 statistics software for statistical analysis.Results:1.The incidence of partial edema on the skin after apitherapy is 98.83%, which means almost all the treated cases will react.2.The pattern of edema degree shows mild - serious - mild response along with times of treatment.The edema degree shows a considerable degree of the previous in the former 3 times(P> 0.05),while edema degree increases significantly from the fourth to tenth and becomes less than the previous from the eleventh.Such a reaction maintains generally about 10-12 times,and then becomes steadier.3. Prevention of edema by swift pricking is better than by retained needling(P< 0.05).Conclusions:1.The partial edema after apitherapy is a common side effects,but the degree of edema is mils.2.The pattern of edema degree shows mild - serious - mild response along with times of treatment.3.The prevention of edema by swift pricking is better than by retained needling.Therefore,swift pricking suits to early treatment.