中药联合针灸治疗对老年性皮肤瘙痒症临床疗效及症状积分的影响

Effect of Chinese Medicine Combined with Acupuncture on Clinical Efficacy and Symptom Score of Senile Pruritus

目的观察中药联合针灸治疗老年性皮肤瘙痒症的临床疗效及对症状积分的影响。方法选取玉溪市人民医院2017年2月至2019年6月收治的100例老年患者为研究对象,根据干预方案分为中药组(50例)与联合组(50例),中药组接受单纯中药干预,联合组接受中药联合针灸干预。对比两组症状积分、治疗有效率以及不良反应。结果干预后联合组治疗有效率98.00%,显著高于与中药组的88.00%,组间比较差异显著(P<0.05)。干预后联合组瘙痒程度(1.02±0.23)分,瘙痒面积为(1.24±0.21)分,继发皮损(1.05±0.24)分,睡眠质量(0.66±0.23)分均明显低于中药组的(1.86±0.24)分、(1.74±0.21)分、(1.26±0.20)分、(1.77±0.52)分,组间比较差异显著(P<0.05);联合组不良反应发生率为8.00%,显著低于中药组的18.00%,组间比较差异显著(P<0.05)。结论与单纯中药治疗比较,中药联合针灸可显著缓解老年性皮肤瘙痒症患者的症状,提高治疗效果,降低不良反应发生率。

Objective To analyze the effective traditional Chinese medicine(TCM)combined with acupuncture and moxibustion in the treatment of senile skin pruritus and its influence on the symptom score.Methods A total of 100 elderly patients in Yuxi People's Hospital from February 2017 to June 2019 were selected and divided into TCM group and combined group according to the intervention plan,with 50 cases in each group,received TCM intervention and TCM+acupuncture intervention,respectively.The symptom scores,treatment efficiency and adverse reactions were compared between the two groups.Results After intervention,the effective rate of treatment in the combined group was 98.00%,which was significantly higher than that of the traditional Chinese medicine group of 88.00%,and the difference between the groups was significant(P<0.05).After the intervention,theitching degree in the observation groupwas(1.02±0.23)points,the itching area(1.24±0.21)points,the secondary skin lesions(1.05±0.24)points,and,the sleep quality(0.66±0.23)points which were significantly lower than those of the control group,(1.86±0.24)points,(1.74±0.21)points,(1.26±0.20)points,(1.77±0.52)points,respectively,with significant difference between groups(P<0.05).The adverse reaction rate of the combined group was 8.00%,which was significantly lower than the 18.00%of the traditional Chinese medicine group(P<0.05).Conclusion Compared with TCM treatment alone,the combination of TCM and acupuncture can significantly relieve the symptoms of patients with senile pruritus,improve the treatment effect and reduce the incidence of adverse reactions.