目的:分析慢性湿疹应用针灸围刺治疗对患者瘙痒程度、湿疹面积及严重程度指数(Eczema Area and Severity Index,EASI)评分的改善效果。方法:选取北京市朝阳区八里庄社区卫生服务中心2019年3月-2020年9月接收的43例慢性湿疹患者,采用随...目的:分析慢性湿疹应用针灸围刺治疗对患者瘙痒程度、湿疹面积及严重程度指数(Eczema Area and Severity Index,EASI)评分的改善效果。方法:选取北京市朝阳区八里庄社区卫生服务中心2019年3月-2020年9月接收的43例慢性湿疹患者,采用随机数表法分为两组,对照组(21例)给予常规治疗;研究组(22例)在常规治疗方案的基础上实施针灸围刺治疗。观察两组中医证候、治疗有效率、瘙痒程度、湿疹面积及严重程度、生活质量、生存质量情况。患者瘙痒程度、湿疹面积及严重程度应用EASI评分法进行评估;生活质量应用皮肤病生活质量指数(Dermatology Life Quality Index,DLQI)进行评估;生存质量应用世界卫生组织生存质量测定量表简表(World Health Organization Quality of Life Scale,WHOQOL-BREF)进行评估。结果:两组治疗前中医证候(红斑、渗出、红肿、苔黄或苔白、糜烂、鳞屑、皮纹加深)积分、湿疹面积及EASI(湿疹面积、严重程度、瘙痒程度)评分、WHOQOL-BREF、DLQI评分的差异无统计学意义(P> 0.05);治疗后研究组各证候积分、EASI评分、DLQI评分低于对照组(P <0.05),WHOQOL-BREF评分、总有效率高于对照组(P <0.05)。结论:慢性湿疹应用针灸围刺治疗能改善患者临床症状,减轻炎症反应,在提升治疗有效率的同时,还能提高其生活质量。展开更多
Objective： To compare the clinical efficacies between thin-cotton moxibustion plus surround needling and Western medication in treating herpes zoster （HZ）. Methods： Eighty-three HZ patients were divided into two g...Objective： To compare the clinical efficacies between thin-cotton moxibustion plus surround needling and Western medication in treating herpes zoster （HZ）. Methods： Eighty-three HZ patients were divided into two groups according to their admission sequence, 41 cases in the thin-cotton moxibustion group and 42 cases in the Western medication group. The thin-cotton moxibustion group received thin-cotton moxibustion on the surface of lesions plus surround needling around the lesions, once a day. The Western medication group was intervened by Acyclovir intravenous injection, 0.25 g per dose, once a day, along with external application of Acyclovir cream 3-5 times a day. After 10-day treatment, the blister-healing time, crusting time, pain-reducing time, onset time of action, lesion-healed time, and occurrence of post-herpetic neuralgia （PHN） were compared. Results： During the study, a case dropped out in the thin-cotton moxibustion group, and 2 cases dropped out in the Western medication group. The recovery and markedly-effective rate was 92.5% and total effective rate was 97.5% in the thin-cotton moxibustion group, versus 72.5% and 87.5% in the Western medication group, and the between-group differences were statistically significant （P^0.05）. The blister-healing time, crusting time, pain-reducing time, onset time of action and lesion-healed time in the thin-cotton moxibustion group were significantly shorter than those in the Western medication group （P〈0.05）. The occurrence rate of PHN was 2.07% in the thin-cotton moxibustion group, significantly lower than 9.19% in the Western medication group （P〈0.01）. Conclusion： Thin-cotton moxibustion plus surround needling can produce a more significant efficacy than Acyclovir in treating HZ, and it can markedly reduce the occurrence of PHN.展开更多
文摘目的:分析慢性湿疹应用针灸围刺治疗对患者瘙痒程度、湿疹面积及严重程度指数(Eczema Area and Severity Index,EASI)评分的改善效果。方法:选取北京市朝阳区八里庄社区卫生服务中心2019年3月-2020年9月接收的43例慢性湿疹患者,采用随机数表法分为两组,对照组(21例)给予常规治疗;研究组(22例)在常规治疗方案的基础上实施针灸围刺治疗。观察两组中医证候、治疗有效率、瘙痒程度、湿疹面积及严重程度、生活质量、生存质量情况。患者瘙痒程度、湿疹面积及严重程度应用EASI评分法进行评估;生活质量应用皮肤病生活质量指数(Dermatology Life Quality Index,DLQI)进行评估;生存质量应用世界卫生组织生存质量测定量表简表(World Health Organization Quality of Life Scale,WHOQOL-BREF)进行评估。结果:两组治疗前中医证候(红斑、渗出、红肿、苔黄或苔白、糜烂、鳞屑、皮纹加深)积分、湿疹面积及EASI(湿疹面积、严重程度、瘙痒程度)评分、WHOQOL-BREF、DLQI评分的差异无统计学意义(P> 0.05);治疗后研究组各证候积分、EASI评分、DLQI评分低于对照组(P <0.05),WHOQOL-BREF评分、总有效率高于对照组(P <0.05)。结论:慢性湿疹应用针灸围刺治疗能改善患者临床症状,减轻炎症反应,在提升治疗有效率的同时,还能提高其生活质量。
文摘Objective： To compare the clinical efficacies between thin-cotton moxibustion plus surround needling and Western medication in treating herpes zoster （HZ）. Methods： Eighty-three HZ patients were divided into two groups according to their admission sequence, 41 cases in the thin-cotton moxibustion group and 42 cases in the Western medication group. The thin-cotton moxibustion group received thin-cotton moxibustion on the surface of lesions plus surround needling around the lesions, once a day. The Western medication group was intervened by Acyclovir intravenous injection, 0.25 g per dose, once a day, along with external application of Acyclovir cream 3-5 times a day. After 10-day treatment, the blister-healing time, crusting time, pain-reducing time, onset time of action, lesion-healed time, and occurrence of post-herpetic neuralgia （PHN） were compared. Results： During the study, a case dropped out in the thin-cotton moxibustion group, and 2 cases dropped out in the Western medication group. The recovery and markedly-effective rate was 92.5% and total effective rate was 97.5% in the thin-cotton moxibustion group, versus 72.5% and 87.5% in the Western medication group, and the between-group differences were statistically significant （P^0.05）. The blister-healing time, crusting time, pain-reducing time, onset time of action and lesion-healed time in the thin-cotton moxibustion group were significantly shorter than those in the Western medication group （P〈0.05）. The occurrence rate of PHN was 2.07% in the thin-cotton moxibustion group, significantly lower than 9.19% in the Western medication group （P〈0.01）. Conclusion： Thin-cotton moxibustion plus surround needling can produce a more significant efficacy than Acyclovir in treating HZ, and it can markedly reduce the occurrence of PHN.
