非药物综合疗法治疗斑块状银屑病疗效探究.docVIP

非药物综合疗法治疗斑块状银屑病疗效探究【摘 要】 目的:评价经高能紫外线照射、穴位埋线、耳背刺络、耳压穴位非药物综合疗法治疗斑块状银屑病的有效性和安全性。方法:采用随机、阳性药物对照、将233例分为治疗组(116例)和药物组(117例)。治疗组采用高能紫外线照射、穴位埋线、耳背刺络、耳压中医方式进行治疗。药物组口服迪银片,每次5片,每日2次。两组均治疗6周后比较临床疗效、皮损面积评分、皮损严重程度评分情况及安全性。结果:治疗组愈显率为57.8%,药物组为51.3%,两组疗效差异无统计学意义(P0.05);两组治疗后皮损面积评分及皮损严重程度评分均较治疗前明显降低(均P0.05);治疗组不良反应的发生率明显低于药物组。结论: 非药物综合疗法治疗斑块状银屑病是有效和安全的。 【关键词】 非药物综合疗法; 斑块状银屑病; 【Abstract】Objective: To evaluate the high-energy ultraviolet radiation, catgut implantation, ear pricking, ear pressure points of non-drug combination therapy for plaque psoriasis efficacy and safety. METHODS: A randomized, positive control, the 233 cases were divided into treatment group (116 cases) and drug group (117 cases). High-energy ultraviolet radiation treatment group, catgut implantation, ear pricking, ear pressure medicine approach to treatment. Oral drug group Di silver pieces, each 5, 2 times a day. Both groups were compared after 6 weeks of treatment efficacy, lesion area score, lesion severity score and the security situation. Results: The markedly effective rate was 57.8%, 51.3% of drug group, no significant difference between two groups (P 0.05); After treatment, lesion area and lesion severity score score before treatment was significantly higher than those decreased (P 0.05); treatment group the incidence of adverse reactions was significantly lower than the drug group. Conclusion: non-drug combination therapy plaque psoriasis is effective and safe. 【Keywords】non-drug combination therapy; plaque psoriasis; 银屑病俗称牛皮癣,是一种常见的慢性反复发作性、以表皮细胞过度增殖为特点的皮肤病,在祖国医学中属于“白”范畴。本课题组对非药物综合疗法治疗斑块状银屑病进行临床研究,并随机与阳性药物迪银片对照，以评价非药物综合疗法治疗的临床疗效和安全性,现报告如下。 1临床资料 一般资料：符合方案的240例患者例入选标准：皮损属于斑块型。斑块状银屑病患者来我院皮肤科就诊的门诊患者。采用单纯随机分组设计的方法,随机分为治疗组和药物组各120例,治疗组116例中,药物组117例。两组患者的性别、年龄、病程、病情等一般情况比较,差异均无统计学意义(均P0.05),具有可比性。 2 治疗方法 2.1治疗组 采用非药物综合疗法治疗 (1)治疗组采用美国TheraLing Inc公司生产、北京康联医用设备有限公司总代理的UVA/UVB高能紫外光局部治疗 (2)埋线 (3)刺络、(4)耳穴贴压法。 2.2 药物组 迪银片(重庆华邦制药有限公司生产)每次口服5片,每日2次。两组均6周为一疗程,治疗1个疗程后评定疗效。 3 治疗结果