穴位注射联合中药颗料外洗治疗手部湿疹的的疗效观察.docVIP

穴位注射联合中药颗料外洗治疗手部湿疹的的疗效观察 　　[摘要] 目的 探讨观察穴位注射联合中药颗料外洗治疗手部湿疹的疗效。 方法 手部湿疹患者80例根据随机抽签方法分为治疗组与对照组各40例，对照组给予传统穴位注射治疗，治疗组在对照组治疗的基础上给予自拟中药颗粒洗剂治疗。 结果 治疗后治疗组的显效率分别为97.5%和85.0%，治疗组的显效率明显高于对照组（P0.05）。两组治疗后的皮损与自觉症状评分明显低于治疗前（P0.05），同时治疗后治疗组的皮损与自觉症状评分明显低于对照组（P0.05）。经过观察，两组治疗后血清IL-15和IL-21值明显低于治疗前（P0.05），同时治疗后治疗组的血清IL-15和IL-21值明显低于对照组（P0.05）。 结论 穴位注射联合中药颗料外洗治疗手部湿疹能通过保护、润肤、收敛、抗过敏、止痒等综合作用改善临床症状，促进临床疗效的提高。 　　[关键词] 穴位注射；中药颗料外洗；手部湿疹；疗效 　　[中图分类号] R275 [文献标识码] B [文章编号] 2095-0616（2015）13-49-03 　　[Abstract] Objective To investigate the efficacy of point injection combined Chinese medicine granule washing treatment of hand eczema. Methods 80 patients with hand eczema accorded a random draw method were equally divided into the treatment group and control group， the control group were received traditional acupuncture point injection therapy， the treatment group were added given self-made medicine particles lotion treatment on the basis of the control group. Results The effective rates of the treatment group and the control group were 97.5% and 85.0% respectively which the treatment group had significantly higher efficiency （P0.05）. After treatment， the skin lesions and symptoms scores were significantly lower than before treatment （P0.05）， while the lesions and symptoms scores in the treatment group were significantly lower than the control group （P0.05）. After treatment， the serum IL-15 and IL-21 were significantly lower than before treatment （P0.05）， while serum IL-15 and IL-21 value of the treatment group were significantly lower than the control group （P0.05）. Conclusion Point injection combined Chinese medicine granule washing treatment of hand eczema can improve clinical symptoms by the protection， soothing， astringent， anti-allergy that promote the improvement of clinical efficacy. 　　[Key words] Point injection； Medicine granule washing； Hand eczema； Efficacy 　　手部湿疹是由于接触外界各种刺激物质引起的手部皮肤炎症反应，一般较难确定病因。多数起病缓慢，发病率高，临床表现为手部干燥，出现暗红斑，局部浸润肥厚，冬季常开裂[1-2]。多见于家庭主妇，因此也称为“主妇手”。 手部湿疹在临床上具有发病率高，病程