火针治疗慢性湿疹的临床疗效观察-针灸推拿学专业论文.docxVIP

中文摘要目的：明确火针疗法对慢性湿疹的临床疗效。初步探讨火针疗法对慢性湿疹的 作用机理。方法：依据《中药新药临床研究指导原则（试行）》2002 年版制定的诊断标准， 共纳入慢性湿疹病例 68 例，随机分为治疗组 34 例和对照组 34 例。治疗组采用火针点刺皮损和肺俞、脾俞，对照组采用糠酸莫米松乳膏外搽皮损。两组疗程均为 3 周，3 周后进行疗效评估，并对治愈的患者进行半年随访，以了解其复发情况。结果：治疗组 32 例完成实验，临床治愈 16 例（50.0%），显效 10 例（31.25%）， 好转 3 例（9.37%），无效 3 例（9.37%），愈显率为 81.25%，总好转率为 90.63%。 对照组 30 例完成实验，临床治愈 6 例（20%），显效 11 例（36.7%），好转 8 例（26.7%）， 无效 5 例（16.6%），愈显率为 56.7%，总好转率为 83.4%。两组疗效比较，差异具 有统计学意义（P0.05）。治疗起效时间：治疗组 1~2 小时 25 例（78.1%），1 周内 4 例（12.5%），2 周内2 例（6.3%），3 周内 1 例（3.1%）；对照组 1 周内 9 例（30.0%），2 周内 15 例（50.0%），3 周内 6 例（20.0%）。两组治疗起效时间比较具有统计学意义（P0.05）。 靶皮损面积、厚度：两组患者靶皮损治疗后的面积、厚度积分，经统计学比较均具有显著的统计学意义（P0.05），而且治疗组明显优对照组(P＜0.05)。结论：火针组治疗慢性湿疹明显优于西药对照组。说明火针对慢性湿疹皮损疗 效显著，且副作用小，值得临床上推广应用。关键词：慢性湿疹火针临床研究AbstractObjection: To identify the clinical effect of chronic eczema treating by fire needle and investigate the mechanism of fire needle.Method: According to standard of diagnosis written in《Guidingprinciple for clinical research of new traditional Chinese medicine (implementation)》，we brought 68 patients in this study,and divided into 2 groups in random.34 patients in treatment group were treated with fire needle,to acupuncture the local skin lesion and PiShu,FeiShu.The control group were treated by Mometasone Furoate Cream.after 3 weeks,we evaluate the effect ,and with half-year follow up to observe the recurrence .Result: The treatment group were well completed, In treatment group ,the total effective rate was 90.63% , the rate of cured and remarkablyeffective was 81.25%，including 16 cases (50.0%) were cured, 10(31.25%)remarkably effective, 3(9.37%) effective, 3(9.37%) ineffective.The control group were complete 30,the total effective rate was83.4%，the rate of cured and remarkably effective was 56.7%，including 6 cases (20%) were cured, 11(36.7%) remarkably effective, 8(26.7%) effective, 5(16.6%) ineffective.After treatment,the two group were significantly different（P0.05).The time of get effective:In treatment group ,there were 25 cases(78.1%) after 1-2 ho