摘要
目的观察毫火针和针刺治疗寻常型银屑病的临床疗效及安全性。方法选取寻常型银屑病患者86例,随机分为治疗组和对照组,每组43例。治疗组予毫火针和针刺治疗,对照组予针刺治疗,两组疗程均为4周。观察两组患者临床疗效及不良反应,并于治疗前和治疗后第2、4周采用银屑病皮损面积严重指数(PASI)评分标准对靶损害皮损面积、肥厚程度(浸润)、红斑及鳞屑情况进行评分。结果两组患者治疗后2周PASI评分与治疗前比较明显改善,具有统计学意义(P<0.05);两组治疗后4周PASI评分与治疗前比较,均明显改善,具有统计学意义(P<0.05)。治疗组治疗后2周PASI评分与对照组比较差异有统计学意义(P<0.05);治疗组治疗后4周PASI评分与对照组比较差异有统计学意义(P<0.01)。治疗组总有效率为97.5%,明显优于对照组的87.5%(P<0.05)。两组患者均无严重不良反应发生。结论毫火针和针刺治疗寻常型银屑病疗效优于单纯针刺治疗,对银屑病皮损改善优于单纯针刺治疗。
Objective To observe the clinical efficacy and safety of filiform fire needle therapy plus acupuncture in treating psoriasis vulgaris.Method Eighty-six patients with psoriasis vulgaris were recruited and randomized into a treatment group and a control group,with 43 cases in each group.The treatment group was intervened by filiform fire needle therapy plus acupuncture,and the control group was intervened by acupuncture alone,both for 4 weeks.The clinical efficacy and adverse reactions were observed.Psoriasis Area and Severity Index(PASI)was used to score the target lesion area,thickness(infiltration),erythema and scale before treatment and at the 2nd and 4th weeks after treatment.Result The PASI score showed significant improvement at the 2nd week after treatment in both groups(P<0.05);at the 4th week after treatment,the PASI score showed significant improvement compared with the baseline score in both groups(P<0.05).At the 2nd week after treatment,the PASI score in the treatment group was significantly different from that in the control group(P<0.05);at the 4th week after treatment,the PASI score in the treatment group was significantly different from that in the control group(P<0.01).The total effective rate was 97.5%in the treatment group,markedly higher than 87.5%in the control group(P<0.05).There were no significant adverse reactions occurred in the two groups.Conclusion Filiform fire needle therapy plus acupuncture can produce more significant efficacy in treating psoriasis vulgaris compared with acupuncture alone,and it can produce more significant effect in improving the skin lesion.
作者
吕士琦
王彬
赵汝佳
LV Shi-qi;WANG Bin;ZHAO Ru-jia(Zaozhuang Hospital,Beijing University of Chinese Medicine,Zaozhuang 277101,China)
出处
《上海针灸杂志》
2019年第12期1370-1374,共5页
Shanghai Journal of Acupuncture and Moxibustion
作者简介
吕士琦(1963-),女,副主任医师。
