耳尖放血治疗外麦粒肿的随机对照研究  

Randomized Controlled Clinical Trials for Treatment of External Sty with Ear-apex Blood-letting

作　　者：齐慧芳[1] 赵菊芳[1] 王燕[1] 陈雪艺[1] 

机构地区：[1]新疆医科大学第一附属医院,乌鲁木齐830054

出　　处：《针刺研究》2013年第2期148-151,共4页Acupuncture Research

摘　　要：目的:观察耳尖放血治疗外麦粒肿的临床疗效和安全性。方法:102例外麦粒肿患者随机分为耳尖放血组和常规治疗组各51例,常规治疗组采用常规药物和热敷治疗,耳尖放血组采用耳尖放血配合常规治疗,每日1次,治疗3d。分别于治疗前、治疗后即刻及治疗后每天随访评价肿块大小、视觉模拟评分(VAS),统计两组治愈率。结果:治疗前与治疗后即刻和治疗后3、5、7d肿块大小及VAS评分的差值,耳尖放血组均比常规治疗组改善更明显(P<0.05)。治疗后3、5、7d治愈率,耳尖放血组均优于常规治疗组(P<0.05)。结论:耳尖放血配合常规治疗在减轻外麦粒肿临床症状、缩小肿块面积、缓解疼痛、缩短病程等方面疗效均优于单纯常规治疗,是治疗早期外麦粒肿的有效方案。Objective To observe the clinical therapeutic effect of ear-apex blood-letting for external sty. Methods A total 102 sty patients were randomized into ear-apex blood-letting group （n = 51 ） and routine treatment （medication） group （n = 51 ） according to computer-aided randomization procedure. Ear-apex-bloodletting （5- 6 blood drops/time） was performed once daily for 3 times for the patients of blood-letting group. Patients of the medication group were treated by local application of hydrochloric levefloxacin and erycin ointment to the affected eyelid lining. Additionally, local warm compress of the affected eyelid was given to patients of both groups. The therapeutic effect was assessed by measuring the size of the sty swell and visual ana- logue scale （VAS） was determined for evaluating pain severity changes. The outcomes were analyzed by researchers who did not know the grouping. Results Comparison between patients of the two groups showed that the difference vahees of the styrize and VAS score between pre- and post-treatment in the ear-apex bloodletting group were significantly bigger than those of the me- dication group on day 3,5 and 7 after treatment （P〈0.05）. The cure rates of the blood-letting group and medication group were 64.7% and 41.2%, 90.2% and 62.7%, 94. 1% and 80.4%, respectively on day 3, 5 and 7 after the treatment. The therapeu- tic effects of blood-letting were significantly superior to those of the medication group in relieving external sty （P〈0.05）. Conclusion Ear-apex blood-letting therapy for external sty is effective in relieving pain, reducing the size and shortening the duration of disease.

关 键 词：外麦粒肿耳尖放血 常规治疗 随机对照试验 

分 类 号：R245.312[医药卫生—针灸推拿学]