针刺治疗原发性多汗症临床观察  

Acupuncture treatment for primary pyperhidrosis

作　　者：逄紫千[1] 李一鸣 胡哲[1] 李洪杰[1] 李静[1] 张泽文[1] 朱丹[2] 

机构地区：[1]长春中医药大学针灸推拿学院,长春130117 [2]吉林大学第一医院神经内科,长春130021

出　　处：《长春中医药大学学报》2016年第1期128-130,共3页Journal of Changchun University of Chinese Medicine

基　　金：吉林省中医药管理局重点项目资助课题“通经调脏法治疗代谢综合征的临床评价研究”(2014-ZD22);吉林省中医药管理局青年基金资助课题“推拿束悗疗法对大鼠糖尿病性周围神经病变的作用与机制研究”(2014-Q031);长春中医药大学SRT项目资助课题“针刺交感神经节段腧穴治疗原发性多汗症的临床观察”(2014SRT007)

摘　　要：目的观察针刺治疗原发性多汗症的临床效果。方法选用30例原发性多汗症患者和15例健康对照者为研究对象。治疗组选合谷、尺泽、复溜、风门、大杼、肺俞、厥阴俞、T1—T4段华佗夹脊穴等腧穴对原发性多汗症组进行针刺治疗。10 d为1个疗程,2疗程隔3 d,治疗3个疗程。治疗前后均进行SSR检测,记录四肢SSR的起始潜伏期和(Lat)和峰-峰波幅(Amp)。结果临床疗效观察结果:显效16例,有效9例,无效5例,总有效率83.3%;SSR检测:与健康对照组比较,原发性多汗组患者四肢Amp明显下降,P<0.05。经过3个疗程治疗后,四肢Amp明显回升,均恢复正常。结论针刺治疗原发性多汗症效果显著,其作用机制可能与改善交感神经纤维功能有关。Objective To observe clinical efficacy of aucupuncture remedy for primary hyperhidrosis and its influence on sympathetic skin. Methods There were 45 student volunteers from Changchun University of Traditional Chinese Medicine including 30 patients with hyperhidrosis as a treatment group and 15 volunteers without hyperhidrosis as a control group. For teretment gropu,patients were aucupuncture. Control group did not dffer aucupuncture remedy. A therapy session is 10 days,each session interval 3days,altogether 3 sessions. Results The clinical curative effect observation： full set of 16 cases were markedly effective,effective 9 cases,5 cases ineffective. Total effective rate was 83. 3%; the SSR detection： compared with healthy controls,patients with primary hyperhidrosis group limb Amp declined obviously（ P〈0. 05）. After 3 courses of treatment,limbs Amp has rebounded significantly,are back to normal. Conclusion Acupuncture treatment for primary hyperhidrosis effect is remarkable,and its mechanism may be related to improve the function of the sympathetic nerve fibers.

关 键 词：原发性多汗症 交感神经皮肤反应 针灸疗法 

分 类 号：R255[医药卫生—中医内科学]