皮肤针配合贴棉灸治疗肛门瘙痒症疗效观察  

Therapeutic Observation of Plum-blossom Needle plus Cotton Moxibustion for Pruritis Ani

作　　者：潘怡宏[1] 徐利[2] 葛琼翔[2] 林国强[2] 吕佳妮[2] PAN Yi-hong XU Li GE Qiong-xiang LINGuo-qiang L Jia-ni(Hangzhou First People＇s Hospital,Hangzhou 3 lO006,China The First Affiliated Hospital of Zhejiang Medical University,Hangzhou 310006,China)

机构地区：[1]杭州市第一人民医院,杭州310006 [2]浙江中医药大学附属第一医院,杭州310006

出　　处：《上海针灸杂志》2016年第11期1341-1344,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：浙江省中医药管理局立项资助项目(2014ZA040)

摘　　要：目的基于"火郁发之"理论观察皮肤针配合贴棉灸治疗肛门瘙痒症的临床疗效。方法将符合纳入标准的100例肛门瘙痒症患者随机分为治疗组和对照组,每组50例。治疗组采用皮肤针配合贴棉灸治疗,对照组采用外涂醋酸曲安奈德尿素软膏治疗。观察两组治疗前后各项肛门瘙痒症状评分的变化情况,并比较两组临床疗效及治疗后复发率。结果两组治疗后各项肛门瘙痒症状评分与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后各项肛门瘙痒症状评分与对照组比较,差异具有统计学意义(P<0.05)。治疗组总有效率和愈显率分别为90.0%和64.0%,对照组分别为80.0%和44.0%,两组比较差异均具有统计学意义(P<0.05)。治疗组痊愈患者治疗后3个月复发率为10.0%,对照组为25.0%,两组比较差异具有统计学意义(P<0.05)。结论皮肤针配合贴棉灸是一种治疗肛门瘙痒症的有效方法。Objective To observe the clinical efficacy of plum-blossom needle plus cotton moxibustion in treating pruritis ani based on the theory of releasing the fire from qi stagnation.Method A hundred eligible patients with pruritis ani were randomized into a treatment group and a control group, 50 cases in each group. The treatment group was intervened by plum-blossom needle plus cotton moxibustion, while the control group was by external application of Triamcinolone Acetonide Acetate Urea Ointment. The pruritis ani symptoms were scored before and after treatment, and the clinical efficacies and relapse rates were compared between the two groups.Result The pruritis ani symptoms scores were changed significantly after intervention in the two groups （P〈0.05）. After treatment, the pruritis ani symptoms scores in the treatment group were significantly different from that in the control group （P〈0.05）. The total effective rate and recovery plus markedly-effective rate were respectively 90.0% and 64.0% in the treatment group, versus 80.0% and 44.0% in the control group, and the between-group differences were statistically significant （P〈0.05）. Among the recovered cases, the relapse rate was 10.0% in the treatment group 3 months after the intervention, versus 25.0% in the control group, and the difference was statistically significant （P〈0.05）.Conclusion Plum-blossom needle plus cotton moxibustion is an effective method in treating pruritis ani.

关 键 词：针灸疗法 皮肤针疗法 贴棉灸 肛门瘙痒症 

分 类 号：R246.2[医药卫生—针灸推拿学]