自血疗法治疗慢性荨麻疹疗效观察  

Curative Effect Observation on Autohemotherapy for Chronic Urticaria

作　　者：郑慕雄 邱洁 黄莹 苏惜香 李腾蛟 ZHENG Muxiong;QIU Jie;HUANG Ying;SU Xixiang;LI Tengjiao

机构地区：[1]广东省汕头市皮肤性病防治院,广东汕头515041

出　　处：《新中医》2018年第7期157-159,共3页New Chinese Medicine

基　　金：广东省中医药局科研课题(20161236)

摘　　要：目的:探讨自血疗法治疗慢性荨麻疹的中医辨证思路与治疗规律。方法:对120例慢性荨麻疹患者进行中医辨证分型,并采用自血疗法治疗,每周1次,10次为1疗程,记录各个中医证型患者治疗前后荨麻疹活动性(UAS)评分,比较分析各个证型组的临床疗效。结果:治疗后脾虚夹湿型、气血不足型、肠胃湿热型、风热型、风寒型的UAS评分均较治疗前有不同程度改善,前后比较,差异均有统计学意义(P<0.05,P<0.01);而气滞血瘀型UAS评分较治疗前无明显改善(P>0.05)。治疗后临床总有效率为75.00%,其中以气血不足型患者总有效率最高(90.91%),各型疗效依次为气血不足>脾虚夹湿>风寒>肠胃湿热>风热>气滞血瘀。总有效率虚证患者为88.41%,实证患者为56.86%,2组比较,差异有统计学意义(P<0.01)。结论:自血疗法治疗慢性荨麻疹对辨证属于虚证证候组的患者疗效较好,以扶正补虚的辨证思路指导临床应用自血疗法治疗慢性荨麻疹较为适合。Objective：To discuss the thought of syndrome differentiation of Chinese medicine and treatment rules in the treatment of autohemotherapy for chronic urticaria. Methods：Divided 120 cases of patients with chronic urticaria into different syndrome types based on the Chinese medicine syndrome differentiation. All patients were treated with autohemotherapy once a week,and ten times of treatment were one course. Recorded the urticaria activity score（UAS） in patients with different Chinese medicine syndrome types before and after treatment,and compared the clinical effect in each syndrome type group. Results：After treatment,UAS scores in the group of spleen deficiency mixed with dampness type,the group of deficiency of qi and blood type,the group of dampness-heat of intestine and stomach type,the group of wind-heat type,and the group of wind-cold type were improved at different degrees when compared with those before treatment,differences being significant（P〈0.05,P〈0.01）. The UAS score in the group of qi stagnation and blood stasis type was not significantly improved when compared with that before treatment（P〈0.05）. After treatment, the total clinical effective rate was 75.00%,and the highest total effective rate was 90.91% in the group of deficiency of qi and blood type. The clinical effect in each type ranked as follows：deficiency of qi and blood type spleen deficiency mixed with dampness type wind-cold type dampness-heat of intestine and stomach type wind-heat type qi stagnation and blood stasis type. The total effective rate was 88.41%in patients with deficiency syndrome and was 56.86% in patients with excess syndrome, the difference being significant（P〈0.01）.Conclusion：The treatment of autohemotherapy for chronic urticaria has a better curative effect on patients with deficiency syndrome. It is more suitable to clinically apply the thought of reinforcing healthy qi and supplementing deficiency to the treatment of autohemotherapy for chronic urticaria.

关 键 词：慢性荨麻疹 自血疗法 辨证论治 实证 虚证 证治规律 

分 类 号：R758.24[医药卫生—皮肤病学与性病学]