银屑病一号方浸洗结合针刺背俞穴改善血热型银屑病患者症状及生活质量效果分析  

Effective Analysis on the Improvement of Symptoms and Quality of Life for Blood-heat Type Psoriasis Patients by Combining Immersion and Acupuncture at Back-Shu Points

作　　者：杨文玲[1] 陈是静[1] 李卉丹[1] 宋海桢 罗晓玲 YANG Wenling;CHEN Shijng;LI Huidan(Department of Dermatology,the People's Hospital of Deyang City,Deyang Sichuan 618000,China)

机构地区：[1]德阳市人民医院皮肤科,四川德阳618000

出　　处：《四川中医》2020年第6期178-181,共4页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:观察银屑病一号方浸洗结合针刺背俞穴改善血热型银屑病患者症状及生活质量效果。方法:研究纳入93例血热型银屑病患者,患者均由我院2017年2月~2018年6月收治,采取随机数字表法将患者分为观察组与对照组,对照组患者(46例)常规干预,观察组患者(47例)常规干预+银屑病一号方浸洗结合针刺背俞穴干预,比较两组患者干预前后银屑病皮损面积和严重程度指数(PASI)评分、临床疗效、干预前后患者中医症状积分、血清炎性因子水平变化、患者生活质量评分(DLQI评分)、患者干预满意率,随访1年,观察两组患者6个月、1年时候疾病复发情况。结果:干预前,两组患者PASI评分相当,P>0.05,干预后各组患者PASI评分改善,观察组优于对照组,P<0.05;观察组有效率(97.87%)高于对照组(84.78%),P<0.05;干预前,两组患者中医症状积分、白介素-17(IL-17)、白介素-31(IL-31)、肿瘤坏死因子(TNF-α)等血清炎性因子水平、DLQI评分相当,P>0.05,干预后各组患者中医症状积分、白介素-17(IL-17)、白介素-31(IL-31)、肿瘤坏死因子(TNF-α)等血清炎性因子水平、DLQI评分均改善,观察组优于对照组,P<0.05;观察组患者6个月疾病复发率(0.00%)同对照组(4.35%)相当,1年复发率(0.00%)低于对照组(10.87%),P<0.05;观察组患者干预满意率(97.87%)高于对照组(78.26%),P<0.05。结论:银屑病一号方浸洗结合针刺背俞穴可改善血热型银屑病临床症状,提升临床疗效,降低患者炎性因子水平,提升患者生活质量,降低疾病复发率,患者满意率高,值得推广与应用。Objective:To explore the effect of combination of immersion and acupuncture at back-Shu points to improve the symptoms and quality of life of psoriasis patients.Methods:Studying included 93 blood-heat type psoriatic patients, the patients were from February 2017 to June 2018 were analyzed, take a random number table method divided the patients into observation group and controlled group, the controlled group patients(46 cases) were with conventional intervention, the observation group of patients(n=47)+conventional intervention psoriasis one baptism combined with acupuncturing back-Shu points intervention, compared the two groups before and after intervention in patients with psoriasis skin lesion area and severity index(PASI) score, clinical curative effect of traditional Chinese medicine(TCM), before and after intervention in patients with symptoms integral, changes in serum levels of inflammatory factors and patient quality of life scores(DLQI score) intervention, patients satisfaction rate, patients in both groups were followed up for 1 year to observe the recurrence of the disease at 6 months and 1 year.Results:Before the intervention, the PASI scores of the two groups were similar(P>0.05), after the intervention, the PASI scores of the two groups were improved, and the observation group was better than the controlled group(P<0.05).The effective rate of the observation group(97.87%) was higher than that of the controlled group(84.78%), P<0.05.Before intervention, the two groups of patients with Chinese medicine symptom integral, interleukin-17 to 31(IL-17), interleukin(IL-31), tumor necrosis factor(TNF alpha), serum levels of inflammatory factors such as DLQI score, P>0.05, groups of patients after intervention of TCM symptoms integral, interleukin-17 to 31(IL-17), interleukin(IL-31), tumor necrosis factor(TNF alpha), serum levels of inflammatory factors such as DLQI score were improved, the observation group was better than that of the controlled group, P<0.05.The disease recurrence rate at 6 months in the

关 键 词：血热型银屑病 银屑病一号方浸洗 针刺背俞穴 疗效 炎性因子 

分 类 号：R758.63[医药卫生—皮肤病学与性病学]