针刺联合苦参消痒汤外洗治疗湿疹临床观察  

Clinical Observation on Acupuncture Combined with External Washing of Kushen Xiaoyang Decoction in the Treatment of Eczema

作　　者：鹿彬 LU Bin(Dermatology Department,Fushun Hospital of Traditional Chinese Medicine,Liaoning Province,Fushun 113000,China)

机构地区：[1]抚顺市中医院皮肤科,辽宁抚顺113000

出　　处：《中国中医药现代远程教育》2020年第22期83-85,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的系统性评价针刺联合中药汤剂外洗治疗对慢性湿疹患者的临床效果。方法选取2018年5月—2019年5月于抚顺市中医院皮肤科病房住院接受治疗的慢性湿疹患者60例,入组病例均采用信封法随机分为对照组和试验组。对照组30例,基础治疗上应用针刺治疗方案。试验组30例,在对照组基础上联合苦参消痒汤外洗治疗方案。观察2组患者治疗前后湿疹EASI指数、VAS瘙痒程度评分及中医症候积分变化情况。结果经临床治疗,试验组EASI指数(2.11±0.47)分,VAS瘙痒评分(0.98±0.21)分,中医证候积分(6.20±2.51)分;对照组EASI指数(4.25±1.31)分,VAS瘙痒评分(1.55±0.41)分,中医证候积分(11.15±3.82)分,试验组均优于对照组,差异有统计学意义(P<0.05)。结论针刺治疗联合苦参消痒汤外洗治疗可有效缓解慢性湿疹患者皮损区红肿、瘙痒症状,并抑制湿疹皮损面积及病情进展,疏风清热、除湿止痒,临床效果优异,值得临床推广。Objective To systematically evaluate the clinical effects of acupuncture combined with external washing of Kushen Xiaoyang decoction on patients with chronic eczema.Methods 60 patients with chronic eczema who were treated in the dermatology ward were enrolled.The enrolled patients were randomly divided into control group and experimental group by envelope method.In the control group,30 cases were treated with acupuncture treatment on the basic treatment,and 30 cases in the experimental group were given external washing of Kushen Xiaoyang decoction.The EASI index,VAS itch score and TCM syndrome score of the 2 groups were observed before and after treatment.Results After clinical treatment,in the experimental group,EASI index was(2.11±0.47),VAS itch score was(0.98±0.21)and TCM syndrome score was(6.20±2.51).In the control group,EASI index was(4.25±1.31),VAS itch score was(1.55±0.41),and TCM syndrome score was(11.15±3.82).The experimental group was superior to the control group,and the difference was statistically significant(P<0.05).Conclusion Acupuncture combined with Kushen Xiaoyang decoction can effectively relieve the symptoms of redness and itching in the skin lesions of patients with chronic eczema,and inhibit the area and progression of eczema lesions.It can effectively improve the clinical signs and quality of life of patients with wind and heat,which is worthy of clinical promotion.

关 键 词：慢性湿疹 针刺疗法 中药外洗疗法 中医综合疗法 

分 类 号：R246.7[医药卫生—针灸推拿学]