滚针联合卤米松乳膏治疗风湿热蕴型局限性神经性皮炎疗效观察  

Clinical efficacy of microneedling therapy combined with halometasone cream for neurodermitis of wind-dampness-heat accumulation type

作　　者：姜珠倩[1] 武宗琴 王英杰[1] 刘杰[1] 李淑[1] 罗瑞静[1] 彭勇[1] JIANG Zhu-qian;WU Zong-qin;WANG Ying-jie;LIU Jie;LI Shu;LUO Rui-jing;PENG Yong(Outpatient Department of Dermatology,Shanghai Jiading Hospital of Traditional Chinese Medicine,Shanghai 201800,CHINA)

机构地区：[1]上海市嘉定区中医医院皮肤科,上海201800

出　　处：《海南医学》2022年第1期50-53,共4页Hainan Medical Journal

基　　金：上海市嘉定区农业和社会事业科研项目(编号:JDKW-2017-W33)。

摘　　要：目的观察滚针与卤米松乳膏联用治疗风湿热蕴型局限性神经性皮炎的临床疗效。方法选取2018年3月至2020年5月期间在上海市嘉定区中医医院皮肤科门诊就诊的104例风湿热蕴型局限性神经性皮炎患者,采用随机数表法分为观察组和对照组,每组52例。观察组患者采用滚针联合卤米松乳膏外用治疗,对照组仅采用卤米松乳膏外用治疗,均治疗两周。比较两组患者的临床疗效、治疗前后的皮损症状积分、皮肤生理指标的变化及不良反应发生情况。结果观察组患者的治疗总有效率为88.46%,明显高于对照组的67.31%,差异有统计学意义(P<0.05);治疗后,观察组患者的瘙痒程度、皮损形态和皮损面积积分分别为2 (0,2)分、2 (0,2)分、2 (0,4)分,明显低于对照组的3 (2,4)分、2 (2,2)分、4 (2,4)分,差异均有统计学意义(P<0.05);治疗后,观察组患者的皮肤油脂含量和角质层含水量指标分别为(22.82±1.00) au、(27.57±1.15) au,明显高于对照组的(17.05±1.07) au、(22.75±1.46) au,差异均有统计学意义(P<0.05);治疗过程中,两组患者均未出现不良反应。结论滚针联合卤米松乳膏外用治疗风湿热蕴型局限性神经性皮炎疗效确切,且优于单独卤米松外用。Objective To observe the clinical efficacy of microneedling therapy combined with halometasone cream in treating neurodermitis of wind-dampness-heat accumulation type. Methods One hundred and four patients with neurodermitis of wind-dampness-heat accumulation type treated in Outpatient Department of Dermatology, Jiading District Hospital of Traditional Chinese Medicine from March 2018 to May 2020 were randomized into an observation group(52 cases) and a control group(52 cases) by random number table method. Patients in the observation group were intervened by microneedling therapy combined with halometasone cream for external use, while those in the control group were only treated with halometasone cream for external use, with 2 weeks as a course of treatment. The clinical efficacy, changes of the syndrome score, skin barrier function parameters, and the adverse reactions of the two groups were observed after the treatment. Results The total effective rate was 88.46% in the observation group, significantly higher than 67.31% in the control group(P<0.05). After treatment, scores of itching, Lesion morphology, and area of skin lesion in the observation group were 2(0,2) points, 2(0, 2) points, and 2(0, 4) points, which were significantly lower than corresponding 3(2, 4) points, 2(2, 2) points, and 4(2, 4) points in the control group(all P<0.05). The skin sebum levels and the skin hydration degrees in the observation group were(22.82±1.00) au and(27.57±1.15) au, which were significantly higher than corresponding(17.05±1.07) au and(22.75±1.46) au in the control group(all P<0.05). The two groups of patients showed no obvious adverse reaction during treatment. Conclusion Microneedling therapy combined with halometasone cream can produce a significant efficacy in treating neurodermitis of wind-dampness-heat accumulation type,which is better than the latter used alone.

关 键 词：神经性皮炎 滚针 卤米松 中医特色疗法 皮肤镜 

分 类 号：R758.32[医药卫生—皮肤病学与性病学]