贴麻后火针剥除术治疗甲周疣  

Treatment of Periungual Warts with Fire Needle Stripping After Sticking Anaesthesia

作　　者：徐俊涛 王莹 王丽[1] 屠远辉[1] 张雅 方玉甫[1] XU Juntao;WANG Ying;WANG Li;TU Yuanhui;ZHANG Ya;FANG Yufu(The Second Affiliated Hospital of Henan University of Traditional Chinese Medicine/Henan Provincial Hospital of Traditional Chinese Medicine,Zhengzhou Henan China 450002)

机构地区：[1]河南中医药大学第二附属医院/河南省中医院,河南郑州450002

出　　处：《中医学报》2022年第9期2005-2010,共6页Acta Chinese Medicine

基　　金：国家中医临床研究基地科研专项课题项目(2019JDZX044)。

摘　　要：目的:观察贴麻后火针剥除术治疗甲周疣的临床疗效。方法:90例甲周疣患者按照随机数字表法分为液氮冷冻治疗组(n=30)、火针治疗组(n=30)、贴麻后火针剥除术组(n=30)。3组均治疗8周,治疗后比较患者临床疗效、疼痛程度、治疗依从性、治疗前后的皮损情况,并比较治疗期间不良反应发生情况。结果:治疗后,火针治疗组、贴麻后火针剥除术组有效率均高于液氮冷冻治疗组(P<0.05),火针治疗组与贴麻后火针剥除术组有效率比较,差异无统计学意义(P>0.05)。治疗后,火针治疗组与贴麻后火针剥除术组疣体数量、大小及厚度评分均低于液氮冷冻治疗组(P<0.05)。贴麻后火针剥除术组治疗时视觉模拟量表(visual analogue scale,VAS)评分低于液氮冷冻治疗组、火针治疗组(P<0.05),火针治疗组、贴麻后火针剥除术组治疗后3 d的VAS评分均低于液氮冷冻治疗组(P<0.05)。贴麻后火针剥除术组患者治疗依从性优于液氮冷冻治疗组与火针治疗组(P<0.05)。贴麻后火针剥除术组治疗后不良反应发生率低于液氮冷冻治疗组、火针治疗组(P<0.05)。结论:贴麻后火针剥除术治疗甲周疣临床疗效显著,可减轻患者疼痛、提高患者治疗依从性、改善术后生活质量、降低术后不良反应发生率。Objective:To observe the clinical effect of fire needle stripping after sticking anesthesia in the treatment of periungual warts.Methods:90 patients with periungual warts were randomly divided into liquid nitrogen cryotherapy group(n=30),fire needling treatment group(n=30)and fire needle stripping group after anesthesia(n=30).The three groups were treated for 8 weeks.After treatment,the clinical efficacy,pain degree,treatment compliance,skin lesions before and after treatment were compared,and the occurrence of adverse reactions during treatment was compared.Results:After treatment,the effective rates of the fire acupuncture treatment group and the fire acupuncture stripping group after anesthesia were higher than those of the liquid nitrogen cryotherapy group(P<0.05).No statistical significance(P>0.05).After treatment,the scores of the number,size and thickness of warts in the fire-needle treatment group and the fire-needle excision group after anesthesia were lower than those in the liquid nitrogen cryotherapy group(P<0.05).The visual analogue scale(VAS)score of the fire-needle peeling group after anesthesia treatment was lower than that of the liquid nitrogen cryotherapy group and fire-needling group(P<0.05),the fire-needle treatment group,and fire-needle peeling after sticking anesthesia.The VAS scores of the group 3 days after treatment were lower than those of the liquid nitrogen cryotherapy group(P<0.05).The treatment compliance of the patients in the fire-needle peeling group after anesthesia was better than that in the liquid nitrogen cryotherapy group and the fire-acupuncture group(P<0.05).The incidence of adverse reactions in the fire-needle peeling group after anesthesia was lower than that in the liquid nitrogen cryotherapy group and the fire-needle treatment group(P<0.05).Conclusion:Fire needle stripping after sticking anesthesia has a significant clinical effect in the treatment of periungual warts,which can relieve patients′pain,improve patients′compliance with treatment,improve postoperative

关 键 词：甲周疣 火针剥除术 液氮冷冻 

分 类 号：R275.952.5[医药卫生—中西医结合]